CEREC Abutments 101:

What Parts Are Needed?

Brent Pedersen, CEREC Technology Advisor/Trainer

Please send comments/suggestions to brent.pedersen@pattersondental.com

 Special thanks to
Steven Ortinau, CEREC Technology Advisor/Trainer
for his valuable contributions in making this tutorial better
CEREC Abutments 101: What Parts Are Needed?
Multilayer Abutment Screw Retained Crown
(cement retained, 2 piece) (one piece)

CEREC users can design and mill custom, cement-re-

tained abutments (also known as traditional, or
hybrid abutments), as well as custom, screw-retained
abutments (single piece, or hybrid abutment crowns)
for the following manufacturers and implant systems:

Dentsply: Nobel Biocare Zimmer

Astra Tech OsseoSpeed TX Replace (trilobe) Tapered Screw-Vent
Frialit/Xive Active (or Replace Conical)
Branemark (external hex)

Biomet 3I: Straumann

External Hex Standard (hex or SynOcta)
Certain Bone level (crossfit)

Both types of abutments require the following parts:

1) The correct TiBase (titanium screw and base) to

connect the milled abutment to the implant TiBase Kit Scanbody Scanpost Kit
Abutment base Provides reference Impression coping
points for indexing
2) The correct Scanbody (disposable scanning cap) the implant into
(Optional)

the model
3) Ivoclar Hybrid Abutment cement to join the
TiBase to the abutment

4) The correct e.max abutment block (the block with

a hole in it)

5) XS crystallization pins for the Programat oven Abutment Block XS Firing Pin
Top of Abutment For Programat oven

© Brent Pedersen 2015 - CEREC Abutments 101: What Parts Are Needed? – 3
 Patterson # Patterson #

662-4605 560-0143
662-4613 560-0150
662-4662 560-0200
662-4670 560-0218
662-4688 560-0226
662-4761 560-0234
662-4779 560-0242
662-4787 560-0259
662-4621 560-0168
662-4639 560-0176
662-4647 560-0184
662-4654 560-0192
662-4514 560-0010
662-4522 560-0028
662-4530 560-0036
662-4548 560-0044

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662-4720 560-0051
662-4738 560-0069
662-4555 560-0077
662-4563 560-0085

662-4571 560-0093
662-4589 560-0101
662-4597 560-0119
662-4746 560-0127
662-4753 560-0135
662-4696 560-0267
662-4704 560-0275
662-4712 560-0283
The Correct TiBase

The TiBase becomes part of the final abutment. It Patterson # Sirona

provides a titanium interface between the milled see chart TiBase and Screw $87.95
abutment and the implant.
see chart Scanpost and Screw $98.50
You need one TiBase kit for each abutment case.
Each kit comes with one titanium screw and one
TiBase specific to an implant manufacturer’s sys-
tem and platform size.

Each Tibase has a top part and a bottom part. The

top part only comes in 2 sizes: S (small) and L
(large). The size is found in the far right column of
the chart on page 4.

The bottom part of the TiBase varies in shape

(conical, trilobe, external hex or crossfit) and in
size according to the implant manufacturer’s plat-
form size.

To order the correct TiBase kit, you only need to

know two things: the supported implant manufac-
turer’s system and platform size (the part where
the TiBase connects to). Sometimes the platform Implant
size is listed in millimeters and sometimes it’s list- Crown
ed as a description (e.g., WP = wide platform, NN
= narrow neck). Custom
Abutment
You don’t need to know the implant’s diameter or
length to find the correct part number.
TiBase
Let’s say your oral surgeon places the following
implant:
Implant
Tooth number: 23
Implant Manuf.: Zimmer
Implant System: TSV (Tapered Screw Vent)
Implant Length: 16 mm
Implant Diameter: 3.7 mm
Platform Size: 3.5 mm

What is the correct TiBase part number? Looking

at the chart, we see that under Zimmer Tapered
Screw-Vent, the correct TiBase for the 3.5 mm
platform is Patterson #662-4696.

Notice that we didn’t need to know the implant’s

diameter or length. Also notice that two implants
can have different diameters and lengths but still
have the same platform size (e.g., both the 3.7 mm
and 4.1 mm diameter Zimmer TSV implants have
the same 3.5 mm platform).

© Brent Pedersen 2015 - CEREC Abutments 101: What Parts Are Needed? – 5
If you’re not placing your own implants, it’s im-
portant to get the platform size from your special-
ist or from his or her local implant manufacturer’s
representative.

After finding the correct TiBase kit, make note of

the top portion: S or L (see the far right column
on the chart on page 4 for the corresponding size).
This is important when ordering abutment blocks
and other accessories.

