Efficiently & Predictably Restore with the Engel Implant Surgical Placement Protocol

Original Source – Engel Institute

When the Straumann dental implants are carefully planned and positioned, the final implant retained crowns are expected to have an excellent prognosis and provide our patients years of function and esthetics.

Post-operative radiographs of the Straumann implants ideally placed in the maxillary left quadrant and mandibular right and left quadrants.  Length, width and angulation of the implants are determined using the Engel protocol learned in Mentoring 1.  The days of improperly placed implants with prosthetic compromises are now gone.

Because we were able to torque all of the implants to over 25Ncm, taller healing abutments were placed, eliminating the need for anesthesia to uncover the implants prior to final impressions.

Healthy tissue cuffs are achieved due to the use of the healing abutments.

The dental lab fabricated custom titanium abutments. Note how the margins are at or just slightly subgingival eliminating any chance of getting cement subgingivally, maintaining periodontal health and contour. Seating guides are helpful during the torquing of the abutment screws to 35Ncm.

The final abutments in position.  I will normally place a small piece of cotton into the access openings and cover with Cavit.

The complete seating of the abutments are always checked with a digital radiograph.
 

The final Bruxzir crowns are cemented into place using IMPROV transitional implant cement.
 
 

The final crown seating is checked with a final radiograph. Notice the platform switching design of the final abutments and implant retained crowns.