Are exposed healing caps at time of implant insertion a bad idea?

Question

1. Are exposed healing caps at time of implant insertion always a bad idea because this can allow bacteria growth? 2 Should a submerged cover screw be used instead of a healing cap when the implant is inserted, allowing the gum to heal around the cover screw and then later opened for abutment placement) --- lessening chance of bacterial growth? 3. If I have an exposed implant at time of implant insertion, and use good oral hygiene during the healing process, no pain or pus, should I be OK?

Lance Timmerman, DMD, MAGD · Answer

The reason to place a healing collar at implant placement is to save a surgical appointment.  If the tissues are tight against the collar, there is little risk of bacteria issues.  The decision to place a collar depends on the insertion torque value of the implant.  If bone is soft and the implant is not very "tight" then a cover screw is best.  If the insertion value was over 30 NcM, a collar is fine.

Kourosh Maddahi, DDS · Answer

Hi:Healing cap exposure during the implant insertion is ok as long as you keep the area clean.  Best,Dr. Maddahi

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Are exposed healing caps at time of implant insertion a bad idea?

Answers (2)

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