Custom healing abutment or tissue former

How to make a custom healing abutment for dental implant

Cerec can make to look like this – very cool custom tissue former

custom tissue former

To do by self need PEEK abutment and acrylic or universal bond and flowable

Or metal is fine but only mechanical retention.

  1. Place temp abutment
  2. Pack plumbers tape in all around below gumline
  3. Reduce temp abutment to just fit with occlusion
  4. Place some bis-acryl around tape and then
  5. Make temp just like do with crown temp (in triple tray)
  6. After set access screw an remove
  7. Finish margins with flowable and polish
  8. Ensure no IP contacts (allows papilla to fill in to fullest extent)
  9. No occlusion either

Can buy some that are customized to certain teeth, brands are VPI and Anatotemp

Reuse of healing abutments

This study shows that there is protein on healing abutments even after cleaning and sterilization. However, proteins are not infectious agents (except very rare thing like mad cow), they did not test other things we routinely use that go in the mouth, like extraction forceps, and I bet everything that we use in dentistry will have same results so what is the point? Medicine has these same proteins on their instruments and no offense to our profession but their stuff is typically far more critical. Lipscomb 2006 Our sterilization process is proven safe and effective and this is basically questioning that based on proteins on the abutments that are also going to be present on everything else we use. My guess is this is someone is jut looking to get published for something or is tied in somehow to companies that sell implant parts. Waghwani 2015

We know that healing abutments that are recycled are sterile when done in office. Browne 2012

Another study shows that recycled healing abutments from the companies themselves may not be sterile but I wonder about contamination in their testing method as it was a very small percentage. Cakan

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