Our Summary

This research paper discusses a new method for dealing with the unavoidable extraction of teeth, particularly in areas that are visible when a person smiles or talks. Nowadays, immediate dental implants can be used as a minimally invasive solution to this problem. However, these implants can’t always be loaded immediately. In such cases, the researchers propose using custom-made healing abutments (attachments that connect an implant to a prosthesis).

These abutments help preserve the shape of the soft tissues in the mouth, removing the need for a second surgery to reopen the area or the use of a temporary restoration to shape the soft tissue. The research paper goes on to describe how these custom abutments can be used for immediate implants placed after a tooth extraction, in both the front and back of the mouth. This method helps maintain the shape of the soft tissues, while also reducing the number of steps required before the final restoration can be placed.

In conclusion, the researchers found this technique to be effective in guiding the healing of the soft tissue around dental implants. This allows for a more natural look and feel with dental implant-supported restorations, and reduces the number of treatment steps required. Importantly, these custom abutments prepare the soft tissue for the prosthetic stage, preserving its shape and removing the need for a second surgery.

FAQs

  1. What is the purpose of using customized healing abutments in dental implant surgery?
  2. How does the use of customized healing abutments help in preserving the soft tissue contour?
  3. How does the use of customized healing abutments in dental implant surgery reduce the need for reopening surgery and the use of provisional restorations?

Doctor’s Tip

One helpful tip a doctor might tell a patient about dental implant surgery is to follow post-operative care instructions carefully, including maintaining good oral hygiene, avoiding hard or sticky foods, and attending follow-up appointments with the dentist. Proper care and maintenance can help ensure successful healing and long-term success of the dental implants.

Suitable For

Patients who may be recommended for dental implant surgery include those who have lost a tooth or multiple teeth due to trauma, decay, or periodontal disease. Additionally, patients with inadequate bone structure to support a traditional dental bridge or dentures may benefit from dental implants. Patients with a healthy oral cavity, good overall health, and a commitment to maintaining good oral hygiene are typically good candidates for dental implant surgery.

Timeline

Before dental implant surgery:

  1. Patient consults with a dentist to discuss treatment options for missing teeth.
  2. Treatment plan is created, including the extraction of teeth if necessary.
  3. Patient undergoes tooth extraction if needed.
  4. Implant placement surgery is scheduled.

After dental implant surgery:

  1. Patient undergoes dental implant surgery, where the implant is placed in the jawbone.
  2. Customized healing abutments are used to preserve soft tissue contours and guide the healing process.
  3. Patient may experience some discomfort and swelling after surgery.
  4. Over the next few months, the implant integrates with the jawbone through a process called osseointegration.
  5. Once the implant has fully healed and integrated, the final restoration is placed on top of the implant.
  6. Patient can enjoy restored function and aesthetics with their new dental implant.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with dental implant surgery?

  2. How long is the recovery period and what can I expect in terms of pain and discomfort after the surgery?

  3. Will I need to follow a special diet or take any medications after the surgery?

  4. How long do dental implants typically last and what is the success rate of this procedure?

  5. What kind of maintenance and care will be required for the dental implants after the surgery?

  6. Will there be any restrictions on activities such as eating certain foods or participating in sports after the surgery?

  7. How many appointments will be needed for the entire dental implant process and how long will it take to complete?

  8. What are the qualifications and experience of the dental implant surgeon performing the procedure?

  9. Are there any alternative treatment options to dental implants that I should consider?

  10. What are the costs associated with dental implant surgery and are there any payment plans or financing options available?

Reference

Authors: Ruales-Carrera E, Pauletto P, Apaza-Bedoya K, Volpato CAM, Özcan M, Benfatti CAM. Journal: J Esthet Restor Dent. 2019 Nov;31(6):533-541. doi: 10.1111/jerd.12512. Epub 2019 Jul 3. PMID: 31268244