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Transitional Custom Abutments

Optimizing Aesthetic Treatment in Implant-Supported Restorations

As the discipline of implant prosthodontics continues to evolve, additional emphasis has been focused on the role of adequate emergence profiles and peri-implant soft tissue contours. Despite the development of anatomically shaped healing abutments, currently advocated techniques exhibit clinical limitations. This video introduces the transitional custom abutment technique as a method of manipulating the supraimplant soft tissue contours so that optimal emergence profiles and increased restorative flexibility can be achieved in the treatment of patients with compromised fixture angulation.

*Clinical Assistant Professor, Postdoctoral Periodontal Prosthesis, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania; private practice, Bryn Mawr, Pennsylvania.


Learning Objectives:

This video discusses the rationale, indications, and technical aspects related to the clinical application of transitional custom abutments. Upon completing this video, the viewer should:

  • Possess an increased familiarity with the technical protocol required to use transitional custom abutments clinically.
  • Demonstrate improved awareness of the benefits afforded by this restorative technique.


Related Reading:

  1. Zamzock J. Avoiding ridge laps through nonsurgical soft tissue sculpting on implant restorations. J Esthet Dent 1996;5:222-228.
  2. Weisgold A, Arnoux JP, Lu J. Single-tooth anterior implant: A word of caution. J Esthet Dent 1997;9(5):225-233.
  3. Lewis S, Avera S, Engleman M, Beumer J. The restoration of improperly inclined osseointegrated implants. Int J Oral Maxillofac Impl 1989;4(2):147-152.
  4. Lewis S. Anterior single-tooth implant restorations. Int J Periodont Rest Dent 1995;15:30-41.
  5. Daftary F. Natural esthetics with implant prostheses. J Esthet Dent 1995;7(1):9-17.
  6. Jansen CE, Weisgold A. Presurgical treatment planning for the anterior single tooth implant restoration. Compend Cont Educ Dent 1995;16(8):746-762.
  7. Anitua E. In: Implant Surgery and Prosthesis: A New Perspective. Vitoria, Spain: Puesta Al Dia Publicaciones, S.L.; 1998.
  8. Lazzara R. Criteria for implant selection: Surgical and prosthetic considerations. Pract Periodont Aesthet Dent 1994;6(9):55-62.
  9. Jansen CE. Guided soft tissue healing in implant dentistry. Calif Dent Assoc J 1995;23(3):57-64.
  10. Daftary F. The Bio-Esthetic abutment system: An evolution in implant prosthetics. Int J Dent Symp 1995;3:10-15.
  11. Salinas TJ, Sadan A. Establishing soft tissue integration with natural tooth-shaped abutments. Pract Periodont Aesthet Dent 1998;10(1):35-42.
  12. Pissis P. Emergence profile considerations of implant abutments. Pract Periodont Aesthet Dent 1994;6(7):69-78.
  13. Rieder C. Customized implant abutment copings to achieve biologic, mechanical and esthetic objectives. Int J Periodont Rest Dent 1996;16(1):21-29.
  14. Chiche FA, Leriche MA. Multidisciplinary implant dentistry for improved aesthetics and function. Pract Periodont Aesthet Dent 1998;10(2):177-186.
  15. Neale L, Chee W. Use of provisionals to determine the contour of definitive implant restorations. J Prosthet Dent 1994;1:364-368.
  16. Chee W, Donovan T. Use of provisional restorations to enhance soft-tissue contours for implant restorations. Compend Cont Educ Dent 1998;19(5):481-489.
  17. Salama H, Salama M, Kelly J. The orthodontic-periodontal connection in implant site development. Pract Periodont Aesthet Dent 1996; 8(9):923-932.
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