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The BioHorizons 3-in-1 Abutment is a versatile abutment that enables clinicians to deliver and restore implants using a minimal number of components.

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Besides being used as an abutment, the gold-hued 3-in-1 Abutment can also be used as a surgical mount and an impression component.

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This patented, innovative solution comes packaged with every BioHorizons internal, external, and tapered internal implant,

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bringing tremendous value and simplicity to the surgical and restorative team.

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The following presentation describes a typical procedure for patients presenting to the restorative dentist

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with a healing abutment in place.

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For illustration purposes, an internal hex implant is shown,

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but the techniques and materials are equally applicable for an external hex implant.

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At the first restorative visit, unscrew the healing abutment with an 050 hex driver.

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Irrigate the prosthetic platform to remove any debris and dry thoroughly.

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Seat the 3-in-1 abutment in the implant's hex.

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Both the abutment and implant platform are color-coded to ensure proper component mating.

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Insert the ball-top screw and finger-tighten by hand or with the 050 hex driver.

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Radiographically verify complete abutment seating before making the impression.

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Syringe elastomeric impression material around the abutment ball top assembly.

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Record a full arch impression with a tray loaded with the same or heavier bodied material.

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After the material sets, carefully remove the tray.

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Unthread the ball top screw, remove the 3-in-1 abutment, and replace the healing abutment.

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If desired, a provisional prosthesis may be fabricated using a peak plastic temporary abutment.

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Send the abutment, ball top screw, abutment screw, analog, and impression, as well as a bite registration, shade, and opposing model to the dental laboratory.

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At the lab, the technician will attach the abutment to an analog with a ball top screw and index the assembly into the impression.

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A stone model with soft tissue material will be created replicating the exact spatial orientation of the implant in the patient.

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The technician will seat the abutment on the model with the abutment screw and modify it as necessary for draw and angulation and to refine margin heights.

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An anti-rotational feature will be maintained in single-tooth cases.

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A custom prosthesis will be fabricated using standard laboratory procedures.

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At the second restorative visit, remove the healing abutment or provisional prosthesis and irrigate the prosthetic platform to remove any debris and dry thoroughly.

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Seat the prepared abutment in the patient, being certain to maintain the same orientation as was found on the model.

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Hand-tighten the abutment screw with the 050 hex driver and radiographically verify complete abutment seating.

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Apply 30 Ncm of torque to the abutment screw with a calibrated torque wrench.

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An abutment clamp may be used to help shield the bone implant interface from excessive stress.

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Fill the screw access channel with a resilient material to prevent the ingress of cement.

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Seat the prosthesis and confirm fit and contour.

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Check occlusion and modify if necessary.

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line the inside margin of the prosthesis with a thin layer of soft access cement

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seat the prosthesis and remove any excess cement from the sulcus take a radiograph

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for prosthesis delivery records and dismiss the patient with home care instructions