In the Citydent Istanbul lab, we possess the capability to design and produce a wide range of custom abutments. Our advanced abutment library, along with our highly skilled technicians and state-of-the-art laboratory, enables us to create custom abutments tailored to the unique needs of our patients. With our advanced technology and expertise, we can ensure precise and reliable results, providing optimal fit, functionality, and aesthetics for implant-supported restorations. At Citydent Istanbul, we are dedicated to delivering high-quality, customized solutions to meet our patients' expectations and enhance their dental experience.


What is custom abutment?

A custom abutment is an integral component of a dental implant-supported tooth. The dental implant consists of three parts: the implant itself, the abutment, and the crown. The implant serves as a replacement for the tooth root, positioned within the jawbone to provide stability. The abutment, on the other hand, is the connector piece that is attached to the implant. While dental implant brands offer standard abutments in various sizes, these may not always suit every patient's unique needs. This is where custom abutments come into play.


Custom abutments are meticulously fabricated by dental laboratories to closely mimic the shape and contour of a natural tooth. They are tailored to fit precisely onto the implant, providing a secure attachment. Custom abutments also aid in supporting the surrounding gum tissue, replicating the appearance of a natural tooth. By utilizing custom abutments, dental professionals can ensure an optimal fit and aesthetic outcome for patients, enhancing their overall satisfaction with the dental implant restoration.


At Citydent Istanbul, we recognize the importance of personalized solutions and the role that custom abutments play in achieving exceptional results. Our dental team collaborates closely with skilled technicians in our state-of-the-art laboratory to produce custom abutments that promote ideal function, aesthetics, and gum tissue integration.


Advantages of Custom Abutments over Regular Abutments: When to Choose Customization in Implant Treatment? 

Custom abutments are often preferred over regular abutments of implant brands in specific circumstances:

Unique Anatomy: Custom abutments are particularly useful when a patient has unique anatomical features, such as an irregular implant angulation, limited available space, or compromised soft tissue contours. Custom abutments can be precisely designed to accommodate these unique conditions, ensuring optimal fit and aesthetics.


Esthetics: Custom abutments allow for greater control over the final esthetic outcome. They can be customized to match the surrounding natural teeth, ensuring seamless integration with the patient's smile. This is especially important for anterior (front) teeth or cases where optimal esthetics are a priority.


Gum Tissue Management: Custom abutments can be designed to support and shape the gum tissue properly. They can address issues such as gingival recession or uneven gum levels, creating a natural-looking and harmonious gum line.


Prosthetic Options: Custom abutments offer more flexibility in terms of prosthetic options. They can be designed to accommodate different types of restorations, such as all-ceramic crowns, bridges, or implant-supported overdentures. The customization ensures a precise fit and long-term stability for the final prosthesis.


Angulation and Alignment: In cases where the implant angulation is challenging or there is a need for precise alignment with adjacent teeth, custom abutments can be designed to achieve the ideal positioning and alignment, resulting in better overall function and appearance.


Limited Space: When there is limited vertical or horizontal space available due to adjacent teeth, bone structure, or anatomical limitations, custom abutments can be designed to optimize the use of available space and provide adequate support for the final restoration.


It's important to note that the decision to use a custom abutment versus a regular abutment of an implant brand depends on the specific clinical situation, the patient's goals, and the recommendations of the dental professional. You can consult Citydent Istanbul Dental Clinic denstist  to determine the most appropriate abutment choice for each individual case.



Differences in Treatment Process: Custom Abutments vs. Regular Abutments

The difference between custom abutment treatment and standard abutment treatment lies primarily in the prosthesis phase. During the initial session of the prosthesis phase, a digital impression is taken of the patient's implants and teeth to gather data for custom abutment production. This data is then transferred to specialized milling machines for the fabrication of custom abutments. In the second session, these custom abutments are securely attached to the implants. The remaining steps of the treatment process are the same as those in a standard implant treatment. Custom abutments offer a tailored solution that accounts for the unique anatomical features of each patient, enhancing fit, aesthetics, and overall treatment outcomes. At Citydent Istanbul, we prioritize providing individualized care through the utilization of advanced techniques and technologies to ensure the highest level of satisfaction for our patients.


Deciding Whether You Need a Custom Abutment for Your Dental Implant: Factors to Consider


Anatomical Considerations: If you have unique anatomical features, such as irregular implant angulation, limited space, or compromised soft tissue contours, a custom abutment may be recommended. Customization allows for an optimal fit and aesthetic outcome in challenging anatomical situations.


