Overview

This document details the CAD/CAM dental prosthetic solutions provided by the TBR Group in partnership with ALKOM DIGITAL, targeting dental professionals with varying CAD/CAM capabilities. It covers workflows, product offerings, manufacturing guidelines, pricing, and support services for implant-supported prosthetic reconstructions.

1. CAD/CAM Integration and Workflow

Two primary workflows are outlined based on user equipment:

• Without CAD/CAM equipment: Physical models are sent to ALKOM DIGITAL for digitization, design, and manufacturing. The process includes impression taking, plaster modeling, digital scanning, design validation, machining, and cosmetic finishing.
• With CAD/CAM equipment: Users with compatible scanners and software (STL, C3S, 3Shape, Dental Wings, Exocad, IGES, STEP) can download TBR’s 3D component libraries, design prostheses independently, and submit digital files for manufacturing.

2. Product Range and Specifications

• Implants: Z1 implants made from Zirconia Y-TZP and titanium, designed for optimal gingival aesthetics and papilla repositioning.
• Scanbodies: Dual-material (PEEK and titanium) digital impression transfers for high-precision intraoral scanning.
• Prosthetic Abutments: Titanium abutments with sandblasted surfaces, available in Morse taper and octagonal connections, suitable for direct intraoral scanning.
• Tibases: Connection bases for open CAD/CAM and CEREC® systems, anodized gold for aesthetics, with indexing features for ceramic retention.
• Bars and Suprastructures: Classic and customized bars in titanium or chrome-cobalt for removable prostheses; screw-retained suprastructures for fixed bridges supporting various attachments and hybrid prostheses.
• Materials: Titanium, chrome-cobalt, zirconia, PMMA, and resin options for diverse prosthetic components.

3. Design and Manufacturing Recommendations

• Z1 tissue level implants require crowns covering the entire implant platform, optionally with a mesostructure.
• Bone level implants’ crowns should rest on the aesthetic shoulder of the mesostructure.
• TiBase components feature conical profiles and micronotching to optimize ceramic retention and aesthetics.
• CEREC® tibases include indexing pegs for precise positioning in pre-drilled ceramic blocks.
• Final prosthetic pieces are delivered with two screws: one for laboratory use and one for definitive intraoral placement.

4. Services and Support

• ALKOM DIGITAL offers advanced 3D scanning and 5- to 11-axis milling centers staffed by experienced technicians.
• Emphasis on short turnaround times and competitive pricing.
• Comprehensive online resources including component libraries, design instructions, and client portals facilitate user autonomy.

5. Pricing and Product Options

Pricing varies by prosthetic component, implant count, and material, with distinctions for wax-up versus STL file submissions. Examples include:

• Customized abutments priced approximately €50 to €135 depending on material (zirconia, titanium, chrome-cobalt, PMMA, resin) and design.
• Bars and suprastructures scale with implant number: classic bars from €240 (2 implants) to €1020 (12 implants); suprastructures from €340 to €1160.
• Top On bridges available in zirconia, titanium, or chrome-cobalt with prices increasing with implant count.
• Additional components such as attachments and telescopes available on request.

6. Key Advantages and Best Practices

• Compatibility with both open and closed CAD/CAM systems ensures workflow flexibility.
• Anodized gold tibases enhance aesthetic integration with ceramic materials.
• Dual-material scanbodies improve intraoral scanning accuracy.
• Professional support and advanced manufacturing guarantee high-quality prosthetic outcomes.
• Clear instructions and digital resources promote precision and user independence.

7. Overview of Cem-On Sealed Prosthesis Production

Cem-On specializes in sealed frameworks for dental prostheses using titanium, cobalt-chrome, zirconia, and IPS e.max. These frameworks support single and multiple-unit prostheses finished with ceramic or composite cosmetics.

8. Materials and Pricing for Cem-On

• Zirconia: €53 to €76 depending on model and design.
• Full Zirconia (anatomical and chape models): €66 to €76.
• Titanium and CoCr: €33 to €43.
• IPS e.max (chape and anatomical): €45 to €65.

Prices vary based on wax-up model or STL file input.

9. Additional CAD/CAM Services and Procedures

• Wax-up design: €12 per unit.
• CAD design: €8 per unit.
• Polishing: €4 per unit; additional polishing may be required.
• Threading for attachments (Taraudage): €33 per unit; requires new or well-maintained analogues.
• Transport: €15 per unit for pickup or delivery.

10. Order Form and Specifications

• Material selection includes Zirconia, Lithium Disilicate, PMMA, CoCr, Titanium, Burnout Resin.
• Shade options: A1-A2, A3, A3.5-A4, Natural.
• Input types: STL file, master model, antagonist, bite registration, screws, implant platform.
• Quantity and dental element details: unit or bridge, diameter, connection type (Morse taper or internal octagonal).
• Transport methods: TNT Express, DHL, UPS, Sopharty Belgium, Alkom Digital delivery.

11. Glossary of Terms

• C: Crown / Bridge / Conventional element.
• H: Attachment / Telescope.
• F: Veneer.
• I: Inlay.
• S: Screw-retained crown / bridge element.
• A: Abutment.
• P: Insert / Clamp.
• V: Screw.

12. Profiles of Bars and Suprastructures

Various bar profiles are referenced for suprastructure design, including Dolder Ovoïde, Ackermann, Hader 1 and 2, Dolder U, Valley, T Bar, Schengen, and Luxembourg.

13. Contact and Ordering Information

Orders and inquiries are managed by Alkom Digital (Luxembourg) and TBR Group (Toulouse, France). The document stresses adherence to deadlines with guaranteed delivery times ranging from 2 to 5 working days depending on prosthesis type.

14. Additional Notes

• Orders placed before 12:00 PM guarantee on-time delivery.
• Deliveries can be scheduled before 11:00 AM and on Saturday mornings upon request.
• Competitive pricing applies regardless of model or STL file submission.
• Complementary services are available to streamline client workflows.

Conclusion

The TBR Group and ALKOM DIGITAL provide a comprehensive range of CAD/CAM dental prosthetic solutions adaptable to all levels of digital equipment. Their offerings emphasize precision, aesthetics, flexibility, and professional support to ensure reliable, customizable implant-supported prosthetic reconstructions.