Hybrid Prosthesis

Hybrid prostheses, also called fixed-detachable dentures, are a way to replace missing teeth and gum tissue with a prosthetic attached to dental implants, giving peace of mind and a beautiful smile.
When a person is faced with the loss of their teeth, either in the upper or lower arch, the best recommendation for their oral health is to rehabilitate the area through dental implant treatment.
 
In this way, the process of bone and gum loss that takes place after the loss of one or more teeth will be avoided. This is due to the fact that when placing dental implants
the roots of the teeth are also replaced, integrating them into the bone and preventing them from deteriorating.
 
These implants can support different types of prostheses or artificial teeth. One of them is the hybrid prosthesis on dental implants, which is considered one of the best options to replace lost teeth.
 
If you have lost all your teeth in one or both jaws, we can design a fixed solution through the placement of 4 to 6 implants with a screwed-in prosthesis so that you can smile again and enjoy your food with peace of mind, confidence and safety.
 
Here, we will provide you with all the information you need:
 
HYBRID PROSTHESIS
 
A prosthesis that is supported on a bar with an average of 4 to 6 implants, although if the patient's clinical conditions require it, more implants may be given. It is fixed into the mouth, and can be removed only by the specialist. It does not have a palate when it is in the upper arch of the mouth, and in the lower arch it has a bar that surrounds the arch of the teeth. It is an excellent alternative when the patient wants to feel that they once again have all their teeth, bringing back full function of the mouth and the ability to chew, with the added benefit of pleasant aesthetics.

 
PROCESS:
 
The first step consists of a clinical and radiographic assessment in which the diagnosis and details of the patient's treatment plan are determined - from the surgical phase to the rehabilitation phase. It is determined whether the implants are going to be conventional or if due to the bone loss of the patient they will be zygomatic. It will also be defined with which material the hybrid prosthesis will be made.
The placement of implants is then performed: if they are conventional implants the process will take place in our clinic under general anesthesia, but if they are combined with zygomatic then it will take place in an operating room under general anesthesia. Then, we proceed with the installation of the temporary prosthesis - if during the placement process of implants there is sufficient stability, the temporary prosthesis is screwed, otherwise this prosthesis will be removable during the healing and bone integration period. After approximately 3 to 6 months of healing, the final rehabilitation of the hybrid prosthesis is carried out, using the material chosen by the patient.
 
STAGES:
 
There are 2 stages in which this process takes place:
 

1. Surgical Stage: this consists of the strategic placement of the implants and the temporary prosthesis. If the conditions are such that the patient leaves with the prosthesis on the same day as the implant surgery, the procedure is carried out; however, the stability conditions are not always sufficient for this to happen
2. Rehabilitation Stage: placement of the final prosthesis. In order to proceed with the placement of this prosthesis it is necessary that the temporary prosthesis have been for at least two (2) and a half months in the lower arch and four (4) months in the upper arch, however everything depends on the healing process and bone integration that each patient has. There are 3 main materials in which this prosthesis can be made: porcelain with a metal bar, completely in zirconium or high impact acrylic on a metal bar. It is designed and developed using a CAD (Computer Aided Design) CAM (Computer Aided Manufacturing) system

 
Materials used for the elaboration of a Hybrid Prosthesis:
 
Metal bar:
Can be cast or machine-made. The cast bar is made by means of a metal injection system, which has as an advantage of its low cost. However, it has a high percentage of inaccuracy which leads to a greater number of appointments to fix it. The machine-made bar is made using a CAD/CAM milling system which makes its adaptability almost 100% accurate. All our bars are machine-made.
 
For the production of the final prosthesis, the patient can choose between 2 material options: high impact acrylic or ceramic (zirconium).
 
High impact acrylics:
 
There are a variety of brands, but not all offer a combination of aesthetics, functionality and adhesion. The acrylic with which we make hybrid prostheses has among its main advantages:
 
●      High strength
●      Pleasant aesthetics
●      Several layers, simulating a natural tooth structure
●      Translucency

 
Porcelain or ceramics
 
A material that by its characteristics is more similar to the naturalness of the tooth. It is commonly used in crowns, veneers and inlays. Thanks to the odontological advances today, it is now also used in the hybrid prostheses. Its cost is higher compared to a high impact acrylic prosthesis.

 

PLANNING TIME AND TRAVEL TO MAKE YOUR HYBRID PROSTHESIS:
 
Generally 2 trips are required:

1. Dental extractions (if applicable), placement of the dental implants and installation of the temporary prosthesis (as far as possible this will be a fixed one, otherwise you must use a conventional removable prosthesis). A minimum time of 5 to 7 days is required in the city of Medellín.
2. After approximately 4 to 6 months of bone integration and healing, the final prosthesis is placed, using the material chosen by the patient (high-impact acrylic or ceramic). The time will depend on the material chosen; if it is acrylic a minimum time of 2 weeks is required in the city of Medellín, if it is ceramic a minimum time of 3 weeks.