Views: 222 Author: Dream Publish Time: 2025-04-06 Origin: Site
Content Menu
● Introduction to BioHorizons Implants
>> Recommended Torque for BioHorizons Abutment Screws
● Consequences of Over-Torquing
● Strategies to Avoid Over-Torquing
● Importance of Proper Torque in Dental Implants
● BioHorizons Abutment Screw Design
● Advanced Techniques for Torque Control
● FAQ
>> 1. What is the recommended torque for BioHorizons tapered implants?
>> 2. What happens if you over-torque a BioHorizons abutment screw?
>> 3. How often should a BioHorizons torque wrench be recalibrated?
>> 4. What are the consequences of using a non-calibrated torque wrench?
>> 5. Can over-torquing lead to peri-implantitis?
Over-torquing a BioHorizons abutment screw can lead to several complications, including permanent deformation of the screw, fracture of the screw or abutment, and increased stress on the implant-abutment interface. This article will delve into the specifics of BioHorizons abutment screws, the recommended torque values, and the consequences of over-torquing.
BioHorizons offers a range of dental implants with tapered designs, which are popular for their ease of placement and high primary stability. These implants often require precise torque settings to ensure the stability and longevity of the restoration. The tapered design allows for better initial stability in softer bone types, making them versatile for various clinical scenarios.
BioHorizons recommends a final torque of 30 Ncm for their tapered implants when tightening abutment screws. This torque setting is crucial for maintaining the integrity of the screw and preventing complications such as screw loosening or fracture. It's essential to follow these guidelines to ensure optimal performance and longevity of the implant.
Over-torquing can lead to several issues:
1. Screw Deformation or Fracture: Excessive torque can cause the screw to deform or break, which may require additional procedures to replace the screw or even the entire abutment. This not only adds to the cost but also increases the risk of complications for the patient.
2. Increased Stress on the Implant: Higher torque values can increase the stress on the implant-abutment interface, potentially leading to microgaps that allow bacterial invasion and contribute to peri-implantitis. Peri-implantitis is a serious condition that can lead to bone loss and implant failure if not addressed promptly.
3. Damage to the Abutment or Implant: Over-torquing can also damage the internal threads of the abutment or the implant itself, complicating future restorations. This damage can necessitate more extensive surgical interventions, which may be challenging and costly.
To prevent over-torquing, clinicians should follow these strategies:
1. Use a Calibrated Torque Wrench: Always use a torque wrench that is calibrated to the manufacturer's specifications. BioHorizons recommends recalibrating their torque wrenches regularly to ensure accuracy.
2. Follow Manufacturer Guidelines: Adhere strictly to the recommended torque values provided by BioHorizons, which is typically 30 Ncm for tapered implants. Deviating from these guidelines can lead to unnecessary complications.
3. Monitor Screw Tightening: Ensure that the screw is tightened in a controlled manner to avoid sudden increases in torque. This can be achieved by gradually applying torque in small increments.
4. Regular Maintenance: Regularly inspect and maintain the torque wrench to ensure it remains in good working condition. This includes cleaning and storing the wrench properly.
Proper torque is essential for maintaining the stability of the implant-abutment interface. It helps prevent screw loosening and ensures that the restoration functions optimally under various loads. Properly torqued screws also reduce the risk of microgaps, which are crucial in preventing bacterial accumulation and subsequent peri-implantitis.
BioHorizons abutment screws are designed with specific features to enhance stability and minimize complications. These include a spiral thread design that helps in achieving a secure fit within the abutment. The material used for these screws is also crucial, as it must withstand the forces applied during mastication without deforming.
In clinical practice, it's important to consider the type of implant and abutment being used. Different systems may have different torque recommendations, so it's crucial to consult the manufacturer's guidelines for each specific product. Additionally, the condition of the patient's bone and the overall health of the implant site can influence the choice of torque.
Several case studies have highlighted the importance of proper torque in dental implants. For instance, a study published in a dental journal demonstrated that implants with properly torqued abutment screws had a significantly lower rate of screw loosening compared to those that were over-torqued. This emphasizes the need for precise torque application in clinical settings.
Modern dental practices are adopting advanced techniques to ensure precise torque control. These include the use of digital torque wrenches that provide real-time feedback on the applied torque. Such tools can significantly reduce the risk of over-torquing by alerting the clinician when the recommended torque is reached.
Proper training and education are essential for clinicians to understand the importance of torque in dental implants. Workshops and seminars often cover topics such as the correct use of torque wrenches and the implications of over-torquing. These educational programs help ensure that clinicians are well-equipped to handle complex implant cases effectively.
