Dental Implants

Standard abutments pre-manufactured by the specific implant company, these typically need to be prepped or modified at the laboratory in order to accommodate the restorative material of choice. Stock abutments come in two types of material: titanium and zirconium. Restorations are then cemented on top of abutment.

• Indications:
  • Implants are reasonably parallel
  • Not in esthetic zone
  • Emergence profile is not an issue
  • Placement of margin is not critical
  • Patient’s budget is an issue

Patient specific abutments are customized to each specific patient. Materials of choice include gold, titanium, and zirconium. Custom Abutments are manufactured in two methods: Custom waxed, cast and milled in gold and custom CAD/CAM milled in Titanium and Zirconium. Restorations are cemented on abutments.

• Indications:
  • Implants are not divergent to one another (parallel). Surgically misplace, at an angle or to buccal/lingual of the ridge.
  • Esthetics are critical or in the esthetic zone.
  • To provide for an ideal and natural tooth contours.
  • Marginal placement is crucial.

• Advantages:
  • Can be customized to almost the same size and shape of the lost tooth or teeth.
  • Can simulate the emergence profile of the adjacent teeth.
  • Abutments can be made exactly parallel to all other abutments.
  • Marginal placement

• Disadvantages:
  • More costly
  • Can take longer to fabricate

The abutment and restoration are fabricated together as one with an access hole which a screw is placed in and thus torque to the implant. Essentially it’s like a fixed removable prosthesis.

• Advantages:
  • Retrievable

• Disadvantages:
  • Not always the most esthetic

• PFM’s, All ceramic, FFC and Dentures

• Prep stock abutment Ti, Zi
• Custom abutment Gold, Ti, Zi, Lithium disilicate-e.max
  • Custom gold abutment with porcelain collar
  • Custom gold/porcelain abutment
• Soft tissue models
• PFM, All ceramic, FFC
• Implant borne bridges
• Over dentures
• Pre-surgical case planning
• Surgical stints
• Dx waxups
• Temporaries provisional’s
• Custom shades