The Correct Scanbody

A Scanbody is a disposable plastic appliance that Female notch

sits on top of a TiBase or Scanpost during scan- of the Scanbody
ning.

The top of the Scanbody gives the software in- Bluecam Omnicam
formation about the angulation and depth of the Patterson # Telio CAD A16 (LT) $147.95
implant. Patterson # Scanbody (36/pk) $35.50
560-0341 Omnicam (L)
White Scanbodies are for Bluecam users and com- 560-0358 Omnicam (S)
mercial labs. The gray ones are optimized for use
with the Omnicam. Remember to specify size S or 560-0614 Bluecam (L)
L when ordering. 560-0622 Bluecam (S)

(Optional) Scanpost for Intraoral Scanning

Because the top of the Scanbody tells the software

the correct height and angle of the implant, it’s im-
portant to visually verify that it’s put on properly
(see green checkmark to the right).

When scanning stone models, this is easy to do

because you can trim away any stone material that
could keep the Scanbody from fully seating.

But when scanning in the mouth, the TiBase

doesn’t stick up very high so it’s difficult to tell if
the Scanbody is indexed and fully seated.

That’s why Sirona came out with ScanPosts. Think

Male notch on Male notch on
of them as long-necked TiBases that you use
TiBase ScanPost
during intraoral scanning. ScanPosts are autoclav-
able, so you can use them over and over again.

Like the TiBase, the top portion of the ScanPost is

either small (S) or large (L). Both the TiBase and
ScanPost have a male notch (see red arrows) that
index with the female notch of the Scanbody and
the base of the milled abutment.

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After fastening the ScanPost to the implant with
the titanium screw, take a radiograph to verify that
it’s fully seated. Then, place a Scanbody on top and
visually verify that it is indexed and fully seated
before scanning.

To find the correct part number, find your implant

manufacturer on the chart on page 4. Then, find
the platform sizes of that manufacturer’s implant.
Scan across to find the Patterson part numbers for
the ScanPost.

Ivoclar Hybrid Abutment Cement

Multilink Hybrid Abutment cement is a self-cur-

ing luting cement for extraoral cementation of
e.max to titanium (e.g., TiBase).
Patterson # Ivoclar Abutment Cement
Because it is very white and opaque, it masks
out the greyness of the TiBase so it doesn’t show 021-5376 Multilink Hybrid Cement HO 0 $180.00
through. 708-6259 Monobond Plus 5 g bottle $104.95
708-4908 Liquid Strip 2.5 g syringe $18.95

© Brent Pedersen 2015 - CEREC Abutments 101: What Parts Are Needed? – 7
The Correct e.max Abutment Block

The A14 block is for two-piece,

cement-retained abutments that will be
covered with an implant crown.

The flat side of the abutment The female notch in the

block sits on top of the platform hole of the block indexes
of the TiBase. with the TiBase notch.
A14 blocks come in two translucencies:
Patterson # Telio CAD A16 (LT) $147.95 Patterson # Telio CAD A16 (LT) $147.95
Patterson # e.max A14 LT (5/sleeve) $307.00 Patterson # e.max A14 LT (5/sleeve) $307.00
044-2590 A1 (L) 044-2509 A1 (S)
044-2608 A2 (L) 044-2517 A2 (S)
044-2616 A3 (L) 044-2525 A3 (S)
044-2624 A3.5 (L) 044-2533 A3.5 (S)
044-2632 B1 (L) 044-2541 B1 (S)
044-2640 B2 (L) 044-2558 B2 (S)
044-2657 C1 (L) 044-2566 C1 (S)
044-2665 C2 (L) 044-2574 C2 (S)
044-2673 D2 (L) 044-2582 D2 (S)
044-2699 BL2 (L) 044-2681 BL2 (S)

Originally, A14 blocks only came in MO translu- Abutment blocks require the stan-
cency which had a shade system that many dental dard 12S left step bur (1.35 mm tip,
offices found difficult to use. For this reason, the Patterson #636-7031) for milling.
A14 LT blocks are the more popular choice today. You cannot use the narrow 0.95mm
12 step bur (without the “S”).
Patterson # Telio CAD A16 (LT) $147.95 Patterson # Telio CAD A16 (LT) $147.95
Patterson # e.max A14 MO (5/sleeve) $299.00 Patterson # e.max A14 MO (5/sleeve) $299.00
717-4337 0 (L) 717-4287 0 (S)
717-4345 1 (L) 717-4295 1 (S)
717-4352 2 (L) 717-4303 2 (S)
717-4360 3 (L) 717-4311 3 (S)
717-4378 4 (L) 717-4329 4 (S)

Which MO shade do you need to order? Select the desired final shade of your implant crown from the chart below.
Order the MO shade that corresponds to that desired shade. The MO block provides your stump shade.

