is it advisable to skip the healing abutment? eg. fix the permanent abutment & within 2 weeks, the crown via cement-retained restoration and any excess gum will be trimmed? does healing abutment reduce need to trim the gum? what is the primary function of the healing abutment? Is cautery/laser commonly used in dental implant?eg to place the permanent abutment, an cautery/laser is used to open the gum to expose the embedded implant. Will electric knife compromise the implant osseo integration?
May 28, 2015
Answer: The purpose of a healing abutment The primary function of the healing abutment is to create a channel from theimplant through the gum (similar to a pierced ear). The crown is then connected through this channel to the implant either directly as a screw retained crown or cemented on a sub structure called an abutment.There are pros and cons to using a healing abutment. The first is that it alleviates the need for a second surgery and in most cases a implant crown can be restored without needing any anesthesia. A con is that if there is need to have ideal gum tissue alignmentand symmetry or if the tissue is very thin then you may not have an opportunityto address these concerns after a healing abutment is placed.Implant healing abutments are usually not placed at the time of implant surgeryif there is a need to modify the gum tissue or if the implantdoes not have the right about of stability and grip when surgically placed.In these cases the surgeon may use either scalpel blade, tissue punch, laser, orelectrocauter/knife. All are sufficient to uncover an implant it just depends onhow you want your gum tissue to respond to this stage of treatment.Another option is that during the implant placement stage, a impression of the implantis made simultaneously and this will go to a lab to have a custom healing abutment or custom temporary crown made that may be used 3-4 months later when theimplant is uncovered (second stage). Again In this part of my answer I am referring to when the implant is submerged under the gum during implant surgery and no healing abutment is placed. This technique will generally give you the most optimal outcomewhen gum tissue is of the most concern.
Helpful
May 28, 2015
Answer: The purpose of a healing abutment The primary function of the healing abutment is to create a channel from theimplant through the gum (similar to a pierced ear). The crown is then connected through this channel to the implant either directly as a screw retained crown or cemented on a sub structure called an abutment.There are pros and cons to using a healing abutment. The first is that it alleviates the need for a second surgery and in most cases a implant crown can be restored without needing any anesthesia. A con is that if there is need to have ideal gum tissue alignmentand symmetry or if the tissue is very thin then you may not have an opportunityto address these concerns after a healing abutment is placed.Implant healing abutments are usually not placed at the time of implant surgeryif there is a need to modify the gum tissue or if the implantdoes not have the right about of stability and grip when surgically placed.In these cases the surgeon may use either scalpel blade, tissue punch, laser, orelectrocauter/knife. All are sufficient to uncover an implant it just depends onhow you want your gum tissue to respond to this stage of treatment.Another option is that during the implant placement stage, a impression of the implantis made simultaneously and this will go to a lab to have a custom healing abutment or custom temporary crown made that may be used 3-4 months later when theimplant is uncovered (second stage). Again In this part of my answer I am referring to when the implant is submerged under the gum during implant surgery and no healing abutment is placed. This technique will generally give you the most optimal outcomewhen gum tissue is of the most concern.
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