[Prosthetics]  16 17 healing abutment

hello everyone,

Just placed the healing abutments on a previously submerged implant. Will do ISQ next time at the impression appointment once I get my new Penguin.

What are your thoughts on the selection of the healing abutments? Does it appear that there is violation of the biological width.? I used a 6x4mm on both and the top of the healing abutment sits just proud of the gingiva. should I have used 6 X 5mm? What are your thoughts?

I am thinking about taking the impression with a non-hex. 6.0. impression coping (open tray) for splinted crowns. or should I use a 5.0 impression coping? I do not want to violate the biological width. 

I appreciate your help.


by Keyhan Alavian at Tue, Jun 5, 2018 6:00 PM

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Keyhan Alavian Replied at Thu, Jun 7, 2018 2:46 PM

Thank you. I just ordered the penguin today to start doing isq as part of my treatment. 

When I placed the implants, I found her bone to be very soft. D3/4. Less than 20N torque.  So I put a cover screw. It’s been almost 6 month. I had to remove some bone to remove the cover screw :). I think the isq would be high. But I will see. Should I take the impression with a 5.0 or 6.0 coping?

And perhaps change the healing abutments to 6x5?


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Ho-Young Chung Replied at Wed, Jun 6, 2018 7:27 AM

What is your rationale for splinting these crowns?   Bone quality appears to be good based on 2D imaging.  I would take open tray hex impressions but also use polyether as it is a free end case     In the past I would have splinted these cases as it was maxilla and free end    I think you may find that ISQ is high and going individual crowns is not contraindicated.   Just communicate with the lab about occlusion either way   

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Ho-Young Chung Replied at Wed, Jun 6, 2018 7:17 AM

6 by 5s would be better.