Implants are abutments–the same as both vital and non-vital teeth and roots are abutments. The major differences between implant abutments and vital and non-vital teeth and roots are:
- Lack of parallelism
- Mechanical adaptation requirements
The following options for implant prosthetics are identical to natural abutments:
- Fixed Bridges. Often requires segmentation and attachments for parallelism.
- Fixed Detachable Bridges. “All on 4″ or “Hybrid” dentures.
- Combination of Fixed and Removable. Often fixed bridgework may be implemented in the anterior region, and a removable partial denture in the posterior. To avoid the negative esthetics and force distribution of clasp retention, precision attachments should be selected.
- Removable Prosthesis
The most popular selection is a Removable Prosthesis, due to ease of implant inspection, servicing, hygiene, and maintenance. Three approaches are available:
- Bars–provide outstanding stability, but take more space and require better patient hygiene. Hader Bars, Dolder Bars, Round Bars, Custom milled bars with attachments.
- Stud Overdentures–provide retention, allow for independant servicing, do not provide as much stability. Locator Attachment, Sphero Flex, Preci-Clix, and magnets.
- Magnets—Do not require parallelism, have no specific path of insertion and significantly reduce or eliminate the transfer of lateral loads or torquing of the abutments. Provides retention but not stability.
available for all major implant systems
The LOCATOR Implant Attachment is a self paralleling, low profile, resilient stud overdenture attachment.
The Extended Range nylon males provides for self-aligning of the attachment and aids the patient in positioning their prosthesis in similar manner as a guide plane created by a milled bar. The implant retained overdenture can be properly seated without damage to the attachment components.
This is especially important for a patient lacking the ability to propery orient their denture.
Clinical use has proven the ability of patient problems with inserting their implant retained overdenture to be solved in as little as one appointment.
The nylon male stays in contact with the abutment at all times, but the metal housings pivots and rotates around the nylon male to provide prosthesis resilience and abutment protection.
Tested to provide retention for up to 60,000 retention cycles–28 times longer than the ERA®.
The Locator attachment (abutment and male) can require as little as 2.73mm of inter-occlusal space, the lowest vertical space requirement available.
External Hex Total Height: 3.17mm
Internal Hex Total Height: 2.73mm
The next generation Locator attachment allows for 60º of angle correction between implants, a carbon-nitride coated long lasting abutment, anodized pink esthetic housing, and easier seating/removal for the patient. Available for all major implant systems.
No screws, no cement, no problem!
A revolutionary FIXED attachment that eliminates the problems of cement, screw access holes, and difficult procedures. Simple, user friendly techniques to save hours of chair time during processing and servicing.
Not indicated for resilient/tissue supported prostheses. Minimum of 4 implants.
Call our Customer Service team to learn more and find out our special introductory offer!
2.25mm spherical attachment with slotted plastic female to engage a larger surface area of the sphere and reduce wear. This unique female makes an audible click to ensure prosthesis security.
The female housing may be paralleled either in the Laboratory or Chairside to correct up to 30 degrees divergence.
The LODI is designed to provide a specialty overdenture implant /attachment option where narrow ridges, minimized surgical invasiveness and financial considerations play a role in the implant choice and where a superior overdenture attachment can be utilized with no compromise.
The Prism Design Center will assist you in designing your more complex and difficult implant fixed and removable prosthetics.
Overdenture bars, bars with attachments, fixed complete “screw-down” dentures, and bridge frameworks are available in Titanium and ceramic chrome cobalt for all major implant systems.
Check out additive metal technology!
The new LOCATOR Bar Attachment System contains the same self-aligning feature, superb retention, long lasting durability, and low attachment profile that you currently enjoy with our top selling LOCATOR Attachments.
Now these benefits are available for your immediate use when the splinting of implants is required with a bar for added stability.
The Hader, bar and rider system is the most popular of all bar systems due to its economy and simplicity.
The system allows the prosthesis to rotate around the bar. The female clips may be either a plastic rider or the metal Ackermann-style clip.
Hader Bars provide superior stability, retention, and abutment splinting.
