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A single implant crown may be small, but it is rarely a small job. Replacing one tooth involves the implant, connection, abutment, restorative material, emergence profile, soft tissue, contact points, occlusion, shade and screw-access position. Every element must work together within a very limited space.
At Bremadent Dental Laboratory in London, we approach a single implant crown as a complete restorative system rather than simply a crown with a hole in it. The objective is not only to produce something that fits the model. It must seat accurately in the mouth, support the surrounding tissue, integrate with the adjacent teeth and function predictably. The key decisions normally include: • Which implant system and connection are present? • Is a screw-retained or cement-retained restoration more suitable? • Does the case require a titanium base, stock abutment or custom abutment? • Should the crown be zirconia, lithium disilicate, layered ceramic, PFM or metal? • Where will the screw-access channel emerge? • How should the restoration support the peri-implant tissue? Get those decisions right at the beginning and the appointment is usually much less eventful. In implant dentistry, boring fit appointments are often the best fit appointments.
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After completing hundreds of immediate implant loading cases at Bremadent Dental Laboratory, I've developed some strong opinions about full-arch implant prosthetics. While FP1, FP2, and FP3 restorations all have their place in modern implant dentistry, if I had to choose my preferred option for immediate loading cases, FP1 would win almost every time.
Now, before anyone starts sharpening their implant drivers, let me be clear. This isn't about saying FP2 and FP3 are wrong. They absolutely have clinical indications and can deliver excellent outcomes. However, when the clinical situation allows it, FP1 offers advantages that are difficult to ignore from an aesthetic, functional, technical, and patient satisfaction perspective. Having worked on these cases both as a Clinical Dental Technician and as a laboratory owner overseeing large volumes of full-arch implant restorations, I've had the opportunity to analyse what works consistently in the real world rather than simply in theory. The more cases we complete, the more convinced I become that FP1 represents the closest thing we currently have to replicating natural dentition in a full-arch implant restoration. At Bremadent Dental Laboratory, we work closely with dentists and dental teams across the UK to deliver predictable, high-quality implant-retained dentures. One issue that continues to come up in practice is locator pick-ups that don’t quite perform as expected.
They may feel tight, slightly off, lack retention, or cause ongoing adjustments. In some cases, they fail prematurely. When this happens, it is rarely down to the locator system itself. More often, it comes down to how the pick-up has been carried out. The key difference lies in whether the procedure is done chairside or in the laboratory. From both a clinical and technical perspective, chairside locator pick-ups are more accurate, more predictable, and ultimately deliver better outcomes for patients. Let’s break down why. At Bremadent Dental Laboratory, we work closely with dentists and dental teams across the UK to deliver full arch implant restorations that are aesthetic, functional, and built to last. One of the most common challenges we see, however, is ceramic or zirconia fracture on these cases.
If you have ever had a full arch implant restoration chip, crack, or fail unexpectedly, it is rarely down to bad luck. There is almost always a technical reason behind it. Understanding these reasons is key to improving long-term outcomes for your patients. Let’s walk through the science and the practical realities behind why these failures happen, and more importantly, how to avoid them. If you’ve been placing implants and delivering immediate load cases for a while, you’ll know there are a few different schools of thought when it comes to prosthetic design. FP1, FP2, FP3… they all have their place. But when it comes to immediate loading, I’ll say it straight I consistently lean towards FP1.
This isn’t theory. This comes from years on the bench, chairside experience, and seeing what actually works in real patients, not just what looks good on paper or in a lecture slide. Let’s break it down in a practical, no-nonsense way. |
Private Dental Laboratory in London
Kash Qureshi - Managing Director, Clinical Dental Technician
About the author:
Kash Qureshi is a Clinical Dental Technician (Denturist) in the U.K who oversees and quality controls over 3000+ fixed and removable prosthesis including implant cases from a clinical and technical aspect monthly at Bremadent Dental Laboratory & Swissedent Denture Clinic in London. www.swissedent.co.uk www.bremadent.co.uk [email protected] Categories
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