Beyond Guided Surgery: Custom Healing Abutments

If you do your surgical plan and guide with Burbank Dental Lab, it allows for additional benefits that extend beyond the guided surgery appliance. You can also request a custom healing abutment  (Figure 3) or a screw-retained provisional.

Note: Both provisionals must be made as titanium cylinder with a PMMA coronal portion that must be bonded together in the mouth. (Figure 4)

Bonding the 2 pieces together in the mouth compensates for variations in the actual placement of the implant.

One of the most critical aspects that contribute to the long term success of an implant will rely on proper tissue contouring. A guided surgery workflow can facilitate the fabrication of a custom healing abutment or other provisional that custom designs the emergence off of the implant. This is done to create an ideal shaping of the tissue at the initial surgical appointment.

When the tissue is supported by an anatomical custom healing abutment, there exists the opportunity to keep and create the interproximal papilla maximized, which will minimize any interproximal gaps that can be problematic both esthetically and hygienically.