Relines, remakes, and CAD bars are made easy by using the White Delrin Analog Bar.
Use eFiber as a non-invasive, time saving, esthetic and economical provisional restoration on single tooth implant cases.
With the pontic design of your choice, this is an ideal way to maintain soft tissue in the aesthetic zone.
Simple laboratory and chairside procedures.
Watch the Video: eFiber Single Tooth Provisional
The first removable semi-permanent cement designed specifically for implant restorations.
- Dual cure for quick and easy application
- Light cure allows for easy to remove excess cement to maintain peri- implant health
- Strong enough to provided stability, but still allows the restoration to be easily removed without damage
The unique Sphero Flex is a self paralleling ball attachment designed for use on implant cases where there is up to 15º of deviation between implants.
The small size (the ball is 2.5mm) saves precious space. The female component is a soft nylon with a metal housing that can be either seated in acrylic, or incorporated into a cast framework.
A “fixed ball” in size 2.5mm or 1.8mm is also available.
The Dolder Bar is available in Gold or a plastic burnout pattern.
The Dolder Female Rider is p roduced in either a Palladium or Gold alloy. Palladium is stronger, less expensive, and has a higher fusing temperature than gold alloys.
The bar and sleeve attachment are used for retaining removable partial dentures and overdentures.
The pear or oval shape is used for a resilient prosthesis providing vertical or rotational movements. The ‘U’ shape is for a rigid, or non- resilient, prosthesis. The dimensions on both bars are 2.2mm height, and 50mm length.
Revax Hybrid Implant Bars
The Revax retained Hybrid prosthesis is a bar supported removable prosthesis. It may be tissue supported (resilient) or abutment supported (rigid).
When a limited number of implants are present in either the mandible or maxilla, the tissue supported overdenture is the preferred prosthetic option. When an adequate number of well integrated implants are present in an arch, a traditional fixed bridge is the prosthetic modality of choice. Often this is not an option in the maxilla, due to combined vertical and horizontal resorption, quality of bone, and position and/or flare of the implants. In this instance, a traditional fixed bridge would not meet patient requirements for hygiene maintenance, esthetics, phonetics, and comfort. The viable alternative is the rigid supported Revax bar removable prosthesis.
The concept is to separate support, lateral stabilization, and retention.
Each of these aspects can be altered according to the individual situation without influencing the other aspects of esthetics, phonetics, stabilization, oral hygiene, and patient comfort. Support is derived from three elevated areas: on the midline, and on the extensions of a bar construction which primarily splints the implants. The distal support zones may be planned to be in the axis of rotation of the resilient hybrid prosthesis. Lateral stability is achieved by incorporating a cast frame into the removable prosthesis that closely fits the bar in a passive state. Retention is derived from two or four CEKA REVAX attachments with adjustable, serviceable retention without influencing support or stability.
The SHINER Magnet system provides:
- no path of insertion for patients with limited dexterity
- limited servicing requirements for the operator
- up to 24º of rotation for non-parallel abutments
- prosthesis may engage undercuts for increased stability
Shiner magnets provide retention in two different sizes.
The new internal Hex Pin Screw system is a set screw or locking screw for dentist-only removable crown, bridge, or removable prosthesis over implant suprastructures or telescopic castings.
The new internal Hex Tube and Screw is used for vertical screw retention of crowns and bridges, dentist-only removable fixed prosthesis, implant suprastructures, and telescopic prostheses.
When segmenting bridges, invert the BPD to:
- no metal is shown on the occlusal surface for better esthetics.
- placing the male extracoronal of the crown does not require additional space, or abutment reduction.
On long span bridges for mandibular implant cases, the female tends to follow the taper of the male and allow for some flexing of the lower jaw.
New Double Mandrel BPD
Ceka Bond is an anaerobic adhesive that solves unthreading problems in traditional threaded precision attachments, implant abutments and screws, and orthodontic cases, such as the Herbst appliance.
It is non-caustic, non-water soluble, and slow setting to allow the best possible solution to cases of minor unthreading.