Selection of healing abutment?

The bio type and emergence profile guide you . The tissue can be guided by the use of higher and wider healing heads, takes time to get a tissue response since it is perio plastic. Obviously you want to keep the healing heads out of occlusal trauma.the tissue thickness is your first guide for height, the emergence profile, crown width is your guide for width. If the biotype is thin then a narrower collar is better until the tissue adapts. Also depends on what type of abutment you are placing.

Thank you CRS. Dentistry has a lot to offer people. I have treated and continue to treat special needs patients. My heart goes out to them and their families.

It is suggested above that you should be concerned with keeping the height of the healing abutments out of contact with the opposing teeth...... and to allow the newly "hatched" implants to have a very light load on them only when food it placed on them. These healing collars are forming the soft tissue cuff, and allow a good deal of flexibility..........unlike the rigid implant that is placed in hard bone.... After the soft tissue heals .... use transfer copings to pick up the final impression of the implant positions.........should you want to change the diameter of the healing collar possibly because the final abutment or UCLA type screw - on crown , is of a wider diameter..... simply place a cotton pellet soaked in topical anaesthetic into the gingival cuff, wait a minute, and then remove....... and change for a larger corresponding diameter that matches the final restoration's diameter....the gingival cuff is stretchable.......it is a very simple procedure, and takes no thought. Gerald Rudick dds Montreal

To add to what is written by CRS & Dr Gerald , height of healing abutment will depend on how deep is implant from gingival level.

The height of the healing screws, depends on the thickness of the gingival tissue, and if you placed a bone level or tissue level implant. Also, there are some straight, wide or extra wide healing abutments, depending on the brand of the implants you are using. To choose a straight or wide healing abutment, think about how wide and the shape of the neck of the tooth you are going to substitute. If you place a short healing abutment it can be covered again by the gingival tissue. Pay attention to open a flap with a 15 blade to preserve and to push the keratinazied gingiva to the buccal aspect. For that specific area 46,47, I usually use a 3mm height and wide healing abutments. So do your flap, place the healing abutments and suture mesial and distal to each implant, you won't get a total closure in the area of the papila, don't worry, that's going to heal in a second instance. Then begin your restoration after three or four weeks. You can personalize each healing abutment, but that's another story. Good luck.

The choice of healing abutment is dependent upon several things: tissue height, desired future crown size and contour, position in arch, occlusal clearance etc.