Implants
Custom Screw-Retained Restorations
A Custom screw-retained restoration bridges the gap between cement‑retained and screw‑retained workflows. It starts as a custom abutment to shape soft tissue, control emergence profile, and support esthetics — and ends as a screw‑retained prosthetic, keeping it fully retrievable.
This approach gives you the biologic and esthetic benefitsof a custom abutment with the clean workflow and long‑term flexibility of screwretention.
When It Makes Sense
Natural Emergence Profile
Custom abutment design supports a more natural tissue transition.
Future Retrievability
Allows the final crown to be accessed or serviced later.
Cement-Free Workflow
Avoids the risks associated with subgingival cement.
Complex Angulation Support
Adapts to challenging implant position or angulation.
Esthetics + Maintenance
Balances esthetic goals with long-term serviceability.
Anterior Esthetic Cases
Well suited for highly visible implant restorations.
Suboptimal Implant Angulation
Helpful when implant positioning is less than ideal.
Future Maintenance Access
Ideal when retrievability may be needed over time.
Complex Esthetic Cases
Designed for demanding cases with high esthetic expectations.
Why Derby
Restoratively driven planning
Designed with the final crown and tissue outcome in mind.
Custom abutment esthetics
Anatomical emergence shaping supports healthier tissue and a more lifelike final contour.
Retrievability preserved
Designed to seat and service like a screw retained crown.
ASC support available
Angulated screw channels can be incorporated when implant alignment requires more flexibility.
Technician refined workflow
AI assisted design reviewed by experienced implant specialists for predictable seating.
Turnaround
Approximately 10 business days in lab
Production Phases
Step 1
Submit IOS Scan
Step 2
Design Planning
Step 3
Technician Review
Step 4
Design Preview
Step 5
Fabrication + QC
Step 6
Deliver
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FAQ
Why choose this over a traditional screw retained crown?
It supports better emergence shaping and tissue outcomes while remaining retrievable.
Is this still retrievable like a screw retained crown?
Yes. That’s one of the core benefits.
Is cement still used?
Cement is used at the lab to attach abutment and crown, but the final prosthetic is screw retained and no cement used in office.
Does this work with angled implants?
Yes. ASC capability can support cases where implant position isn’t ideal.
Does it replace custom abutments?
It builds on them — blending the benefits of custom tissue shaping with screw retained maintenance access.
What’s the difference between Y3, Y4, and Y5?
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Related Products
Custom Abutments
Designed for natural tissue adaptation and a smoother final crown delivery.
Stock Screw-Retained Implant Crowns (Ti Base)
Predictable, retrievable, and easier to manage long term.