When restoring Camlog implants, order the TiBase from Camlog.

But when you order the e.max abutment blocks and Scanbodies, make
sure to specify the correct TiBase post size: S or L.

8 – CEREC Abutments 101: What Parts Are Needed? v. 16.8.25

The Correct e.max Abutment Block

The A16 block is for single-piece, Notice that you need to specify either
screw-retained abutments. S (small) or L (large) when you order
abutment blocks. The chart on page 4
tells you which size you need.

A16 blocks come in one translucency:

Patterson # Telio CAD A16 (LT) $147.95 Patterson # Telio CAD A16 (LT) $147.95
Patterson # e.max A16 LT (5/sleeve) $307.00 Patterson # e.max A16 LT (5/sleeve) $307.00
717-6910 A1 (L) 717-6829 A1 (S)
717-6928 A2 (L) 717-6837 A2 (S)
717-6936 A3 (L) 717-6845 A3 (S)
717-6944 A3.5 (L) 717-6852 A3.5 (S)
717-6951 B1 (L) 717-6860 B1 (S)
717-6969 B2 (L) 717-6878 B2 (S)
717-6977 C1 (L) 717-6886 C1 (S)
717-6985 C2 (L) 717-6894 C2 (S)
717-6993 D2 (L) 717-6902 D2 (S)
717-7017 BL2 (L) 717-7009 BL2 (S)

Temporary abutment blocks:

Patterson # Telio CAD A16 (LT) $147.95 Patterson # Telio CAD A16 (LT) $147.95
Patterson # Telio CAD A16 LT (3/sleeve) $147.95 Patterson # Telio CAD A16 LT (3/sleeve) $147.95
044-3101 A1 (L) 044-3044 A1 (S)
044-3119 A2 (L) 044-3051 A2 (S)
044-3127 A3 (L) 044-3069 A3 (S)
044-3135 A3.5 (L) 044-3077 A3.5 (S)
044-3143 B1 (L) 044-3085 B1 (S)
044-3093 BL3 (L) 044-3036 BL3 (S)

To Prepare Telio CAD Temporary Abutments:

On the Milled Telio CAD Abutment:
- Do NOT sandblast.
- Thinly apply SR Connect to the hole with a
disposable brush.
- Light cure for 40 seconds.
On the TiBase:
- Protect the lower half of the TiBase and microetch
the upper half. Clean the surface.
- Apply MonoBond Plus and let react for 60 seconds.
- Air thin any excess.
- Put Teflon tape in the top of the access hole.
- Index and seat the Telio CAD abutment on
the TiBase. Press tightly for 5 seconds.
- After curing has started (using 2–3 minutes
of light pressure), wipe off excess cement
and apply Liquid Strip to the cement joint to
prevent the formation of an
inhibition layer.
- Use hemostats and a rubber
band to hold the two pieces
together and cure (7 minutes).
- Remove the Teflon tape, finish,
and polish.

Cement Together:
- Lightly coat the top half of the TiBase with Patterson # Ivoclar
Multilink Abutment Cement. 045-2250 SR Connect (5 ml) $110.00

© Brent Pedersen 2015 - CEREC Abutments 101: What Parts Are Needed? – 9
XS Crystallization Pins For The Programat Oven

Because the hole in the milled abutment is smaller than Patterson # Ivoclar Programat
the intaglio of even the smallest crown, new firing pins
021-5350 XS Crystallization Pins (3/pk) $39.95
are needed.

The IPS e.max CAD Crystallization Pin XS is used The interface of the ceramic structure is filled with
for the crystallization of the ceramic structure. either IPS Object Fix Putty or Flow auxiliary firing
paste.

Important — The IPS e.max CAD Crystallization Incorrect. — Pin pressed in too deep. Pin touches
Pin XS is only slightly pressed into the IPS Object the ceramic structure. This may lead to cracks in the
Fix Putty/Flow so that it does not touch the walls of ceramic structure.
the ceramic structure.

Billing codes: Screw-retained crown = D6056 + D6058

Traditional abutment + implant crown = D6057 + D6058

D6056 Prefabricated abutment D6057 Custom abutment D6058 Abutment-supported
A connection to an implant that is A connection to an implant that is a fab- porcelain/ceramic crown
a manufactured component usually ricated component, usually by a laborato- A single crown restoration
made of machined high noble metal, ry, specific for an individual application. that is retained, supported and
titanium (e.g., TiBase), titanium A custom abutment is typically fabricated stabilized by an abutment on an
alloy or ceramic. using a casting process and usually is implant; may be screw-retained
made of noble or high noble metal. or cemented.

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