The healing abutment at implant: what is it, photo

The healing abutment with the implant is a special design to create the correct contour of the jaw: from this element depends on the end result of prosthetics.

About this element, in dentistry we will discuss in more detail in today’s article.

The abutment: features

One of the essential procedures in the process of implantation, the need for the formation of gum tissue. The shaper looks like a metal screw, made of hypoallergenic alloys. This screw has a cylindrical head which may be of different diameter and length.

The diameter and the height of the head selected individually, depending on the size of the implant and characteristics of the dentition of the patient. From the competent selection of components and careful work of the doctor depends on the final result with prosthesis.

The surgeon sets the element after a successful introduction of the implant. Include this design in the gums to create a recess around the future of the crown: the generator can provide sufficient seal of the future tooth to the gums, helping to create a more aesthetic appearance of the prosthesis.

When and how to carry out the installation?

The prosthetic tooth operates in two ways. Both involve the installation of the abutment, which is screwed on after installation of the implant in the artificial root.

  • standard method — set a few months after surgery. During this period, the implant is often overgrown with soft tissue, so before system installation, the surgeon carefully and under anesthesia excised the gums. After the incision is freed access of the mount, which put the driver. In some cases stitches needed for more rapid healing;
  • one stage method — the healing abutments are screwed directly to the implant implants.


Possible complications

If properly selected methods, a thorough preparation with the application of suitable antiseptics, the risk of complications is minimized. The patient is only required to maintain the oral cavity in order.

In rare cases, the procedure is complicated by prolonged bleeding, the divergence of the seam: in these troubles bleeding stopped by applying a swab with antiseptic and ice. If concerned about prolonged pain, they helps well-chosen analgesic. All causes of complications should include the specialist who performed the procedure, and to explain to the patient the possible difficulties of healing item.

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About the pain after the installation – it is only felt after the surgery, since the procedure is injected with high-quality anesthesia. Also in the healing of soft tissues possible pain, which can weaken special care for the oral cavity.

How many shivsena design?

In the absence of complications the gums heal within two weeks. Wearing time of the temporary driver and the readiness to continue the implantation can be set exclusively by a specialist.

This takes into account the state of the tissues, individual reaction of organism, the complexity of the procedure. When the period of use of the driver coming to an end, it is replaced with a crown temporary or permanent assignment.

What could be the problem after installation?

If the installation went with some errors and inaccuracies, with a further prosthetic problems may arise. On the control the doctor can promptly find out how the healing.

If there is curvature and design survives uneven, the error is removed by using the corner of the abutment. About other possible complications recovery the patient tell in detail the doctor who performed the surgery. In good clinics always guarantee post-operative monitoring during the whole monitoring period.

How to care?

Surgical intervention implies the need for special care of the oral cavity, which includes a temporary abutment. Based on the complexity and specificity of the localization of the subsequent healing requires professional care and observance of some recommendations.

  • special diet — so, who had the procedure of the installation design is highly undesirable after the operation for several hours to drink or eat. Not advised to drink coffee and other beverages besides water. The first two days to make rational food in mashed form. Products must be at room temperature: avoid hot and cold dishes. After each meal rinse your mouth with warm water or saline solution;
  • rinse — also to prevent complications and to accelerate healing of wounds oral cavity rinse unsaturated salt solution, infusions of calendula flowers or Valerian. For saline solution using sea salt or iodized;
    The infusion or decoction of Valerian has a strong sedative effect for severe pain. Echinacea tincture allows you to disinfect the damaged area of the gums and slow down the inflammatory process. Also for disinfection of the gums, rinse with warm weak solution of hydrogen peroxide;
  • physical activity in the first weeks after installation of the abutment is not desirable to do strength training, Jogging, fitness, dancing, planning trips and travel.
    In the list of recommendations includes abstinence from visiting saunas and baths. If the work involves heavy physical loads, it is rational to take a small vacation for full recovery;
  • smoke should refrain from Smoking in the first day after surgery;
  • medications — the patient after the procedure, the doctor prescribes a particular medication to be taken according to the scheme throughout the recovery period;
  • teeth cleaning — cleaning the first time can be difficult: it is better to clean teeth twice a day, choosing a brush with extra-soft bristles to prevent injury of the mucosa and soft tissues of the gums. When the gums heal to no pain when brushing, the oral hygiene should be given special attention. Also you need to regularly remove plaque.
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Video: what is an abutment?



I’ve decided to install the healing abutment after my dentist recommended me this method as the most gentle. An experienced implant surgeon chose for me the design of standard diameter. The operation was conducted under good anaesthesia, the structure was safely inserted, made a neat seam. The operation lasted about an hour. Some time later, a control x-ray showed that the screw is exactly. The doctor explained how to care for your mouth after surgery. After 2.5 hours passed anesthesia, pain the evening of the first day was gone. The discomfort persisted for three days, that does not prevent me to eat. Now I stand permanent crowns that look great thanks to a correctly installed driver: effort and cost were worth it.


The abutment I had to install for future upper denture. Professionally picking up means anesthesia, the oral surgeon within the hour gave me any I the size of the gingiva shaper. The operation was successful, the pain felt bearable, three hours later the pain was not felt at all. After surgery some time kept swelling, but quickly passed through the rinse infusions of herbs. I do not regret that chose the prosthetic tooth using the driver: it was the only option available to me to maintain a presentable appearance of my teeth.


The procedure for installing the abutment in advance seemed very unpleasant to me: I was prepared for the pain and unpleasant sensations. After cleaning the gums from overgrowing bone tissue, the surgeon gently turned me driver. Anesthesia was calculated correctly, in the course of the operation were taken into account all the nuances, so the complications were minimal. Edema passed quickly, the pain is felt, but not critical. Now, the future teeth are iron screws and gingiva formers, and after a few weeks I’ll be able to contact the dental technician, who will make the crown. The variant of prosthetics turned out to be quite acceptable for the money and transferred inconveniences. Much depends on the skill of the doctor.

Further questions

► What to do if you had the healing abutment?

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If you had picked up wrong size, or badly twisted driver, the product starts to spin. At the first sign of loosening it is better to consult the dentist who will strengthen the driver, twisting the connection.

► How much?

The average price of the unit is kept at a stable level: the design for the prosthetics can cost between $ 1500 thousand rubles (economy version) to 7 thousand. The cost depends on the brand of the manufacturer and size of the product.