STL of customized healing abutments
# Customized_Healing_Abutments
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# Customized_Healing_Abutments
#Part 1
Purpose
- To guide soft tissue formation and create an ideal emergence profile.
- Especially useful in anterior areas or in deep/lingual implants.
- Improves esthetics and cleansability of the final restoration.
Materials and Options
- PEEK / PMMA / composite resin / titanium.
- Many implant systems provide Temporary/Provisional Abutments (PEEK/PMMA) for customized healing abutments.
General Protocol (chairside or lab)
1) Select temporary abutment according to platform, height, connection.
Adjust only within IFU limits.
2) Extraoral shaping (preferred)
- Mount abutment on analog.
- Shape with composite/acrylic freehand or using a mold system (e.g., Cervico).
- If intraoral adjustment is done, protect soft tissue with sterile rubber dam.
3) Sterilization
Many customized healing abutments are delivered non-sterile and must be sterilized before clinical use.
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STL of customized healing abutments
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#Part 2
4) Insertion and Torque
- Place the customized healing abutment.
- Tighten with system-specific torque (example: Neodent Pro PEEK = 20 Ncm).
5) Healing Phase
- Monitor tissue contour for days/weeks.
- Adjust extraorally if needed.
- Do not leave longer than manufacturerβs maximum (often β€6 months).
6) Transfer to Impression/Scan
- Use custom impression post or copy profile to impression coping.
- Mold-based systems like Cervico simplify this step.
Key Warnings from IFUs
- Do not change angulation, only adjust contour/height.
- Always isolate with sterile rubber dam when adjusting intraorally.
- Respect maximum duration of use.
Evidence
- Clinical studies show customized healing abutments (PEEK/titanium/composite) lead to stable peri-implant mucosa and favorable gingival contour.
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