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What Is The Purpose Of An Atlantis Healing Abutment In Implant Healing?

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Understanding the Atlantis Healing Abutment

>> What Is an Atlantis Healing Abutment?

>> How Is It Different from Standard Healing Abutments?

The Purpose of the Atlantis Healing Abutment in Implant Healing

>> 1. Promoting Optimal Soft Tissue Healing

>> 2. Facilitating Tissue Contouring for Esthetics and Function

>> 3. Reducing Treatment Time and Improving Predictability

>> 4. Enhancing Patient Comfort and Experience

Clinical Workflow of Using an Atlantis Healing Abutment

>> Step-by-Step Process

Advantages of the Atlantis Healing Abutment

Emergence Profile and Healing Space

Material and Compatibility

Clinical Case Example

Conclusion

FAQ About Atlantis Healing Abutments

>> 1. What is the main function of an Atlantis healing abutment?

>> 2. How does the Atlantis healing abutment improve esthetic outcomes?

>> 3. Can Atlantis healing abutments be used with all implant systems?

>> 4. How long is the Atlantis healing abutment typically used during healing?

>> 5. Does using an Atlantis healing abutment reduce the need for additional impressions?

Citations:

Dental implantology has evolved significantly over the years, with innovations enhancing both the functional and aesthetic outcomes of implant restorations. One such innovation is the Atlantis healing abutment, a patient-specific component designed to optimize the healing process after implant placement. This article explores in detail the purpose, benefits, and clinical applications of the Atlantis healing abutment in implant healing, supported by visual aids and videos to enrich understanding.

atlantis healing abutment

Understanding the Atlantis Healing Abutment

What Is an Atlantis Healing Abutment?

The Atlantis healing abutment is a custom-designed, temporary component used during the soft tissue healing phase following dental implant placement. It is secured onto the implant to shape and support the surrounding gum tissue, preparing the site for the final prosthetic restoration. Unlike generic healing caps, Atlantis healing abutments are digitally designed to match the patient's unique anatomy and the planned final restoration's emergence profile.

How Is It Different from Standard Healing Abutments?

Traditional healing abutments are often stock components with generic shapes and sizes that may not optimally support the soft tissue. In contrast, Atlantis healing abutments are fabricated using advanced 3D imaging and Virtual Abutment Design (VAD) software, allowing precise customization to the patient's soft tissue contours and implant position. This customization leads to better tissue adaptation and esthetic outcomes.

The Purpose of the Atlantis Healing Abutment in Implant Healing

1. Promoting Optimal Soft Tissue Healing

One of the primary purposes of the Atlantis healing abutment is to guide the healing of the peri-implant soft tissue. By providing an anatomically shaped contour that mimics the final restoration's emergence profile, it supports the gum tissue in forming a natural and healthy seal around the implant. This reduces the risk of soft tissue recession and enhances esthetic integration.

Soft tissue healing around implants is crucial because the gingiva acts as a biological barrier protecting the underlying bone and implant interface from bacterial invasion. When the soft tissue heals properly, it creates a tight seal that helps prevent peri-implantitis and other complications. The Atlantis healing abutment's customized shape encourages this natural healing process by avoiding unnecessary tissue compression or gaps that could compromise healing.

2. Facilitating Tissue Contouring for Esthetics and Function

The healing abutment shapes the gingival margin and sulcus during the critical healing period, which is essential for achieving a natural-looking gum line around the future crown. It can be designed to apply light pressure on the soft tissue, promoting ideal contouring without causing excessive tissue blanching or trauma.

This tissue contouring is especially important in the esthetic zone (front teeth), where the appearance of the gums significantly affects the overall smile aesthetics. By guiding the soft tissue to form a natural emergence profile, the Atlantis healing abutment helps ensure that the final restoration blends seamlessly with adjacent teeth and soft tissue architecture.

3. Reducing Treatment Time and Improving Predictability

Because the Atlantis healing abutment is designed to replicate the final abutment's emergence profile, it allows for a smoother transition to the final prosthetic phase. This reduces the need for multiple adjustments or additional impressions after healing, streamlining the restorative workflow and improving predictability.

In traditional workflows, clinicians often need to take new impressions or make adjustments to the soft tissue after healing, which can prolong treatment time and increase patient discomfort. The customized healing abutment minimizes these steps by pre-shaping the tissue according to the final restoration's design, enabling a more efficient and predictable clinical outcome.

