Not so long ago there was a novelty in dentistry - abutment.What is it, will find in this article.
called abutments link that connects the dental implant and the denture.
After a few months, and six months after the operation, respectively on the lower and the upper jaw with the probe defined location under the mucous membrane parts of intraosseous implants.Experts on them make excision of the mucosa, screwing and unscrewing the cap healing abutment.This design replaced a few weeks later reference abutment (titanium screw), which acts in the mouth.The abutment is established only after reliable and the final healing of the implant.
The principle of
abutment on the implant is screwed, but this procedure is not as quick and painless as it seems.That's because after the implant procedure for its healing must be at least 3 months.
There is also the root of the abutment.What is it can explain to consult a doctor.This implant, which is able to perform the same function as the root of a tooth, and for that it should be a similar arrangement: the root environment is necessary to implant the bone tissue, and thus it should not be from the gums to bulge.The coronal part of the tooth at the same time should be above the gum.Just for its installation will need to have "transition stage", namely the abutment.
Features and Benefits
- abutment with the projection has a height of 2.5 mm.
- samolokalizuetsya design.
- is possible to compensate the difference of teeth up to 40 °.
- Installation abutment is acceptable for patients with removable dentures.
- Simplified administration of the prosthesis, which can reduce the number of repeated consultations and surgeries.
- may also be used in clinical situations where there is a problem angulation of implants (distance observed is not true).
level of pain
During a visit to the dental office often appear irresistible desire to go back home as soon as possible.Excitement may occur after subsequent evaluation procedures.To protect yourself, you need to prepare in advance, in particular, read about abutment, what it is to know, because this procedure is very long and hard, with all sorts of undesirable conduct its awkward movements of the patient.
Dentistry has provided all this, and most importantly - the patient's suffering.To prevent them, there anesthesia, which allows the manipulation specialist absolutely painful.There are also pain after installation, but it is quite a natural phenomenon.After all, the integrity of the body to produce surgical intervention, and therefore must undergo a process of recovery and healing.It is necessary to pay attention to the pain and discomfort only after weeks of rehabilitation.
Types abutments
abutments There are many, but most commonly be called healing abutment, Uni-abutment (UniAbutment), ball and angled abutment.
Healing Abutments are used during the healing of soft tissue, so is the right choice of the length of the abutment of the ordinary.
Standard (plain) abutment has six different length, which is measured by the value of the vertical cylindrical part of the implant, and two variants of the angles of the upper cone (45 and 20 °).
angled abutments provide the angle of inclination of the longitudinal axes of the attachment.It is equal to 30 °.There are only two lengths.The upper cone - with an angle of 20 °, as in the standard abutment.The abutment is a single component without a separate central screw.Installation is greatly simplified, which ensures the correct position of the element, and the presence of obstacles to mikroutechki grout from the oral subgingivalnuyu in the region.
individual abutments or standard?
From the name itself, you can understand that the first type of abutment is made individually and only in one copy.It is characterized by severe, required for a particular application form.Individual zirconium design is made strictly on a certain form, which in most cases and should be central incisor.As a result, the gums better supported.Space deep under the gum for "streaks" of cement does not.
The most common standard abtmenty - titanium, they are installed in the oral cavity.Titanium abutment takes the form of "the cylinder", and the shape of the tooth is not repeated, is not supported as the correct form of the gums.In addition, the process for such fixation abutment crowns cement particles can penetrate into the gap between the gum and it.
attach themselves abutments this way:
- screw method: Screw crown on the abutment.This mounting method is very comfortable there, it is possible for the removal of the restoration of the structure.
- Cementation: fixed prosthesis on the abutment by means of special cementitious mortars.The convenience of this type of fixing is that the aesthetic quality and comfort of the structure with increased.
Benefits customized abutment
The most important advantage is the complete personality and anatomic.This is not only an important part of aesthetics, it also allows you to prevent the cement under the gum during fixation on the abutment crowns.This is a very important quality, since the formation of even imperceptible film of cement between the gum and the standard abutment after a while can cause periimlantit (loss of bone around the implant).
This happens due to the fact that such a common abutment narrower than the crown, so that the fixing of the latter by means of cement is it that she literally pressed between the abutment and the gum.This situation is exacerbated by the fact that in the process of masking a doctor abutment below the gingival ledge with a view to entering the deep edge of the crown and complete coverage of the metal support.This can lead to an inevitable penetration of cement into the zone, from which it will be impossible to obtain.Inflammation in this situation do not occur immediately.
Postoperative care and complications
need special postoperative care after successfully installed abutment.What is it - a special care?
This period is the main component of rehabilitation.Often, it is a little painful, but only at first.Complete cleaning with a soft brush to the teeth will be possible within a few days after surgery.My dentist can explain the methods of care, about abutment, what it is, it will recommend additional means of oral hygiene.
Consult your doctor need if:
- Desna, which surrounds the structure, after a week still swelling and tenderness.
- From gum pockets, which are around the abutments, fluid levels.
- pain persists or around any of the implants have the painful area.
Pricing
The market denture pricing quite diverse.The average cost of the abutment is 30 euros and above.This price depends on the materials performance and their level of quality, as the device remains for many months in a hostile environment.Abutment with the carrier must not in any way harm.Therefore, the price is appropriate.Dentistry today faithfully suited to the production of this design, so there is no reason for worrying.
