Digital planning of a customized CAD-CAM healing abutment for soft tissue conditioning at the time of implant placement: A different digital and clinical perspective in molar implant rehabilitation


https://doi.org/10.23805/JO.2021.13.S04.9
Special Issue on Digital Dentistry - Supplement to 2021 Vol. 13 No. 4
Published: 9 March 2022
Intraoral Scanner, Cone Beam Computed Tomography, Guided Implant Surgery, Customized CAD-CAM Healing Abutment, Soft Tissue Conditioning
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Authors

  • L. Lepidi StudioLepidi&Suriano, Andria, Italy.
  • M. Galli Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, United States.
  • C. Suriano
    carmen.suriano@unifg.it
    Department of Clinical and Experimental Medicine, University of Foggia School of Dentistry, Foggia, Italy.
  • G. Ruggiero Department of Neurosciences, Reproductive and Odontostomatological Sciences, Division of Prosthodontics and Digital Dentistry, University “Federico II” of Naples, Naples, Italy.
  • L. Calabrese Department di Biomedicina e Prevenzione, University of Rome "Tor Vergata", Rome, Italy.
  • J. Li Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, United States.
  • P. Venezia Department of Prosthodontics, School of Dentistry, University of Catania, Catania, Italy.

Aims Achieving ideal peri-implant soft tissue contour is essential for a predictable restorative success. After tooth extraction, even in case of ridge preservation, a volume deficiency could be still observed at the time of implant planning. The aim of this clinical report was to present a new digital and clinical workflow in molar implant rehabilitations.

Clinical considerations A new workflow is described for planning and fabricating a customized healing abutment for conditioning peri-implant soft tissues at the same time of implant placement and also help digital impression-taking for the desired prosthetic emergence profile, with a time saving for both patient and dentist.

Conclusion A customized healing abutment helps digital impression-taking and prepares the soft tissue to the prosthetic finalization with further individual compensation simulating the root area in order to achieve the best possible definitive emergence profile.


Lepidi, L., Galli, M., Suriano, C., Ruggiero, G., Calabrese, L., Li, J., & Venezia, P. (2022). Digital planning of a customized CAD-CAM healing abutment for soft tissue conditioning at the time of implant placement: A different digital and clinical perspective in molar implant rehabilitation. Journal of Osseointegration, 13(4 Supplement), S305-S310. https://doi.org/10.23805/JO.2021.13.S04.9

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