IMPLANT TORQUE · ZIMMER BIOMET
One implant site. Five moments where a number decides whether the screw holds: placement, healing, abutment, prosthesis, re-tightening. Every value below is quoted from Zimmer Biomet documentation, with the document named beside it.
Scale 0–70 Ncm. Select a component to move the pointer. Values beyond the scale sit at its end.
EDITORIAL VISUALIZATION“Do not exceed 90 Ncm when pulling on the torque-indicating arm.” Latchlock Gemlock drivers: do not exceed 80 Ncm.
THE VALUES
Rows are grouped in treatment order. Where Zimmer Biomet publishes a hand-tight instruction instead of a number, the row says so. Where nothing is published, the row says that too.
| Component | Applies to | Torque | From the document | Source |
|---|---|---|---|---|
| PlacementInsertion torque of the fixture | TSV · TM — recommended range | not published | The current TSV/TM surgical manual publishes no recommended insertion torque or maximum; it only notes that cortical bone taps may be used to reduce insertion torque. | ZimVie TM & TSV Surgical Manual (ZVINST0082, REV C 12/25)Not published — confirm IFU |
| PlacementInsertion torque of the fixture | TSX — instrument limits Driver: ZTIRW torque-indicating wrench · Latchlock drivers ≤ 80 Ncm | ≤ 90Ncm | “Do not exceed 90 Ncm when pulling on the torque-indicating arm.” Latchlock Gemlock drivers: do not exceed 80 Ncm. | ZimVie TSX Implant Surgical Manual (ZVINST0015, REV F 12/25)Manufacturer document |
| PlacementInsertion torque of the fixture | 3i T3 · Certain · External hex | > 50 hand · > 90 tapNcm | Above 50 Ncm switch to hand ratcheting; above 90 Ncm tapping is required. Exceeding 90 Ncm may deform or strip the driver tip or the internal hex. (Biomet 3i era document.) | BIOMET 3i Tapered & Parallel Walled Surgical Manual (INSTSM REV F 06/17)Manufacturer document |
| HealingHealing abutment · cover screw | TSV · TM cover screw and healing collar Driver: 1.25 mm hex | hand-tight | “Tighten using finger pressure only.” No Ncm value is published. | ZimVie TM & TSV Surgical Manual (ZVINST0082, REV C 12/25)Manufacturer document |
| HealingHealing abutment · cover screw | 3i Certain: cover screw 10 · healing abutment 20 Driver: Large Hex Driver (PHD02N) | 10 · 20Ncm | Encode and standard healing abutments 20 Ncm; Low Profile and conical healing caps 10 Ncm. | ZimVie T3 / T3 PRO / Osseotite Restorative Manual (ZVINST0102, REV D 12/25)Manufacturer document |
| AbutmentFinal abutment screw at implant level | TSV · TM · TSX, implant level, single unit Driver: 1.25 mm hex · Restorative Torque Wrench (TWR, 10–35 Ncm) | 30Ncm | Engaging single-unit Ti-Base and abutment screws: recommended torque 30 Ncm. | ZimVie Prosthetic Overview TSX / TM / TSV / Eztetic (ZV0796, REV G 05/26)Manufacturer document |
| AbutmentFinal abutment screw at implant level | 3i Certain — Gold-Tite hexed screw Driver: Large Hex Driver | 20Ncm | “Torque the Certain Gold-Tite Hexed Screw to 20 Ncm.” | ZimVie T3 / T3 PRO / Osseotite Restorative Manual (ZVINST0102, REV D 12/25)Manufacturer document |
| AbutmentFinal abutment screw at implant level | 3i External hex — Gold-Tite square screw Driver: Square Driver | 32–35Ncm | “Torque the Gold-Tite Square Screw to 32–35 Ncm.” Gold slotted screws: 10 Ncm. | ZimVie T3 / T3 PRO / Osseotite Restorative Manual (ZVINST0102, REV D 12/25)Manufacturer document |
| Multi-unitMulti-unit abutment into the implant | TSV Tapered Abutment → implant, straight and angled Driver: Restorative Torque Wrench (TWR) | 30Ncm | “Tighten the angled tapered abutment retaining screws and the straight tapered abutments to 30 Ncm.” 3i Low Profile abutments: 20 Ncm straight and angled. | ZimVie Revitalize Surgical & Restorative Technique Guide (ZVINST0152)Manufacturer document |
| Prosthetic screwScrew that holds the prosthesis on the abutment | TSV Tapered Abutment coping screws · abutment-level Ti-Base Driver: Restorative Torque Wrench (TWR) | 20Ncm | “Torque the coping screws to 20 Ncm.” 3i Low Profile retaining screws: 10 Ncm. | ZimVie Revitalize Surgical & Restorative Technique Guide (ZVINST0152)Manufacturer document |
| TemporaryTemporary abutment or coping | TSV implant-level temporary abutment Driver: 1.25 mm hex | not published | Not published in the ZimVie documents we read. Tapered Abutment healing caps and transfer copings: hand-tight with the 1.25 mm hex driver. | ZimVie Revitalize Surgical & Restorative Technique Guide (ZVINST0152)Not published — confirm IFU |
ZimVie’s Revitalize guide says to retighten the Tapered Abutments to 30 Ncm after the healing caps are removed for the impression — a procedural step, not a timed interval. No “after X minutes” statement was found.
