Osseo News Logo

The Original Dental Implant Community

Potential for Complications if I Don’t Use Trans-Mucosal Healing Abutment?

Last Updated: Jan 14, 2010

Dr. TL asks:

I have a 60 year old female, non-smoker. She has good oral hygiene, periodontal pockets 3-4mm, generalized Class I mobility and missing all but one of her molars. I extracted tooth #3 [maxillary right fist molar; 16], her last remaining molar and did a MinerOss bone graft and covered it with MinerOss mineralized cancellous and cortical allograft [BioHorizon] and Grafton demineralized bonematrix which is osteoinductive [BioHorizon] and covered with a non-resorbable PTFE membrane. None months after grafting, I placed a Neoss 4x9mm Bimodal implant into the graft site which wasD2 bone. The installation was uneventful and I achieved adequate primary stability with a negative reverse torque test. There is 2mm of keratinized gingival tissue on the buccal aspect of the site. 1mm of the implant platform is exposed but no threads are exposed. I uncovered the implant 4 weeks prior and placed a healing cap instead of a trans-mucosal healing abutment. I want to do a fixture level impression. Should I expect any complications because I did not place a trans-mucosal healing abutment?

1 Comments on Potential for Complications if I Don’t Use Trans-Mucosal Healing Abutment?

Carlos Boudet, DDS

06/14/2010

Dr TL When you expose the implant, you place a healing abutment. You can call it transmucosal, healing cap, or any other name, but I think they are still the same. If one millimeter of the implant is exposed, it is either related to the placement of the implant, or crestal bone loss around the implant. I doubt it had anything to do with your choice of healing abutment. If the implant is exposed, you can expect the case to be compromised esthetically and you may need to consider modifying the abutment preparation to be able to cover the exposed implant. Good luck.

Featured Products

DALI Bone Mix

DALI Bone Mix

The highest quality tissue!

Classic

Classic 50/50 Mix

Promotes osteoconduction

Provides structural integrity

DALI Bone Syringe

DALI Bone Syringe

Prefilled Mineralized Cortico-Cancellous Bone in Syringe

New

Convenient Syringe!

50/50 Cortical/Cancellous

Available in 3 sizes.

Osteogen Plug

Osteogen Plug

Combines bone graft with a collagen plug.

Classic

Eliminate hassle of mixing particulate grafts

Sold in packs of 5 or packs of 10.

Proven safe, and clinically effective

OsseoSeal Flexible Membrane

OsseoSeal Flexible Membrane

Resorbable collagen membrane derived from purified porcine pericardium

Popular

Fast hydration and excellent tensile strength

Good adaptation to various defects

Excellent tear function and duration

DALI One Graft

DALI One Graft

One-Step grafting solution!

New

100% allograft

Eliminates mixing hassle

Moldable after hydration