Hybrid Prosthesis on Dental Implants in Lima | Smiles Peru

Smiles Peru video showing the 2nd phase of a dental implant rehabilitation with hybrid prosthesis.

A hybrid prosthesis is a fixed, non-removable denture supported by dental implants. It is designed for patients who have lost most or all of their teeth and want a stable, comfortable solution without the drawbacks of traditional removable dentures.

At Smiles Peru, we use this type of prosthesis for patients seeking a balance between functionality, aesthetics, and cost. It combines a titanium framework with high-quality acrylic or composite teeth, offering good strength and a natural appearance.

A hybrid prosthesis is a type of prosthesis that is supported by dental implants, that is, an implant-supported prosthesis. The implant-supported prosthesis consists of a prosthetic structure anchored by 4-6 implants previously placed inside the maxillary bones, in order to recover function and aesthetics.

Unlike an overdenture, it is screwed to the abutments and cannot be removed by the patient. An overdenture is removable and the patient can remove it by himself.  The hybrid prosthesis provides significantly better stability and chewing ability than conventional dentures. Because it is fixed, it also helps preserve bone and improves speech and confidence.

Please see our full mouth implants with hybrid prosthesis case studies.

• Improved masticatory function: Unlike a complete or removable conventional prosthesis, the hybrid prosthesis can reach up to 90% of the natural masticatory efficiency.
• Improves phonetics: As restorations over implants are more stable, there is no alteration of the masticatory muscles or of those that intervene in facial expression, eliminating any possibility of alteration in phonetics.
• Improves aesthetics: They look and feel like natural teeth, with implant-supported prostheses it is possible to achieve optimal morphology and an optimal facial appearance in all anatomical planes.
• Preservation of bone tissue: Since they are supported by implants, these replace the tooth roots, helping to maintain the bone tissue, avoiding the deterioration and resorption that occurs after the loss of a tooth.
• Durability: they can last for many years with a good maintenance.
• More affordable than a full zirconia prosthesis
• Improves confidence: With implant-supported prostheses, a person can feel fully confident that their teeth will not move. You can do any regular activity without any fear.
• Greater comfort: As conventional prostheses have the mucosa and bone as the main support; these can cause injuries during the adaptation process. With a hybrid prosthesis there is no risk of lacerations and does not require the use of adhesion creams.

Like all treatments, hybrid prostheses have disadvantages when compared to other treatments such as overdentures.

• Unlike an overdenture, hybrid prostheses cannot be removed by the patient, so the patient will need more skills and ability to clean it.
• It needs 4 to 6 implants, unlike the overdenture that can be done with a minimum of 2 implants, so its overall cost is higher.

The hybrid prosthesis is a highly cosmetic, lightweight yet durable rehabilitation option for “all-on” dental implant techniques.

The hybrid prosthesis is recommended for edentulous patients, that is, patients with a total loss of teeth and in cases where the patient has generalized bone loss.

A hybrid prosthesis is a good option if you:

• Have lost most or all of your teeth
• Currently use removable dentures that are unstable or uncomfortable
• Want a fixed solution but prefer a more affordable option than full zirconia
• Have adequate bone volume (or are willing to undergo bone grafting if needed)
• Are looking for a long-term, functional restoration

The hybrid prosthesis consists of a cast metal framework that is screwed to the abutments over the dental implants; this metal framework is covered with acrylic which supports the fixed artificial teeth.  Smiles Peru uses CAD CAM technology to perform the treatment in a shorter time and with greater precision. The first step is choosing the abutments for the implants, followed by implant level impression with which a model cast is obtained. Then with the CAD CAM system we will proceed to scan the model cast for the elaboration of the metal framework. The framework is made in a 3Shape software which guarantees the correct seating of the framework to the abutments. Once the metal framework has been tested in the mouth, the artificial teeth will be placed on the metal framework with the subsequent denture processing.

1. Consultation and Planning We take 3D scans (CBCT) and plan the ideal position and number of implants.
2. Implant Placement Implants are placed, often with a temporary prosthesis on the same day or shortly after.
3. Healing Period The implants integrate with the bone over 3 to 6 months.
4. Final Prosthesis Once healing is complete, we take new impressions and deliver the final hybrid prosthesis.

All hybrid prosthesis cases at Smiles Peru are personally planned by Dr. Sylvia Pflucker, our Clinical Director and specialist in Oral and Maxillofacial Radiology. Her expertise helps ensure precise implant placement and optimal prosthetic design.

• Waterpick or electric irrigator: an oral health device designed for dental care at home. It works by means of a stream of water that goes below the dental prosthesis and removes the plaque, food particles and bacteria in an effective and simple way
• SuperFloss type dental floss: has a rigid part that will be introduced under the hybrid prosthesis. In conjuction with the spongy part it removes all traces of retained food
• Interdental brushes: these brushes have a small head and can be introduced under the prosthesis and between the abutments themselves to remove retained food
• Visits to the dentist every 6 months: It is recommended that the patient visits their specialist dentist every 6 months, so that the dentist can completely remove the prosthesis and perform a thorough cleaning of the abutments and prosthesis.

1. How long does a hybrid prosthesis last? With proper care and regular maintenance, it can last 10–15 years or longer. The teeth may need replacement over time, but the titanium framework is very durable.

2. Is it difficult to clean? It requires more care than natural teeth, but most patients adapt well. We teach you the proper cleaning techniques during your visits.

3. Can I eat normally with a hybrid prosthesis? Yes. Most patients can eat a wide variety of foods comfortably, although very hard foods should still be avoided.

4. How does it compare to a zirconia prosthesis? A zirconia prosthesis is more aesthetic and durable but significantly more expensive. A hybrid prosthesis offers a good balance of function and cost.

5. Can a hybrid prosthesis be removed? Only by the dentist. Patients cannot remove it themselves.

If you’re considering a hybrid prosthesis on dental implants, we can help you evaluate your options. Send us your panoramic X-ray or photos, and we’ll provide a personalized treatment plan and quote.

Contact us today to schedule your consultation.