Here is a problem that you might encounter. Reading this will help you and your patient through a potentially difficult situation.
A patient has two implants placed in the No. 7 and No. 10 positions. Surgery goes fine.
Tissues are healthy. Implants are perfectly placed as verified by computed tomography (CT).
Uncovering is uneventful with plenty of keratinized tissue on the facial, and there is a great emergence profile.
The patient returns to her restorative dentist for fabrication of the final abutments and a temporary, fixed prosthesis.
► See also: DENTAL ANESTHESIA : Mandibular Anesthesia : Gow-Gates technique
Custom abutments are perfect. They are zirconia that are shaded perfectly so that the margins can be slightly supragingival, keeping esthetics at their optimum without risking subgingival cement.
Abutments go in fine without the need for anesthetic and are torqued at 30 Ncm with no discomfort to the patient. The dentist cements in a temporary, fixed bridge to test for function and esthetics.
ByLee N. Sheldon, DMD