Tuesday, October 17th 2017 3:39AM EDT

Two Stage Surgical Technique: Abutment Placement

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Implant Uncovering Technique and Placement of Abutment

Expose the implant in aesthetic areas with a semilunar crestal incision. Make split-thickness buccal flap.
Remove healing plug with a healing plug removal instrument. Place appropriate guide pin to check integration and angulation.
Remove excess bone with sulcus reamer corresponding to the chosen abutment with either threaded knob or straight handle. Flush and dry implant well with a cotton tip.
Insert chosen abutment. Use a template to confirm appropriateness of abutment prior to engagement of locking taper connection, then tap on abutment in long axis of abutment post to engage locking taper.
Place an emergence cuff or temporization sleeve onto abutment and modify, if necessary. Inject acrylic around emergence cuff or temporization sleeve and into the vacu-press template.
Place template to form temporary crown. Remove and polish acrylic confluent with emergence cuff or temporization sleeve to help form the gingival sulcus. Wait for soft tissue healing prior to taking final impression.


 

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