4. Enhancing Patient Comfort and Experience

Custom healing abutments fit precisely and avoid unnecessary pressure or irritation on the soft tissue, which can improve patient comfort during the healing phase. Additionally, the esthetic contouring helps maintain a natural appearance even before the final crown placement.

Patients often report discomfort or swelling when generic healing caps do not fit well or cause tissue irritation. The Atlantis healing abutment's precise fit reduces these issues, contributing to a more positive healing experience. Moreover, maintaining a natural-looking gum profile during healing can boost patient confidence, especially in visible areas.

astra tx healing abutment sizes

Clinical Workflow of Using an Atlantis Healing Abutment

Step-by-Step Process

1. Implant Placement: The dental implant is surgically placed into the jawbone, either via a one-stage or two-stage procedure.

2. Initial Healing: A cover screw or stock healing abutment may be placed temporarily while the Atlantis healing abutment is designed and manufactured digitally based on scans or impressions taken at surgery.

3. Digital Design: Using intraoral scans or conventional impressions, the patient's soft tissue anatomy and implant position are captured. The Atlantis Virtual Abutment Design (VAD) software then creates a customized healing abutment that matches the planned final restoration's emergence profile.

4. Manufacturing: The designed healing abutment is fabricated from biocompatible materials, typically titanium, ensuring durability and excellent tissue response.

5. Placement of Atlantis Healing Abutment: After initial healing, the cover screw is removed and the Atlantis healing abutment is installed to shape the soft tissue during the subsequent healing phase.

6. Soft Tissue Healing: The abutment supports the gum tissue, allowing it to heal and contour naturally around the implant site.

7. Final Restoration: Once healing is complete, the Atlantis healing abutment is removed and replaced with the final custom abutment and crown, designed to match the healing abutment's profile for seamless integration.

Advantages of the Atlantis Healing Abutment

Advantage Description
Custom Fit Designed specifically for the patient’s anatomy and implant position, ensuring optimal fit.
Improved Tissue Health Encourages healthy soft tissue healing and reduces inflammation and recession risks.
Esthetic Support Shapes the gingiva to create a natural emergence profile, enhancing final esthetic outcomes.
Streamlined Workflow Reduces the need for additional impressions and adjustments, saving clinical and lab time.
Enhanced Patient Comfort Minimizes tissue trauma and irritation during healing.
Compatibility Works with various implant systems and protocols, including one-stage and two-stage surgeries.
Digital Precision Utilizes advanced digital workflows for precise design and manufacturing.

Emergence Profile and Healing Space

The Atlantis healing abutment can be designed with varying emergence widths to accommodate different soft tissue thicknesses and healing spaces:

- No Tissue Displacement: The abutment does not contact soft tissue, ideal when minimal tissue manipulation is desired.

- Support Tissue: Slightly larger than the sulcus to support tissue without compression, encouraging natural healing.

- Contour Tissue: Up to 1.0 mm larger than the sulcus to contour and shape tissue with light compression, beneficial for esthetic zones.

Choosing the correct emergence width is crucial for optimal healing and esthetic outcomes. The clinician's input during the digital design phase ensures the healing abutment matches the biological and esthetic needs of the patient.

Material and Compatibility

Atlantis healing abutments are typically made from biocompatible titanium, ensuring excellent tissue response and durability. Titanium's strength and compatibility make it the ideal material for components that remain in the mouth during healing. The abutments are compatible with major implant systems such as Nobel Biocare, Straumann, and others, and can be used in both anterior and posterior regions.

There are some limitations; for example, angled healing abutments on small diameter implants are usually restricted to anterior regions due to space constraints and biomechanical considerations.

Clinical Case Example

Consider a patient requiring a single implant in the maxillary anterior region. After implant placement, an impression is taken and sent to Atlantis for the design of a healing abutment that matches the planned crown's emergence profile. The healing abutment is fabricated and placed two weeks after surgery.

Over the next 4-6 weeks, the soft tissue heals and contours perfectly around the abutment, creating a natural-looking gingival margin. When the final crown is delivered, it fits seamlessly with no need for additional soft tissue modification or adjustment, resulting in a highly esthetic and functional restoration.

