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Volume 33 , Issue 2
March/April 2013

Pages 193–199

Definitive Abutment–Driven Stage- Two Surgery as a Means to Reduce Peri-implant Soft Tissue Changes: Introduction of a New Concept

Stavros Pelekanos, DDS, Dr Med Dent/Athanasios Ntounis, DDS, MS/Sascha A. Jovanovic, DDS, MS/Egon Euwe, DDS

PMID: 23484174
DOI: 10.11607/prd.1458

This report introduces an innovative approach for optimizing esthetics and minimizing soft tissue changes in clinical scenarios that involve extensive site preparation and submerged implants. The existing soft tissue morphology is registered at the time of implant uncovery, and an optimal peri-implant transmucosal contour is created indirectly in the lab. The customized definitive abutment is inserted during stage-two surgery and subsequently guides the peri-implant soft tissue, replicating an optimal emergence profile. The concept is demonstrated through the presentation of two clinical cases. (Int J Periodontics Restorative Dent 2013;33:193–199. doi: 10.11607/prd.1458)

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