Pilares Ti-Base

Ti-base abutments offer a hybrid solution by combining the strength of titanium with the esthetics and adaptability of custom-milled or pressed restorations. They act as a base for cementing zirconia or lithium disilicate crowns and bridges, offering a reliable connection to the implant with high mechanical stability. They are especially valuable in CAD/CAM workflows, allowing for accurate digital design and reproducible outcomes. The titanium base provides a secure interface with the implant, while the superstructure can be customized for optimal esthetics, especially in the anterior zone. Clinical tip: Ti-base abutments are particularly beneficial in cases requiring angled screw access or customized emergence profiles. Ensure the base and crown are bonded under ideal conditions using dual-cure resin cement for best retention.

Traditional stock abutments are limited in contour, emergence profile, and angulation options, often requiring compromises in soft tissue management or crown design. Ti-base abutments, by contrast, allow for custom crown designs that match individual patient anatomy and esthetic demands. They are designed to work with CAD/CAM systems, enabling precise control over crown contours, angulation, and screw channel access. The ability to fabricate monolithic restorations reduces veneering fractures and improves overall strength. Practical advice: When working in esthetic zones or when soft tissue shaping is critical, Ti-base abutments offer a more personalized, precise approach. Use high translucency zirconia for anterior cases and monolithic lithium disilicate when translucency and bond strength are priorities.

The bond between the crown and Ti-base is a critical step. It requires meticulous surface preparation and adhesive technique: - Sandblast the Ti-base with 50 µm aluminum oxide. - Clean with alcohol and apply a metal primer. - Condition the internal surface of the ceramic restoration using hydrofluoric acid (for lithium disilicate) or air abrasion (for zirconia). - Apply a silane coupling agent on the crown and bond with a dual-cure resin cement. Clinical tip: Always perform extraoral bonding of the crown to the Ti-base to avoid complications from intraoral cementation. After bonding, check and refine margins under magnification before torquing into place.

Several factors can affect the success of Ti-base restorations: - Insufficient bonding surface area, especially in short abutments, may compromise retention. - Over or under-torquing the screw can damage the interface or lead to prosthetic misfit. - Inadequate bonding protocols may lead to debonding of the restoration from the abutment. - Poor angulation may cause screw channel misalignment, impacting esthetics or accessibility. Troubleshooting tip: Choose the correct Ti-base height to maximize surface area while maintaining proper crown thickness. Use digital design to align screw channels ideally. Re-tighten the prosthetic screw 10 minutes after initial torque to compensate for settling.