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Adis posted an update
I did the uncovery on this case yesterday. My question is about approximating the flap margins with healing abutments involved. He had really tall and thick tissue, most of these are 7mm tall healing abutments and some barely poke through.
Do you recommend leaving the gap to fill in, try to thin/undermine the tissue, or even do a vertical incision on the buccal to get the incision line closer together? Does it even matter?
Jedediah, Allan and Ivan8 Comments-
Is the pt getting a hybrid? I would just make sure you can get parts that tall. If not then u may need to go back and thin the tissue. Keep us updated.
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Yes U/L FP3s. He had been without teeth for years and smokes so I just buried everything and told it’ll be another 6 months before teeth he was cool with that.
I’m pretty sure they have MUAs this tall although I’ve never used them.
I guess another question is would anyone have impressed at this uncovery appointment? Or wait for healing then come back like i did?
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Different approaches can be done. Personally, I prefer to wait two or three weeks after recovery to start my impressions so the tissue is a little better healed.
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I usually do the best I can and also let it graulate in. Another thing you can do after healing is to get the patient numb and use a football diamond bur to recontour the gums. 7mm is super tall, I would expect that to come down a bit during the healing process.
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Yes, I have taken impressions at this appointment. In the Analog AOX workflow, it is a great idea to take a preliminary impression at this step. This will let you make your verification jig and to help you make your immediate load prosthesis.
You can also take a digital impression via Photogrammetry at this time as well!
Which way do you normally do it? @adisdds
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I’m still all analog – dinosaur. I do have an iTero 5D that I use for some single implants and C&B, but have not touched Photogrammetry yet. Ivan, do you have any experience with the honeycomb looking thing that assembles and uses a regular IO scanner?
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Hey man, nothing wrong with analog. Except once you go digital you will fall in love with that workflow for prostho.
No i haven’t tried the honeycomb thing for the scanner. I am actually in the process of purchasing an iMetric—I saw it in action and am 100% ready to buy it
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Looks great. Yes, the tissue should definitely come down as it continues to heal. It really doesn’t matter very small openings Will heal with secondary intention, and actually give you better or more keratinized tissue
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