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Abutment Selection in Implant supported Fixed Prosthodontics

Graziano D. Gigllo
Int J Periodontics Restorative dent 1999; 19;233-241
There has been an evaluation in implant abutment design during the last 15 years. The
standard abutment was the only abutment available in the early 1980s for the endosseous
osseointegrated implant. The resultant restorations were a minimum of 2mm
supragingival, often compromising esthetics. No abutments were available to correct the
angulation problems, and frequently the screw-access openings would emerge in
undesirable locations. In 1990s more sophisticated and esthetic abutments became
available, enabling an implant prostheses to more closely resemble natural teeth. The
margins of the restoration can now be placed sublingually and the access openings can be
better controlled to emerge from the central fossae of the posterior teeth and the cingulum
areas of the anterior teeth. The objective of this article was to present an organized
approach to implant abutment selection. To select proper abutment 4 criteria should be
kept clear; the first is the implant position, then angulation of implant to adjacent teeth or
other implant, inter occlusal space and tissue height or sulcular depth.the different form
of abutments are selected depending upon implant places, and the root form of the teeth,
The process of selecting an abutment involves evaluating the position, angulation,
interocclusal space, and tissue height of a given implant. The order of evaluation is
extremely important in this method of selection.. the position is the first consideration,
followed by proper angulation, then inter Occlusal space and then the evaluation of tissue
height available.
The restorative dentist and the surgeon should consider abutment selection as part of the
treatment planning process.