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87madrigal posted an update
Looking back at a case I did a few years ago, I’ve realized how much my approach has evolved.
I placed two implants in the posterior region using guided surgery. At the time, I chose a tissue punch technique because there was plenty of keratinized tissue, and it felt like the most minimally invasive option. The implants healed well, and the patient was happy with the results.
But with experience comes perspective. These days, I lean toward making a small incision instead. Preserving as much tissue as possible is so important for long-term outcomes, and I’ve found this approach helps maintain both bone and soft tissue more predictably. In this case I did not place healing caps at the time of placement so I was able to push the tissue durring uncovery, but today it I almost always end up placing a healing cap.
Every case and every decision teaches us something new. I’d love to hear how others approach cases like this—what’s worked best for you?
VÅ© Anh, Mic and 3 others1 Comment-
Thanks for the reflection man. l am the same, I used to do more punches as well.
Although this case in particular looks like there is loads of tissue! So I still might be lazy lol
I am usually doing small flaps and placing a stock healing abutment. Per our discussion on a post a little while back, I got a Cervico set and am going to use it to make custom healing abutments for my next 10 surgeries to see how I like it 🙂
Although I really think there should be a widely used custom healer that is scannable, like the Anatotemp. It’s still not widely adopted yet.
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