Newest revision read: 2026. Manufacturers revise these documents; the revision printed on your IFU wins.
Values are quoted from manufacturer documentation and can change by component, platform and revision. Confirm the IFU for the component and lot in your hand before torquing.
WHY THE SCREW LOOSENS
Torque creates preload — the clamping force that keeps abutment and implant pressed together. Microscopic peaks on the thread surfaces flatten under that load, and part of the preload is gone before the patient leaves the chair. The literature calls it the settling effect, or embedment relaxation.
Preload
ONE SITE, FIVE MOMENTS
Site 36, one fixture, one crown. The same Zimmer Biomet values from the table, placed on the moment each one is read off the wrench.
EDITORIAL VISUALIZATIONTSX — instrument limits
3i Certain: cover screw 10 · healing abutment 20
TSV · TM · TSX, implant level, single unit
TSV Tapered Abutment coping screws · abutment-level Ti-Base
TSV · TM · TSX, implant level, single unit
Shown as the same value as the abutment row. Whether and when to re-tighten follows the manufacturer statement quoted in the values section.
AFTER THE CLICK
In TrazaLab the implant line on a tooth site keeps system, platform, connection, abutment and applied torque together. It travels into the Digital Rx and onto the laboratory’s per-tooth sheet. An unconfirmed torque is not blank — the laboratory sees it as a gap.
See the Digital RxOTHER SYSTEMS
Each page is built the same way: quoted values, the document beside them, and the gaps stated as gaps.
Final abutment · Conical Connection (CC) · Tri-channel (NobelReplace) · External hex (Brånemark)
Final abutment · CrossFit (BL/BLT) · TorcFit (BLX) · TLX NT/RT/WT
Final abutment · Grand Morse (GM) — one prosthetic platform for Helix, Drive, Titamax, Helix Long and Zygoma
Final abutment · Tapered Screw-Vent internal hex (TSV · TM · TSX) · 3i Certain internal · 3i External hex
Final abutment · Conical connection (C1 · V3) · Internal hex (Seven · M4) · Multi-Unit · CONNECT
Final abutment · TS internal conical hex — mini and regular platforms (TS II · TS III · TS IV)
Final abutment · Internal hex (Tapered Internal · Tapered Pro · Tapered Plus · 3.0 · Tissue Level) · Conical (Tapered Pro Conical)
Final abutment · AnyRidge internal conical · Blue Diamond conical · AnyOne External hex
Final abutment · ET / EK internal conical hex — mini and regular platforms · SS (Octa) · EM
QUESTIONS
Values are quoted from manufacturer documentation and can change by component, platform and revision. Confirm the IFU for the component and lot in your hand before torquing.
30 Ncm. ZimVie’s prosthetic overview and technique guides give 30 Ncm for the single-unit implant-level screw and for the Tapered Abutment. Third-party tables that list 35 Ncm for TSV contradict the manufacturer; the 3i Certain hexed screw is 20 Ncm.
They are different connections with different screws. The Certain internal connection restores with a Gold-Tite hexed screw at 20 Ncm; the Screw-Vent internal hex restores at 30 Ncm; the 3i external hex keeps its Gold-Tite square screw at 32–35 Ncm. Identify the connection on the case record before you set the wrench.
No. They are quoted from the manufacturer documents listed on this page, with the revision year noted. The IFU packed with your component and lot is the instruction; this page puts the values next to the treatment step and the case record.
The literature on the settling effect widely advocates a second application at the same value after about ten minutes, and in vitro work shows it partially restores preload. The evidence for a fixed interval is limited. The manufacturer statement for this system is quoted in the values section; where it says nothing, this page does not turn that silence into a rule.
In TrazaLab it is a field on the implant line of the tooth site, next to system, platform, connection and abutment. The Digital Rx carries it to the laboratory, whose per-tooth sheet prints the torque. If it was never confirmed, the packet shows “Not on Rx” instead of a number.
AFTER THE CLICK
TrazaLab records the implant line with its torque on the tooth site, writes it into the Digital Rx, and shows the laboratory exactly what was applied — or exactly what was not confirmed.
