Implant procedure question

[jamesmarco]

Hello

I was just wondering if all implants require the gum to be cut open again (to expose the sealing cap and fit the new crown) after the 3 month bone healing process or do some implants negate the need for this? If so, which makes of implants do not require the gum to be reopened?

Moreover, on the same subject, if some implants do not require the gum to be reopened, how does the new crown sit under the gumline (as opposed to on top of it) if the gum has healed?

Many thanks

[prosman]

Hello

I was just wondering if all implants require the gum to be cut open again (to expose the sealing cap and fit the new crown) after the 3 month bone healing process or do some implants negate the need for this? If so, which makes of implants do not require the gum to be reopened?

Most implant systems can be used in this way. Sometime the gum may not even need to be cut to place the implant, also 3 months is quite a long time for healing now days unless there is some grafting. We are usually waiting no more than 6 weeks.

Moreover, on the same subject, if some implants do not require the gum to be reopened, how does the new crown sit under the gumline (as opposed to on top of it) if the gum has healed?

It heals around the spacer and then connects onto an abutment (the bit that connects the implant fixture (screw) to the crown.

[Samer Moshref]

thank you Doctor

[davidbloom]

Most implants can be placed in a few ways



1/Placed in the bone and covered with gum - In this way the implant has
a cover screw placed in it to seal the screw hole that will later be
used to secure the crown. This will require a second 'exposure ' stage
when a healing cap is placed. This allows a cuff of gum to form which
allows the tooth to emerge from the gum. Various techniques exist to
allow this cuff of gum to mimic the natural emergence of the tooth from
the gum and most involve some degree of 'tissue training'.



2/Sometimes it may be possible to place the healing cap straight away
and this means second stage exposure is not required



3/Finally sometimes it is possible to place an implant and immediately
place a temporary crown - this is called immediate loading and involves
placing a temporary abutment and temporary crown . These allow to gum to
form around them and so no second stage surgery is required.



Which technique is used will depend on the individual circumstances



Regards



David Bloom

Past President BACD

Accredited member BACD



cid:[email protected]



Senova Dental Studios

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Herts. WD17 2AD

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