In principle, yes, but we recommend this only in individual cases. At the time when another dentist begins to fabricate the final crowns on healed implants, he recognizes that the implants are perfectly osseointegrated. Otherwise, he would not be allowed to fabricate crowns on the implants. Thus, the dentist assumes the entire responsibility for the functioning of the implant + crown unit. However, if the crowns have tension or are too high, they can destroy or loosen the well-healed implants again. In this case, there will always be discussions about who is responsible for the failure, even if this is quite clearly regulated (see above). We therefore recommend that you also have the final crowns fabricated by MEDIDENT BAVARIA® Dr. Neubauer so that the entire responsibility is in one hand. If you wish to have the final crowns made by another dentist, he or she should at least have completed training according to THE SWISS BIOHEALTH CONCEPT.
After 3 to 6 months, the long-term temporaries are removed again by us and the teeth or implants are prepared again, i.e. the so-called "fine tuning" is carried out, in which the later crown margin is placed extremely precisely exactly at gum level or minimally below it. Then the impression is taken for the dental technician. For single posterior crowns, a digital impression is taken and the crown is fabricated immediately and placed the same day after a few hours. For large works or for crowns in the esthetic range, a conventional impression is taken and transferred to a plaster model. The master dental technician produces the crowns on this. These are viewed together with you before final cementation (try-in appointment) and modified again if necessary. Depending on the number of crowns, there is a period of 5 to 10 working days between the impression date and the cementation date.
Long-term temporaries are acrylic crowns fabricated in the practice on the same day, which are firmly cemented, stable and already look very real. These remain in the mouth for the period of healing of the implants and are exchanged for the final all-ceramic crowns after 3 to 24 months.
You will receive a temporary tooth-colored crown, at least in the esthetic (visible) area, to restore esthetics. It may vary individually depending on the implant position and surgical situation.
An implant is referred to as an immediate implant if a diseased tooth is extracted in the same session and immediately replaced by an implant at this site.