Dental implants are a highly successful dental treatment modality for replacing missing teeth. Customized healing abutments can improve the esthetic and emergence profile for anterior implant restorations. Patient satisfaction plays a significant role in determining the success of an implant case. As a result, more and more patients are becoming informed about procedures and have high expectations regarding their dental treatment.
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Stock Healing Abutments
Implant sites are often fitted with circular healing abutments to facilitate tissue formation. However, this type of healing abutment does not represent the natural emergence of a tooth from the bone.
Different types of stock healing abutments attempt to come closer to mimicking a realistic emergence profile. Some of these abutments have a flared-out design. However, even with this, they still need to create an ideal emergence profile.
When these abutments are used, the implant restoration will be fabricated to match the soft tissue area created by the stock healing abutments. Unfortunately, this results in the restoration trapping food, not fitting passively, and often will not seat properly. Moreover, tissue recession can occur when the soft tissue and restoration do not fit well.
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Custom Healing Abutments
An individual’s natural teeth define the shape of their surrounding soft tissues. However, due to the lack of support and the healing process, the soft-tissue contour changes immediately after tooth removal. Therefore, soft-tissue contours must be preserved to achieve a natural-looking dental implant reconstruction.
Using a custom healing abutment can improve the structure and support of soft tissue contours, ensuring a successful implant case. Custom-designed healing abutments look more natural and provide a more comfortable fit. They can be fabricated using a digital surgery guide.
Guided Surgery
A clinician can significantly improve implant cases through guided surgery by ensuring healthy tissue, esthetics, and function. In guided surgery, there are two possible workflows:
Custom Healing Abutment Design
With this type of treatment planning, a custom healing abutment can be fabricated. Titanium cylinders are bonded together with PMMA to fabricate the abutment.
Here’s how you do it:
Benefits of A Surgical Guide
At this point, a digital guide has been designed and is ready for fabrication.
Burbank Dental Lab surgical guides provide the following features:
A successful implant case requires proper tissue management. The guided surgery method enables the design and fabrication of custom immediate-load temporary restorations, such as healing abutments. As a result, the implant site will heal properly, allowing the tissue to be shaped into its ideal shape.
Custom-designed healing abutments can prevent the formation of spaces and encourage the development of the interproximal papilla. They can also improve oral hygiene and enhance aesthetics. Based on the data from the surgical plan, a guided surgery appliance is constructed according to the details of the ideal implant placement.
Additionally, a digital scan body can be placed in the plan.
You can use this to create the custom healing abutment that will help the tissue heal optimally and create a natural emergence profile for the final restoration.
For tissue health, guided surgery can provide the following benefits:
The following conditions must be met for an immediate load implant:
Soft tissue contours must mimic natural tooth contours to create highly esthetic restorations that function naturally. A properly contoured healing abutment can significantly improve implant restoration outcomes by reducing food impaction.
Digital planning can greatly improve accuracy and efficiency. Speak with an implant planning specialist at Burbank Dental Lab today.
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