Views: 222 Author: Dream Publish Time: 2025-03-15 Origin: Site
Content Menu
● Introduction to Neodent Healing Abutments
● Understanding Neodent Healing Abutment Sizes
● Step-by-Step Measurement Protocol
>> Detailed Measurement Process
● Selection Criteria for Optimal Outcomes
>> Factor 2: Anatomical Location
>> Factor 3: Surgical Timeline
● Common Mistakes and Solutions
● Advanced Techniques for Complex Cases
>> Customized Healing Abutments
>>> Workflow
>> Hybrid Abutments for Immediate Loading
>>> Benefits
>> Case 1: Anterior Aesthetic Zone Rehabilitation
>> Case 2: Posterior Ridge Collapse Management
● Post-Placement Monitoring and Troubleshooting
>>> Red Flags
● FAQ
>> 1. How do Neodent healing abutment sizes compare to Nobel Biocare's options?
>> 2. Can I modify a healing abutment if the ideal size isn't available?
>> 3. What's the role of healing abutment diameter in tissue support?
>> 4. How do I manage a healing abutment that's too short for the tissue?
>> 5. Are there angled healing abutments for tilted implants?
Neodent healing abutments are critical components in implant dentistry, designed to shape soft tissues during the osseointegration phase. These temporary prosthetic devices ensure proper gingival contouring, prevent epithelial migration, and simplify the transition to final restorations. Compatible with Neodent's GM (Grand Morse) and Drive implant systems, they are engineered from medical-grade titanium for durability and biocompatibility.
Neodent healing abutment sizes are standardized to address diverse anatomical and clinical requirements. Selecting the correct size ensures optimal tissue support, reduces complications, and enhances aesthetic outcomes.
1. Height Variations
- 2mm: Ideal for posterior regions with limited occlusal clearance or thin tissue biotypes.
- 3mm: A versatile mid-range option for moderate tissue thickness.
- 4mm: Preferred for anterior zones to create a natural emergence profile.
- 5mm–6mm: Used in cases of significant tissue recession or delayed healing.
2. Diameter Options
- 3.3mm: Matches narrow implants (e.g., mandibular incisors).
- 4.5mm: Standard for premolars and small molars.
- 5.5mm and 6.5mm: Designed for broad molar implants to support dense keratinized tissue.
Accurate measurement is the cornerstone of successful abutment selection. Follow this protocol to ensure precision.
- Tissue measurement gauge (included in Neodent surgical kits).
- Periotome or microsurgical blade.
- Implant driver or handpiece.
- Saline solution for irrigation.
1. Expose the Implant Platform
- Gently retract soft tissue using a periotome to visualize the implant platform.
- Irrigate with saline to remove debris or blood obstructing the measurement.
2. Insert the Tissue Measurement Gauge
- Attach the gauge to the implant driver.
- Insert vertically into the implant until fully seated (audible “click” confirms proper engagement).
- Observe the gauge's color-coded markings:
- Blue (2mm): Exposed gauge indicates 2mm of tissue height.
- Red (4mm): Exposed gauge indicates 4mm of tissue height.
3. Adjust for Tissue Compression
- Subtract 0.5–1mm from the measured value to account for post-operative tissue rebound.
- Example: A 5mm measurement → select a 4mm abutment.
- Thin Biotype (2mm): Longer abutments (4–5mm) stabilize tissue and reduce edema.
- Anterior Zones: Prioritize 4mm abutments to mimic natural tooth emergence.
- Posterior Zones: Opt for 2–3mm heights to minimize occlusal interference.
- Immediate Placement: Choose abutments 1–2mm taller to accommodate swelling.
- Delayed Loading: Select shorter abutments to avoid overloading healed tissue.
1. Overcompression of Gingiva
- Issue: Oversized abutments compress blood supply, leading to necrosis.
- Solution: Use a healing cap for 1–2 weeks before final abutment placement.
2. Diameter Mismatch
- Issue: A 4.5mm abutment on a 5.5mm implant creates microgaps, increasing infection risk.
- Solution: Cross-reference implant platform size with abutment specifications pre-operatively.
3. Suboptimal Margin Placement
- Issue: Margins >2mm subgingival in aesthetic zones cause grayish discoloration.
- Solution: Use pink-hued titanium or zirconia abutments for better tissue blending.
For patients with irregular tissue contours or multiple implants, CAD/CAM-designed abutments offer tailored solutions.
1. Digital Impression: Capture the implant position and tissue morphology using an intraoral scanner.
2. 3D Design: Model an abutment with margins 1–2mm subgingival using software like exocad.
3. Fabrication: Mill the abutment from titanium or zirconia.
Combine healing and provisional functions with hybrid abutments featuring screw-retained temporaries.
- Maintains tissue contour.
- Reduces treatment time.
- Allows occlusal adjustments.
- Patient: 34-year-old female with a missing maxillary central incisor.
Protocol:
1. Placed a 3.3mm GM implant.
2. Selected a 4mm healing abutment to shape the papillae.
3. Final zirconia crown showed seamless tissue integration.
- Outcome: Optimal pink-white aesthetics with no gray translucency.
- Patient: 62-year-old male with severe mandibular bone loss.
Protocol:
1. Placed a 6.5mm-diameter Drive implant.
2. Used a 5mm healing abutment to stent collapsed tissue.
3. Monitored for 10 weeks; tissue volume increased by 70%.
- Outcome: Stable foundation for a screw-retained molar crown.
- Week 1–2: Check for inflammation, mobility, or overcompression.
