#19 Custom Healing abutment and a Screw retained crown.
Just another case with another custom healing abutment. It is aour standard protocol now in most cases. I am doing a presentation this week so I figured I would post this. The final crown was made from the initial scan at the time of surgery. I literally removed the healing abutment and placed the crown. Also the bone was profiled at the time of surgery
Comparison of the gingival 1/3 of the custom healing abutment and final crown
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Very nice! Roberto.
How long is taking you to mill the healing cap? or better how much time are you scheduling the patient for single implant?
Rodrico
​when using cerec guide2 and with flapping it takes me about 30 minutes, a customer healing abutment adds 30 minutes, I usually set aside 90 minutes but when the assistant is scanning, milling and cementing the abutment I am doing something else.  If I can skip the final scan appointment I get the time back and much better tissue contours.Â
On 6/14/2017 at 6:23 pm, Lee Stockslager said...Nice case. What grafting material did you use?
Lee,
 I used MinerOss cortical cancelousÂ
​Thanks!
On 6/14/2017 at 6:39 pm, Damian Chung said... What's the photo of on 24th April?
Damian,
I just looked at it, it is another case, not sure how I put it in this one.......
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Do you mean parameters? Â The settings are the same as you use for any split implant crown.
Thanks
On 6/23/2017 at 9:26 am, Sameer Puri said...Robert- excellent documentation and workflow. Â
Thanks Sam, the guys that showed me how to do this are pretty good....
Do you use the same ti-base for each stage? What do you use to cement the healing abutment then crown?
We use one tibase for custom healing abutment and a new one for the final crown. For both we use ivoclar abutment cement. We unscrew the abutment and screw in the crown
Very nice case and well done but it wouldn't be me if I didn't submit the proposal that with a ridge like that grafting probably wasn't necessarily needed and or the implant could have been done immediately if you had the opportunity and that a stock healing abutment would have done just fine. Nevertheless you have the technology and you used it to its maximum here. Well done. By the way I'm not being critical just think it was a lot of extra work in this case. Like the recent Fugazzatto course I went to, it's all about the economics of the case.