Esthetic Goals: If achieving optimal esthetics is a priority, custom abutments provide greater control over the final appearance. They can be designed to match the surrounding natural teeth, ensuring a seamless blend with your smile, especially for anterior teeth.


Gum Tissue Management: If you have specific gum tissue concerns, such as gingival recession or uneven gum levels, custom abutments can be designed to support and shape the gum tissue properly. They can contribute to a natural-looking and harmonious gum line.


Bite Alignment and Prosthetic Options: Custom abutments allow for precise angulation and alignment with adjacent teeth, ensuring proper bite alignment and functionality. They also offer flexibility in accommodating various prosthetic options, such as all-ceramic crowns, bridges, or implant-supported overdentures.


Case Complexity: Complex cases involving multiple implants, implant angulation challenges, or limited space may benefit from the customization provided by custom abutments. They offer tailored solutions to address specific challenges and achieve optimal results.


Consulting with a dental professional is crucial in determining whether a custom abutment is appropriate for your case. They will evaluate your individual situation, consider your goals, and provide personalized recommendations based on factors such as anatomical considerations, esthetic goals, gum tissue management, bite alignment, and the complexity of your case. Their expertise will guide the decision-making process, ensuring the best possible outcome for your dental implant treatment.

Frequently Asked Questions

When comparing zirconia custom abutments to titanium custom abutments, several factors come into play:

  1. Aesthetics: Zirconia custom abutments are highly regarded for their superior esthetics. They possess natural translucency, which allows them to blend seamlessly with the surrounding teeth, resulting in a more lifelike appearance. Titanium abutments, on the other hand, may not match the natural tooth color as closely.

  2. Biocompatibility: Both zirconia and titanium are biocompatible materials, meaning they are generally well-tolerated by the body. However, zirconia has the added advantage of being more resistant to plaque accumulation, which can contribute to better oral health and reduced risk of inflammation or gum disease.

  3. Strength and Durability: Titanium custom abutments are known for their exceptional strength and durability. They can withstand the forces of chewing and provide long-term stability. Zirconia abutments, although strong, are more prone to fracture compared to titanium. However, advancements in zirconia technology have improved its strength and fracture resistance.

  4. Customization: Both zirconia and titanium custom abutments can be customized to fit the patient's specific implant and aesthetic requirements. The level of customization may vary depending on the dental laboratory and the complexity of the case.

  5. Cost: Zirconia custom abutments generally have a higher cost compared to titanium custom abutments. The additional cost is attributed to the material itself, as zirconia is more expensive to produce and requires specialized milling techniques.

The choice between zirconia and titanium custom abutments depends on individual factors such as the patient's esthetic preferences, functional needs, and budget considerations. Your dental professional at Citydent Istanbul can provide personalized guidance and help determine the most suitable option based on your specific requirements.

Ensuring the quality of custom-made custom abutments involves several key steps. Here's how you can ensure their quality:

  1. Choose a Reputable Dental Professional: Select a dental professional with expertise in implant dentistry and a reputation for providing high-quality treatments. Research their qualifications, experience, and patient reviews to ensure their competence in delivering custom abutments.

  2. Collaborate with a Trusted Dental Laboratory: Work with a reputable dental laboratory that specializes in fabricating custom abutments. Ensure that the laboratory follows industry standards, utilizes advanced technology, and employs skilled technicians experienced in creating precise and durable custom abutments.

  3. Request Certifications and Compliance: Inquire about certifications and compliance with relevant regulations. Ensure that the dental professional and laboratory follow proper protocols, maintain sterilization standards, and use materials that meet industry standards.

  4. Verify Materials Used: Seek information about the materials used in the fabrication of custom abutments. Ensure that high-quality, biocompatible materials are used, such as medical-grade titanium or other approved dental alloys. This helps to ensure the longevity, strength, and compatibility of the custom abutments.

  5. Examination and Verification: Once the custom abutments are delivered, have your dental professional thoroughly examine and verify their quality, fit, and compatibility with the implant. This ensures that they meet the desired specifications and functional requirements.

By following these steps and working closely with a trusted dental professional and laboratory, you can have confidence in the quality of your custom-made custom abutments. This helps to ensure the longevity, functionality, and aesthetics of your implant-supported restoration.