- Week 4–6: Assess tissue stability and contour.
- Week 12: Evaluate readiness for final impressions.
- Persistent erythema → Possible infection or allergic reaction.
- Abutment mobility → Verify torque (15–20 Ncm) or check for thread damage.
Selecting the correct Neodent healing abutment hinges on precise measurement, understanding tissue dynamics, and aligning with restorative goals. By leveraging sizes like 2mm, 4mm, and 5.5mm options, clinicians can enhance soft tissue healing, minimize complications, and streamline prosthetic workflows. Advanced techniques, including CAD/CAM customization, further address complex cases, ensuring predictable and aesthetic outcomes.
Neodent sizes follow a color-coded height system (e.g., blue for 2mm), while Nobel uses numerical codes. Neodent's 4.5mm diameter is equivalent to Nobel's RP 4.5.
No. Cutting or reshaping abutments compromises structural integrity. Instead, order custom abutments or use temporization materials.
Larger diameters (5.5–6.5mm) distribute pressure evenly, reducing the risk of papillary collapse in molar regions.
Place a taller temporary abutment or use a collagen membrane to guide tissue growth before final selection.
Yes. Neodent offers 17° and 30° angled abutments for implants placed at non-axial angles.
[1] https://www.youtube.com/watch?v=z0HwTmKWCCw
[2] https://www.preat.com/product/neodent-gm-compatible-healing-abutment-x-2mm
[3] https://www.preat.com/product/neodent-gm-compatible-healing-abutment-x-4mm
[4] https://cliffgratz.com/gm-restorations
[5] https://www.straumann.com/content/dam/media-center/neodent/en-us/documents/manual/USLIT.2007.Neodent.GM.Prosthetic.Manual.pdf
[6] https://www.straumann.com/content/dam/media-center/neodent/en/documents/catalog/product-catalog/103_neodent_gm_catalogue_en_eU_lr.pdf
[7] https://souq.dental/neodent-gm-helix-gm-drive-gm-titamax-gm-healing-abutment-h-4-5mm
[8] http://www.schmidt-dental.pl/wp-content/uploads/2023/04/Neodent_Catalogue_PL_230402.pdf
[9] https://store.nobelbiocare.com/international/en/multi-unit-abutment-1-5mm-neodent-grand-morserr-gm-1
[10] https://shop.straumann.com/neodent/us/en_us/Prosthetic-Auxiliaries/Healing-Abutments,-Closure-Screws/Healing-Abutments/GM-Healing-Abutment/p/base_neo_gmhealingabutment/
[11] https://www.straumann.com/content/dam/media-center/neodent/en/documents/manual/10129_neodent_gm_manual_en_eU_in-prosthetics.pdf
[12] https://souq.dental/neodent-gm-helix-gm-drive-gm-titamax-gm-healing-abutment-h-3-5mm
[13] https://shop.straumann.com/neodent/us/en_us/Prosthetic-Auxiliaries/Healing-Abutments,-Closure-Screws/Healing-Abutments/c/cat_neo_healingabutments
[14] https://www.spotimplant.com/en/dental-implants/neodent/helix-gm
[15] https://ae.edisonmed.com/healing-titanium-abutment-fitting-with-neodentr-helix-gm-o3-5-7-0-conical-conn-rp
[16] https://www.zestdent.com/neodent
[17] https://www.straumann.com/content/dam/media-center/neodent/en/documents/manual/10135_neodent_gm_manual_en_eU_lr.pdf
[18] https://www.dess-usa.com/healing-abutment-for-single-unit-2-5mm-collar-height-rb-20-461-3/
[19] https://www.straumann.com/content/dam/media-center/neodent/en-us/documents/manual/NAMLIT%202010-Neodent-Prosthetic-Manual-CM1.pdf
[20] http://www.schmidt-dental.pl/wp-content/uploads/2021/01/10331_neodent_easypack_manual_en_eU_lr.pdf
[21] http://www.schmidt-dental.pl/wp-content/uploads/2019/09/GM_SM_EN_FMR.pdf
[22] https://www.youtube.com/watch?v=Qa3PAC23Cng
[23] https://shop.en.bionika.hu/products/compatible-nd-healing-cap-anatomical
[24] https://www.youtube.com/watch?v=OxSVDde2CRg
[25] https://www.youtube.com/watch?v=mrSq95NWAS4
[26] https://www.youtube.com/watch?v=v8KLrX8ZjMA
[27] https://www.preat.com/product/neodent-gm-compatible-healing-abutment-x-4mm-wide
[28] https://shop.straumann.com/neodent/us/en_us/Prosthetic-Auxiliaries/Healing-Abutments,-Closure-Screws/Healing-Abutments/GM-Healing-Abutment/p/106.216/
[29] https://www.reinerimplants.co.uk/shop/product/healing-abutments-neodent-gm-compatible/
[30] https://www.accessdata.fda.gov/cdrh_docs/pdf22/K223638.pdf
[31] http://www.schmidt-dental.pl/wp-content/uploads/2022/11/101211_neodent_zi_clinicalcase_en_hr.pdf
[32] http://www.schmidt-dental.pl/wp-content/uploads/2021/01/10180_neodent_gm_manual_en_eU_in_service_set.pdf
[33] https://uniqa.dental/product/healing-cap-for-mua-d-type-compatible-with-neodent-multi-units/
[34] https://www.medgrupe.lv/assets/Uploads/CatalogFiles/22e542ffc7/2023_neodent_gm_catalogue_en_eU_lr.pdf
