Implant-supported prosthetics

Prosthetics on implants begins with the placement of implants by a doctor into the jawbone tissue of the patient. A surgical template makes the procedure significantly more reliable, predictable, and minimally invasive. Our laboratory provides services for planning, designing, and 3D printing of templates. Details about the production of 3D models can be found on the page of the relevant department.

After the implants are placed, a dental impression of the jaw is necessary to create the prosthesis. To capture the position of the implants in the impression, special transfers need to be screwed into the implants, which will remain in the impression. Since the transfers may extend beyond the standard impression tray, it is recommended to pre-order a custom tray from the laboratory. This is how an impression from the implant level is made.

If prosthetics are planned on a Multi-unit abutment, whose position and tilt angle may be non-standard, the impression is taken from the abutment level. As with an implant-level impression, transfers will need to be secured in the abutments.

When impressions with transfers are received by the laboratory, laboratory analogs of the Multi-unit/implant are screwed into the transfers. The impressions are then cast in plaster, and the transfers are removed. The result is a plaster model in which the position of the Multi-units/implants matches their position in the patient’s mouth.

Except in the case of Multi-units, the laboratory requires an abutment to design the prosthesis. The abutment can be standard or custom-made. A standard abutment can be straight or allow for angle changes to a few fixed values. Standard abutments usually require modification—individualization.

Custom abutments are manufactured in the laboratory according to the individual parameters of the patient. They fit the gum precisely and perfectly align with the prosthesis that is mounted on them.

One type of custom abutment is an abutment on a platform. Such an abutment can be milled from zirconium dioxide, made from metal-free ceramics, or be metallic. Once the main part of the abutment is ready, a pre-made titanium platform (TiBase), which serves as the counterpart of the implant, is glued into it. The platform comes with a screw.

It is possible to create an anatomical abutment on a glued platform. “Full anatomy” means that the abutment will serve as the tooth crown.

The prosthesis can be attached to the abutment using screws or cement fixation. Screw retention is provided by the Multi-unit abutment.

It is possible to manufacture ceramic, metal-ceramic, and zirconium dioxide prostheses with subsequent cement fixation on the abutment. More details about the technology and pricing can be found on the pages of the relevant departments.

Removable prosthetics are also possible on implants. More information about hybrid prostheses can be found on the page of the relevant department.