Conclusion

The Atlantis healing abutment plays a vital role in the implant healing process by providing a patient-specific, anatomically designed component that promotes optimal soft tissue healing, esthetic contouring, and a streamlined restorative workflow. Its customization capabilities allow clinicians to achieve predictable, natural-looking results while enhancing patient comfort and reducing treatment time.

By integrating advanced digital design and manufacturing technologies, the Atlantis healing abutment represents a significant advancement in dental implantology. It not only improves clinical outcomes but also enhances the overall patient experience, making it an invaluable tool in modern implant dentistry.

astra tx healing abutment

FAQ About Atlantis Healing Abutments

1. What is the main function of an Atlantis healing abutment?

The main function is to support and shape the soft tissue around a dental implant during healing, preparing the site for the final prosthetic restoration.

2. How does the Atlantis healing abutment improve esthetic outcomes?

By replicating the emergence profile of the final crown, it contours the gingiva naturally, preventing tissue recession and creating a seamless transition between implant and restoration.

3. Can Atlantis healing abutments be used with all implant systems?

They are compatible with most major implant systems but have some restrictions, such as angled abutments on small diameter implants being limited to the anterior region.

4. How long is the Atlantis healing abutment typically used during healing?

It is used temporarily during the soft tissue healing phase, which can range from a few weeks to several months depending on the surgical protocol.

5. Does using an Atlantis healing abutment reduce the need for additional impressions?

Yes, because it is designed to match the final abutment's profile, it often eliminates the need for new impressions after healing, streamlining the restorative process.

Citations:

[1] https://www.youtube.com/watch?v=z54YE0eEGqo

[2] https://www.dentsplysirona.com/content/dam/master/product-procedure-brand-categories/implant-dentistry/product-categories/ifu/4498/IMP-IFU-Atlantis-Abutments-Crowns-and-Insertion-Guides-EN-4498-2024-03.pdf

[3] https://arklign.com/implant-systems-and-benefits-of-atlantis-patient-specific-abutment-versus-stock-abutment/

[4] https://www.dentsplysirona.com/en-us/discover/discover-by-brand/atlantis/atlantis-abutments.html

[5] https://www.cdocs.com/digital-magazine/view/id/78600/restoring-implant-bridges-with-cerec-and-atlantis

[6] https://www.dentalcompare.com/Reviews/2301-The-Atlantis-Abutment/

[7] https://capitoldental.com/atlantis-dental-implants/

[8] https://workflows.orderdigitalsolutions.com/pdf/Atlantis%20Design%20guide%20abutments%20and%20crown.pdf

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[11] https://insidedentistry.net/2006/09/evaluation-of-the-atlantis-abutment-in-implant-restoration/

[12] https://www.facialart.com/referring-doctors/library/dental-implants-resource/atlantis-abutments-protocol-dentist-bethesda-maryland/

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[25] https://keatingdentallab.com/products/atlantis-abutments/

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[28] https://www.kelleydental.com/wp-content/uploads/2015/12/atlantis.pdf

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[32] https://www.youtube.com/watch?v=5tgVTUaFeSM

[33] https://pdf.medicalexpo.com/pdf/dentsply-sirona/atlantis-cement-retained/70662-221680.html

[34] https://www.dentsplysirona.com/en-fi/academy/product-training/videos.html?videofilter=Product-Training%3Dacademy%253Alearning-area%252Fproduct-training%252Fimplant-dentistry%26sort%3Ddesc

[35] https://implantpracticeus.com/atlantis-patient-specific-solutions/

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[37] https://www.dental-technik-kiel.de/wp-content/uploads/2023/03/Atlantis-Materialien_reference-guide.pdf

[38] https://arklign.com/implant-systems-and-benefits-of-atlantis-patient-specific-abutment-versus-stock-abutment/

[39] https://dentallabnetwork.com/forums/threads/opinions-on-atlantis-vs-straumann-abutments.12456/

[40] https://dentallabnetwork.com/forums/threads/atlantis-abutments.10518/

[41] https://www.youtube.com/watch?v=z54YE0eEGqo

[42] https://www.accessdata.fda.gov/cdrh_docs/pdf19/K193529.pdf

[43] https://capitoldental.com/atlantis-dental-implants/

[44] https://www.dentsplysirona.com/en-dk/discover/discover-by-brand/atlantis/atlantis-abutments.html

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 Tianle Building,1021 Buji Road,Dongxiao Street,Luohu District,Shenzhen,Guangdong,China
  +8613631613096
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