Is your dental implant angle off? you facing challenges with dental implants that are not in an ideal position? 

Whether the dental implant angle was a deliberate decision to avoid bone grafting or a surgical oversight, we understand the need for a solution.

Our expertise lies in compensating for misangulated implants prosthetically, using specialized components.

By carefully considering factors such as angulation, position within the bone, and implant depth, we can devise a bespoke plan to rectify the situation.

In more severe cases where the misalignment is substantial, implant removal procedures may be necessary, followed by grafting and healing.

Once the site is ready, we can place a new implant in a more optimal position and restore it to ideal function and aesthetics.

If the malignment is mild, a cemented restoration can be used to restore the clinical portion of the tooth. A ceramic or metal post is connected to the dental implant with a retaining screw, then a crown is fabricated to fit this abutment. This is similar to crowns which are done on teeth.

Care has to be taken during the cementation to ensure that all the excess cement is removed, to prevent the extra cement from causing infection under the gums.

The main disadvantage of a cemented crown is retrievability of the crown. Occassionally, the crown may need to be removed for maintenance of the implant. Cemented crowns sometimes cannot be removed without breaking, and a new crown might need to be fabricated.

Specialized parts known as angled multiunit abutments can occassiuonally be used to redirect the direction of the implant retention screw.

These come in predetermined angulations, resulting in some limitations to how much correction can be made.

The extra parts increase prosthetic complications as well as the cost of restoring the implant.

A more innovative solution has been the development of dynamic axes screws, such as the Dynamic Abutment. These sophisticated screws allow for engagement at an offset of up to 25 degrees. In most cases, this is sufficient to redirect the access hole from the outer surface of the crown to the inner surface.

They not only do not require additional restorative space, but do not require additional components. The conventional abutment screw is exchanged for the dynamic axis screw.

These can be used either as part of a conventional analog work flow, or as part of a integrated digital CAD/CAM workflow.

The reduced number of parts and the larger implant retaining screw also decrease the incidence of prosthetic problems.

These revolutionary screws have significantly impacted how these cases can be managed, reducing the number of implants that have to be removed and lowering the costs of restoring these cases.