The implant evolution has become a “restorative driven” field, and it is therefore important to know the designing principles of custom abutments, advantages, and its connection to the implants. The key is to have an optimum selection for designing of the implant position and angulation in the clinical scenario.

Stock implant abutments are manufactured to standard sizes and can be used on both tissue level and bone level implants. They are designed to be user-friendly, to make impressions with ease, are the most economical and are typically used for cement retained restorations. They can be both straight and angled. They are best used for tissue level implants that are not in the esthetic zone.

The downside of stock implant abutments is that the tissue will conform to the shape of the implant abutment; if used in the esthetic zone, it is very difficult to for the ceramist to achieve optimal emergence contours and to have the tissue support be optimal relative to adjacent teeth. The other challenge is that the final margin placement of the crown cannot be precisely controlled – it is dependent on the depth of the implant and the height of the abutment.

On the other hand, custom stock abutments are milled to a precise position relative to the crest of the tissue; they can be used for either bone level or tissue level. There are many options for custom abutments, some are universal based upon a coping that is cemented, others are milled from a titanium or zirconia blank and some are simple tubes upon which a wax-up is performed.

Many options are available for custom abutments at Bayshore Dental Studio. Since not every manufacturer has the same options available, our well versed team is here to help by presenting the available choices you do have. So whether you require a one-piece abutment, a crown over an abutment or a Bioment 3i encode, Bayshore Dental Studio is dedicated to assisting you so you’re confident with your decision and to take the guesswork out of your implant overhead. Our skilled technicians design custom abutments to create an ideal emergence profile that promotes healthy tissue development and to place margins uniformly below the gingiva. In addition, the use of a custom abutment allows corrections to be made in angulation with anatomical structure for better support and crown retention.

Benefits of Custom Abutments:
Create a natural emergence profile between an implant and crown
Crown margin depth can be customized
Allows for better hygiene
Allows for better esthetics
Allows for better alignment with angled implants
Zirconia and Gold Hue abutments enhance esthetics of the final case