The quality of custom abutments in implant dentistry is influenced by several key factors. These factors play a crucial role in ensuring optimal functionality, fit, and longevity of the custom abutments. Here are the main factors that influence their quality:

  1. Design Accuracy: The accuracy and precision of the design process are essential for creating custom abutments that fit seamlessly onto the implant and support the final restoration. Computer-aided design (CAD) software and advanced imaging techniques contribute to precise design outcomes.

  2. Material Selection: The choice of material for custom abutments significantly impacts their quality. High-quality, biocompatible materials such as medical-grade titanium or zirconia are commonly used. The selected material should be durable, resistant to corrosion, and compatible with the patient's oral environment.

  3. Manufacturing Techniques: The manufacturing techniques employed by the dental laboratory play a vital role in ensuring the quality of custom abutments. Advanced computer-aided manufacturing (CAM) technology and milling machines allow for accurate and precise fabrication of the abutments.

  4. Collaboration between Dental Professional and Laboratory: Effective communication and collaboration between the dental professional and the dental laboratory are crucial for achieving high-quality custom abutments. Clear and detailed instructions, along with feedback and adjustments, contribute to the final quality of the abutments.

  5. Quality Control Measures: Rigorous quality control measures at the dental laboratory help ensure the accuracy, fit, and functionality of the custom abutments. These measures involve meticulous inspection, testing, and verification of the abutments before they are delivered to the dental professional.

  6. Professional Expertise: The expertise and skills of the dental professional and dental laboratory technicians are paramount in delivering high-quality custom abutments. Their experience, knowledge, and attention to detail contribute to the overall quality of the abutments.

By considering these factors and working with experienced professionals, patients can have confidence in the quality of their custom abutments. This contributes to the successful integration, stability, and long-term performance of the implant-supported restoration.

Potential allergic reactions associated with custom abutments can occur due to various factors. While custom abutments are typically made from biocompatible materials, allergic reactions are still possible, although they are relatively rare. Here are some considerations regarding potential allergic reactions:

  1. Material Selection: Custom abutments are commonly made from materials such as medical-grade titanium or zirconia, which are known for their biocompatibility. However, in rare cases, individuals may have hypersensitivity or allergic reactions to specific materials. It is important to discuss any known allergies or sensitivities with your dental professional to ensure appropriate material selection.

  2. Pre-existing Allergies: Individuals with known allergies to certain metals or dental materials should inform their dental professional before undergoing implant treatment. This allows for alternative material choices or additional precautions to minimize the risk of an allergic reaction.

  3. Metal Allergies: Titanium is generally well-tolerated by the body and has a low risk of causing allergic reactions. However, in rare cases, individuals may develop hypersensitivity to titanium or other metals used in custom abutments. Testing for metal allergies may be considered for patients with a history of metal allergies or sensitivities.

  4. Biocompatibility Testing: In cases where there are concerns about potential allergies, biocompatibility testing may be conducted. This involves laboratory tests to assess an individual's immune response to specific materials, helping to identify any potential allergic reactions.

  5. Proper Diagnosis and Treatment: If an allergic reaction is suspected or confirmed, prompt diagnosis and appropriate treatment are essential. Consult with an allergist or immunologist to determine the specific allergen and develop a suitable treatment plan.

In Citydent Istanbul, the pricing policy for custom abutments is designed to provide convenience and transparency for patients seeking implant treatment and prosthesis services. When receiving implant treatment at Citydent Istanbul, the cost of custom abutments is typically included in the overall implant prices. This ensures that patients have a comprehensive treatment package that covers both the implant and the custom abutment required for optimal functionality and esthetics.

However, if a patient has received the implant at another clinic and chooses to undergo the prosthesis treatment at Citydent Istanbul, the pricing structure may differ. In such cases, Citydent Istanbul charges separately for the custom abutment in addition to the crown prices.Zirconia abutments generally have a slightly higher cost compared to titanium custom abutments.

At Citydent Istanbul, we have a comprehensive process for preparing custom abutments to ensure optimal fit and function for our patients. Here is an overview of how we prepare custom abutments:

  1. Digital Impression: We begin by taking a digital impression of the patient's implants and surrounding teeth using advanced intraoral scanning technology. This digital impression captures precise 3D data of the oral structures, which serves as the foundation for designing the custom abutment.

