I hope everyone is having a great week! This photo speaks to what we have discussed a bit with Paul’s case on this forum. This was an implant placed by one of our attendees at our live surgical courses and I want to point out a 3 things.

First is the proper height of the healing abutment so that it is easy to suture because the tissue is easier to position on each side of the abutment and the tissue will have a hard time growing over it (because we don’t want that and that can create food traps during healing).

Second, is the width of the healing abutment which will help better shape the tissue for the future tooth. Typically, on the posterior the wider the healing abutment the more ideal the tissue will be for a better and easier delivery of your future crown. It will be easier for the lab to design a nice emergence profile and it will be a more comfortable delivery for your patient because there won’t be so much tissue pressure at delivery.

Third and final, notice there is not tissue flaps that are sutured partial over the healing abutment. We did what we call a tissue roll and use the back end of our currette to tuck the tissue on itself at the base of the healing abutment. This ensures quickier and cleaner healing as the fresh incison line is touching biology and not floating in the air on top of the healing abutment. It helps create a quicker seal around the implant and minimizes complications from food impactions. Hope this helps.😊

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