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Design Parameters - Clinical Considerations

Nexus Design Parameters are designed to ensure the best outcome for final titanium bar retained prosthetics.

The design parameters are guidelines - due to the organic nature of each patient-matched prosthesis, some of the specifications may be adjusted on a case-by-case basis.

Key Clinical Factors

  • Interocclusal Space
  • Inter-Implant Distance
  • Implant Divergence
  • Maximum Cantilever
  • Multi-Unit Selection

Interocclusal Minimums

Interocclusal space is measured from the highest point on restoring tissue to the opposing occlusal plane.

Interocclusal-space-annotated.png

PROSTHETIC OPPOSING INTEROCCLUSAL MIN.
Single Arch
  • Existing Natural Dentition
  • Tissue-Borne Denture
6-7mm Per Arch
Dual Arch
  • Zirconia
  • Acrylic
7-8mm Per Arch
Bruxer Patient, Single Arch
  • Existing Natural Dentition
8-9mm Per Arch
Bruxer Patient, Dual Arch
  • Zirconia
  • Acrylic
8-9mm Per Arch

 

Inter-Implant Distance

Inter-implant distance is measured from the edge of the placed multi-unit abutment.

  • Maximum inter-implant distance: 25mm
  • Minimum inter-implant distance: 2mm

inter-implant-space.png

 

Maximum Implant Divergence (Path of Insertion)

The maximum angle of divergence between any two multi-unit abutments in an arch cannot exceed 45°

Severe angulation may be corrected with angled-MUA selection. If uncorrected, bars will not seat due to path of insertion.

Maximum Divergence - Path of Insertion.png

 

Cantilever

Nexus titanium bar retained fixed final prosthetics can accommodate a maximum cantilever of 15mm.

Prosthetics with larger cantilevers will fall out of standard design parameters and may void warranty.

maximum-cantilever-large.pngmaximum-cantilever-small.png

Multi-Unit Abutment Selection (Recommendations)

Implant placement and subsequent multi-unit abutment selection should aim to maximize restorative space.

SUBGINGIVAL

The best outcome to maximize restorative height is 1mm or more below the tissue. Prosthetic bar will include a chimney to meet the Multi-Unit into the tissue. Not ideal for non-bar retained prosthetics.

EQUIGINGIVAL

The best outcome to maximize restorative height is 1mm or more below the tissue. Prosthetic bar will include a chimney to meet the Multi-Unit into the tissue. Not ideal for non-bar retained prosthetics.

SUPRAGINGIVAL

MUA’s proud of the gingiva will reduce the restorative space and require the prosthesis to be raised significantly off the tissue, or require a concave design.

Subgingival-MUA-selection.png Equigingival-MUA-selection.png Supragingival-mua-selection.png

 

Last Updated 15th April 2025

 

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