New Image is proud of our implant knowledge and expertise. From single-unit cases to cutting edge, state-of-the-art, full mouth reconstruction, trust the laboratory with 30 years of clinical success in restoring implants.
New Image currently produces 80% of our abutments through CAD/CAM.
These abutments are created by scanning the model and then custom digitally designed by our technicians. New Image is able to follow the tissue contour, give proper emergence profile, correct the angulation and customize the size and shape. They are designed according to the patient’s space, tissue and doctor’s preferences.
Preferred for strength. Ideal for use in the posterior.
This material combines strength with aesthetics. The gold coating helps to impart warm, lifelike aesthetics to both the tissue and the implant crown vs. a gray underlying color.
The tissue reacts well with zirconia and lessens the grayish undertones of titanium abutments. This material is best used for anterior aesthetic cases.
The Biomet 3i Encode Healing Abutment eliminates the need for implant level impressions. The doctor takes an impression with the Encode Healing Cap in place which simplifies the process as there are no transfer copings. Once the models are poured, New Image sends them to Biomet 3i to be robotically drilled and for placement of the analog. Through the grooves and notches in the healing cap, the robot is able to identify the exact size and placement of the implant. From there, New Image is able to fabricate the abutment of your choice.
Encode is very appealing to many of our doctors as there is no inventory of impression posts and the impression is simplified so less chairtime is required.
Pictured above: healing cap, impression of a healing cap, poured model of a healing cap.
Custom cast abutments are fabricated using a UCLA abutment. UCLA abutments have a metal base (usually a gold or titanium alloy) with a plastic top that can be cast to. The top of the abutment is designed by hand-waxing the shape of the abutment which is then cast with either a yellow gold alloy for anterior teeth, or noble alloy for posterior teeth. A custom cast abutment should be used if the implant placement is not ideal and neither stock abutments nor CAD/CAM custom abutments will work. Many times doctors are supplied this kind of abutment by an implant sales representative or their oral surgeon.
Steps for creating a Custom Cast Abutment:
Pictured above in order from left to right: UCLA abutment, abutment with wax (blue) hand-designed,abutments prepared to be cast, abutments after casting, finished abutment in place on model.
Stock abutments can be used when the implant is in an ideal placement situation and most commonly on posterior cases. If the doctor supplies the parts, this is the most cost effective option. This option should be used depending on the implant size and angulation. Stock abutments are not recommended on all cases, especially cases in need of angle correction or those in the aesthetic zone that need to follow the contour of the tissue.
Milled Stock Titanium Abutment
This type of abutment can be used anywhere in the mouth and is best with ideal placement. The angle can be off up to 10 degrees. Preferred and primarily used in the posterior.
Milled Stock Zirconia Abutment (Not recommended by New Image based on our history of breakage)
This abutment is milled using a coarse diamond burr with abundant water to prevent microfractures. Milled stock abutments are used in cases where implant placement is ideal and with crowns that will not have a great deal of lateral forces. They are used primarily on aesthetic cases such as young patients and patients with a high smile line.
Pictured above: diagram showing the difference between stock and custom abutments, two titanium abutments, with and without angle correction.