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As implant dentistry is a restoratively driven surgical
discipline, an ideal crown surrounded and supported
by keratinized tissue should be the ideal end-point of
most implant therapy. The Inclusive Tooth Replacement
Solution helps the surgeon and the restorative dentist
achieve this goal.
With the team approach, the surgeon places the implant
and — in most cases — the custom healing abutment
(Fig. 7a). This will begin to sculpt the soft tissue and
aid in the creation of an ideal emergence profile, all
before the patient returns to the restorative dentist
(Fig. 7b). When ready to proceed, the restorative dentist
temporizes the patient (utilizing the custom temporary
abutment and crown) and then transfers the soft tissue
contour information to the laboratory using the custom
impression coping. The final custom abutment and crown
are delivered to the dentist and ultimately the patient is
definitively restored.
Figure 7b: After removal of the healing abutment, the gingival tissues have
been shaped to the custom-designed configuration.
As implant dentistry is a
restoratively driven surgical
discipline, an ideal crown
surrounded and supported
by keratinized tissue should
be the ideal end-point of
most implant therapy.
From a specialist’s perspective, this is an excellent practice
builder because the restorative dentist does not incur
any laboratory fees or component charges for either the
temporary crown or final restoration. The patient may also
be temporized sooner than they otherwise would, and the
overall restoration provides for better peri-implant health.
Restoring form, function, and esthetics is a given for all
clinicians involved in implant dentistry. It is of course
critical that clinicians understand the importance of periimplant
health from a preventive standpoint and educate
patients along the way. But as we continue to encounter
those who would benefit most from implant therapy, it
is vital that we appreciate the direct correlation between
patient-specific soft tissue contouring and successful implant
restorations, and start to consider the individualized
solutions that are finally at our disposal. Modern dentistry
continues to evolve toward more precision and predictability
when we are able to address the unique needs of
each patient. IM
Figure 7a: The custom healing abutment included with the Inclusive Tooth
Replacement Solution is packaged with a matching impression coping, custom
temporary abutment and provisional crown. From the occlusal view, the shape
of a molar tooth is evident.
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