Over-torquing a BioHorizons abutment screw can lead to significant complications, including screw deformation and increased stress on the implant. Following the recommended torque of 30 Ncm and using a calibrated torque wrench are crucial steps in preventing these issues. Regular recalibration of the torque wrench and adherence to manufacturer guidelines are essential for successful implant restorations.
- The recommended torque for BioHorizons tapered implants is 30 Ncm when tightening abutment screws.
- Over-torquing can cause permanent deformation or fracture of the screw, increase stress on the implant-abutment interface, and potentially damage the abutment or implant.
- BioHorizons torque wrenches should be recalibrated regularly by the company to ensure accurate torque application.
- Using a non-calibrated torque wrench can lead to incorrect torque application, potentially causing screw loosening or over-torquing issues.
- Yes, over-torquing can increase stress on the implant-abutment interface, potentially leading to microgaps that allow bacterial invasion and contribute to peri-implantitis.
[1] https://www.osseonews.com/abutment-screw-loosening-with-biohorizons-tapered-implants/
[2] https://pubmed.ncbi.nlm.nih.gov/33243471/
[3] https://pubmed.ncbi.nlm.nih.gov/33472752/
[4] https://www.biohorizons.com/Content/Documents/eifu/L02008_Rev_K.pdf
[5] https://vsr.biohorizons.com/GetDocument?DocumentID=152412
[6] https://journals.lww.com/jorr/fulltext/2018/10020/strategies_to_reduce_torque_loss_of_abutment.4.aspx
[7] https://www.spotimplant.com/en/knowledge-base/abutment-screw-torque-and-driver/
[8] https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfmaude/detail.cfm?mdrfoi__id=15705192&pc=NHA
[9] https://www.youtube.com/watch?v=UyN2r6Nl9Rk
[10] https://www.burdettedental.com/wp-content/uploads/2016/11/7204-Torque-Spec-Sheet.V5.web_.pdf
[11] https://vsr.biohorizons.com/GetDocument?DocumentID=79562
[12] https://www.biohorizons.com/Content/documents/eifu/L01024_Rev_B.pdf
[13] https://onlinelibrary.wiley.com/doi/10.1155/2017/8652720
[14] https://www.reddit.com/r/Dentistry/comments/1fsymbk/by_show_of_hands_do_you_final_torque_implant/
[15] https://www.practiceupdate.com/content/high-abutment-torque-may-cause-damage-to-the-implant-abutment-connection/120719
[16] https://www.biohorizons.com/prosthetics/PrecisionAngledScrewSystem
[17] https://ebook.biohorizonscamlog.com/bhcl/en/teethxpress-manual/
[18] https://www.youtube.com/watch?v=-jUPqZkjklM
[19] https://ebook.biohorizonscamlog.com/bhcl/en/prosthetics-catalog/4/
[20] https://usstore.biohorizons.com/abutment-screw-multi-unit-abutment
[21] https://www.youtube.com/watch?v=IDh-a2Wr9fI
[22] https://usstore.biohorizons.com/external-35mm-abutment-screw
[23] https://www.biohorizonscamlog.com/en/services/media-center/videos-animations
[24] https://www.biohorizons.com/Prosthetics/ProstheticTechniques
[25] https://usstore.biohorizons.com/30mm-straight-abutment
[26] https://www.youtube.com/watch?v=bAtcvqeb53g
[27] https://www.osseonews.com/implant-causing-constant-ache-after-restoration-6/
[28] https://adldental.com/wp-content/uploads/2018/10/ADL_Torque-Spec-Sheet3.pdf
[29] https://www.youtube.com/watch?v=CHG9CY7WTO4
[30] https://usstore.biohorizons.com/internal-45-regular-emergence-3inone-abutment
[31] https://vsr.biohorizons.com/GetDocument?DocumentId=30628
[32] https://community.osseonews.com/t/part-of-implant-abutment-came-out/1407
[33] https://www.wiandlab.com/many-times-can-torque-screw-implant/
[34] https://usstore.biohorizons.com/internalsingle-stage-abutment-screw
[35] https://gbstore.biohorizons.com/internalsingle-stage-abutment-screw
[36] https://usstore.biohorizons.com/abutment-screw-pxmuas-pack-of-25
[37] https://usstore.biohorizons.com/biohorizons-adjustable-torque-wrench
[38] https://meridian.allenpress.com/joi/article/47/4/287/442963/Reverse-Torque-Values-of-Abutment-Screws-After