  2. Abutment Design: Our skilled dental technicians utilize specialized CAD/CAM software to design the custom abutment. They carefully analyze the patient's unique anatomy, considering factors such as implant position, angulation, adjacent teeth, and gum tissue contours. The design is tailored to meet the specific requirements of each patient.

  3. Milling Process: Once the abutment design is finalized, we employ advanced milling machines in our dental laboratory. These machines utilize the digital design data to precisely mill the custom abutment from high-quality dental materials. We prioritize using biocompatible materials that ensure long-term durability and compatibility with the patient's oral tissues.

  4. Quality Control: Each custom abutment undergoes meticulous quality control checks to ensure accurate fit and optimal dimensions. Our team thoroughly inspects the abutments to verify their compliance with our high standards and the specific treatment plan.

  5. Customization and Attachment: If required, the custom abutments can be further customized to match the shape, shade, and contour of the patient's natural teeth. Once the customization process is complete, the custom abutments are securely attached to the dental implants during the prosthetic phase.

Throughout the process, our dental professionals collaborate closely with our skilled dental technicians in our state-of-the-art laboratory. We prioritize precision, customization, and patient satisfaction, ensuring that each custom abutment is tailored to the individual patient's needs. At Citydent Istanbul, we utilize advanced technologies and adhere to strict quality control protocols to provide the highest level of care and deliver superior outcomes for our patients.

The durability and strength of custom abutments depend on several factors, including the material used, the design, and the manufacturing process. Here are some key points regarding the durability and strength of custom abutments:

  1. Material: Custom abutments can be made from various materials, including titanium, zirconia, or other dental alloys. Titanium is a popular choice due to its excellent strength, biocompatibility, and corrosion resistance. Zirconia is known for its high strength and natural aesthetics. The material selected for the custom abutment plays a significant role in its durability and strength.

  2. Design and Fit: Custom abutments are precisely designed to fit the specific implant and patient's anatomy. The design ensures optimal support, stability, and load distribution to the final restoration. A well-designed custom abutment contributes to the overall strength and longevity of the implant-supported prosthesis.

  3. Manufacturing Process: The manufacturing process for custom abutments involves advanced CAD/CAM technology and precise milling or fabrication techniques. The use of high-quality machines and materials, along with meticulous craftsmanship, contributes to the durability and strength of the final custom abutment.

  4. Clinical Factors: The long-term durability and strength of custom abutments can also be influenced by various clinical factors, including proper oral hygiene practices, regular dental check-ups, and avoiding excessive forces or trauma to the restoration. Adhering to these factors helps maintain the integrity and longevity of the custom abutment.

It's important to note that the specific durability and strength of custom abutments can vary depending on the material chosen, the manufacturer, and the quality of the fabrication process. Working with a reputable dental professional and dental laboratory, such as at Citydent Istanbul, ensures that high-quality materials and precise techniques are utilized to produce custom abutments that offer excellent durability and strength. Regular dental examinations and proper maintenance are also essential in maximizing the lifespan and performance of custom abutments.

The lifespan of custom abutments can vary depending on several factors, including the material used, oral hygiene practices, occlusal forces, and individual patient characteristics. With proper care and maintenance, custom abutments are designed to be long-lasting.

On average, custom abutments can last for many years, often ranging from 10 to 15 years or even longer. However, it's important to note that the longevity of custom abutments is also influenced by the overall health and stability of the dental implant, as well as the surrounding oral tissues.

To maximize the lifespan of custom abutments, it's crucial to follow good oral hygiene practices, including regular brushing and flossing, and attend routine dental check-ups. Maintaining a healthy oral environment helps prevent complications such as gum disease, which can impact the longevity of the abutments.

Additionally, avoiding excessive forces on the implant-supported restoration, such as teeth grinding or biting on hard objects, can contribute to the durability of the custom abutments.

Regular follow-up visits with your dental professional are important for monitoring the health and stability of the custom abutments and addressing any potential issues early on.

While custom abutments are designed to be durable, the specific lifespan can vary depending on individual circumstances. Consulting with a dental professional will provide you with personalized information based on your unique situation and help you understand the expected lifespan of your custom abutments.

Custom abutments offer several advantages in implant dentistry, including:

  1. Precise Fit: Custom abutments are specifically designed and fabricated to fit the unique anatomy of each patient. This ensures an optimal fit and alignment with the implant and adjacent teeth, contributing to improved stability and functionality of the final restoration.

