Custom impression coping for an exact registration of the healed tissue in the esthetic implant restoration.
It is well known that guided soft tissue healing with a provisional restoration is essential to obtain optimal anterior esthetics in the implant prosthesis. What is not well known is how to transfer a record of beautiful anatomically healed tissue to the laboratory. With the advent of emergence profile healing abutments and corresponding impression copings, there has been a dramatic improvement over the original 4.0-mm diameter design. This is a great improvement, however, it still does not accurately transfer a record of anatomically healed tissue, which is often triangularly shaped, to the laboratory, because the impression coping is a round cylinder. This article explains how to fabricate a "custom impression coping" that is an exact record of anatomically healed tissue for accurate duplication. This technique is significant because it allows an even closer replication of the natural dentition.
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D000180:Acrylic Resins; D000328:Adult; D001843:Bone Cements; D003442:Crowns; D003758:Dental Implantation, Endosseous; D003761:Dental Impression Technique / Q000295:instrumentation / Q000592:standards*; D003794:Dental Restoration, Temporary / Q000379:methods; D016379:Denture, Partial, Fixed, Resin-Bonded; D003833:Denture, Partial, Temporary; D004955:Esthetics, Dental; D016557:Guided Tissue Regeneration, Periodontal; D006801:Humans; D008297:Male; D008875:Middle Aged; D019904:Polymethyl Methacrylate
D000180:Acrylic Resins; D001843:Bone Cements; C035124:CMW cement; D019904:Polymethyl Methacrylate