Name of the Procedure:

Common Name: Custom Abutment Placement
Medical Term: CUSTOM ABUTMENT - INCLUDES PLACEMENT (D6057)

Summary

A custom abutment is a tailored connector placed between a dental implant and the crown, ensuring a perfect fit and optimal function. This procedure involves creating a custom-designed abutment to be attached to the implant, followed by the placement of the prosthetic crown on top.

Purpose

Custom abutments are designed to achieve the best possible fit and aesthetic for dental implants. The procedure addresses issues such as:

• Missing teeth requiring restoration.
• Ensuring the stability and esthetics of dental implants.

The goal is to provide a stable foundation for the prosthetic crown and improve the patient's ability to chew, speak, and smile confidently.

Indications

• Missing teeth that need replacement with dental implants.
• Patients requiring a more personalized fit for dental restorations.
• Insufficient results with pre-fabricated abutments.
• Specific anatomical challenges in the oral cavity.

Preparation

• Fasting: Generally not required, but follow specific instructions from your dental healthcare provider.
• Medication adjustments: Follow your dentist’s recommendations, especially if you are taking blood thinners or other critical medications.
• Diagnostic tests: Pre-procedure X-rays or 3D imaging to plan the custom abutment design.

Procedure Description

1. Consultation and Imaging: Initial consultation with imaging (X-rays, CT scans) to design the custom abutment.
2. Design and Fabrication: The abutment is custom-designed using CAD/CAM technology for precise fit.
3. Local Anesthesia: Administered to ensure patient comfort.
4. Placement:
   • The custom abutment is attached to the dental implant.
   • The prosthetic crown is then secured onto the abutment.
5. Final Adjustments: Ensuring proper alignment and bite before finalizing the crown placement.

Duration

Typically, the procedure takes about 30 minutes to 1 hour, but this can vary based on complexity and individual patient conditions.

Setting

The procedure is generally performed in an outpatient dental clinic or specialist dental center.

Personnel

• Prosthodontist or Dentist specially trained in implantology.
• Dental Assistant.

Risks and Complications

• Infection at the implant site.
• Abutment loosening or improper fit.
• Damage to surrounding teeth or nerves (rare).
• Inflammation or allergic reactions to materials.

Benefits

• Improved fit and function of the prosthetic crown.
• Enhanced aesthetic results.
• Better oral function (chewing, speaking).
• A longer-lasting dental restoration.

Recovery

• Mild discomfort or swelling may occur; managed with over-the-counter pain relievers.
• Avoid hard foods for a few days.
• Good oral hygiene practices are essential.
• Typically, recovery and adjustment period lasts a few days, with follow-ups as recommended.

Alternatives

• Pre-fabricated abutments: Generally cheaper but may not provide the same fit or esthetic results.
• Partial dentures or bridges: Less invasive but might not offer the same permanence or stability.

Patient Experience

During the procedure, patients should feel minimal discomfort due to local anesthesia. After the procedure, mild soreness or swelling is common but can be managed effectively with pain relievers. Comfort measures include avoiding hard foods initially and maintaining good oral hygiene to ensure proper healing. Regular follow-up appointments ensure the restoration remains in optimal condition.