  2. Enhanced Esthetics: Custom abutments allow for greater customization in terms of shape, emergence profile, and material selection. This enables superior esthetic outcomes, especially for anterior teeth, as the custom abutments can be designed to closely match the shape and shade of the surrounding natural teeth.

  3. Soft Tissue Management: Custom abutments can be tailored to support and shape the gum tissue properly, creating a natural-looking and harmonious gum line. This is particularly beneficial in cases where there are specific gum tissue concerns, such as gingival recession or uneven gum levels.

  4. Adaptability to Complex Cases: Custom abutments offer greater flexibility in handling complex cases with challenging anatomical conditions. They can address issues such as implant angulation, limited space, or compromised soft tissue contours, providing tailored solutions for individual patient needs.

  5. Personalization: Custom abutments allow for individualized treatment, taking into account the patient's specific anatomical requirements, esthetic goals, and functional needs. This personalization contributes to patient satisfaction and improved outcomes.

  6. Long-Term Durability: Custom abutments, when designed and fabricated using high-quality materials and precise techniques, can exhibit excellent long-term durability. They are designed to withstand occlusal forces and maintain stability over time, contributing to the longevity of the implant-supported restoration.

It's important to note that the advantages of custom abutments come with additional considerations, such as increased treatment complexity and cost compared to using standardized multi abutments. The decision to choose custom abutments should be made in consultation with a dental professional, taking into account the specific needs of the patient, esthetic requirements, and treatment goals.

While custom abutments offer numerous advantages in implant dentistry, it's important to consider potential disadvantages as well. Here are some disadvantages associated with custom abutments:

  1. Cost: Custom abutments tend to be more expensive compared to standard or prefabricated abutments. The customization process, involving design and fabrication, can incur additional costs that may not be present with standard abutments.

  2. Time: The production of custom abutments requires additional time compared to using pre-existing standard abutments. This may result in longer treatment timelines, as custom abutments need to be designed, manufactured, and properly fitted to the implant.

  3. Laboratory Dependence: Custom abutments rely on dental laboratories for their fabrication. This introduces a dependency on the laboratory's capabilities, expertise, and turnaround time. Any delays or issues with the laboratory can potentially affect the overall treatment timeline.

  4. Complexity: Custom abutments involve a more complex treatment process compared to using standard abutments. Additional steps, such as digital impression-taking and design, are involved, which may require specialized equipment and technical expertise.

  5. Limited Implant Compatibility: Some implant systems may have limitations or compatibility issues with custom abutments. It is important to ensure that the implant system used is compatible with custom abutments or consult with the implant manufacturer for guidance.

  6. Adjustability: Custom abutments may have limited adjustability once they are fabricated and placed on the implant. Unlike prefabricated abutments that can be adjusted or modified intraorally, custom abutments often require remaking if significant adjustments are needed.

It's important to note that the disadvantages listed above are not applicable in all cases and may vary depending on individual circumstances. The decision to use custom abutments should be made in consultation with a dental professional, taking into account the specific needs of the patient and the overall treatment objectives

If a custom abutment becomes dislodged or comes apart, it is important to take appropriate action to address the situation. Here are some steps to follow:

  1. Keep the Abutment Safe: If the custom abutment becomes dislodged, try to safely remove it from your mouth and keep it in a secure place. Handle it with care to avoid any damage.

  2. Contact Your Dental Professional: Reach out to your dental professional as soon as possible to inform them about the situation. They will provide guidance and schedule an appointment for you to have the abutment assessed and reattached properly.

  3. Avoid Attempting DIY Fixes: It is crucial to refrain from attempting to fix or reattach the abutment yourself. Dental professionals have the expertise and necessary tools to ensure proper placement and alignment. Attempting to fix it on your own can lead to further complications or damage.

  4. Maintain Good Oral Hygiene: While waiting for your appointment, continue to maintain good oral hygiene. Brush your teeth gently, including the area where the abutment was located, and continue flossing regularly. This helps to keep the surrounding area clean and minimize the risk of infection.

  5. Attend the Dental Appointment: Attend the scheduled dental appointment promptly. Your dental professional will assess the situation, reattach or replace the abutment if necessary, and ensure that it is securely placed to provide stability for the implant-supported restoration.

Remember, a dislodged or separated custom abutment should be addressed promptly by a dental professional to ensure proper function, stability, and longevity of your implant-supported restoration. Following their guidance and seeking professional assistance will help resolve the issue effectively and safeguard your oral health.

Dental Implant Treatments