Dental Health Magazine Dental Health Magazine Issue 8 | Page 27

Issue #8, December 2017 • In the one-stage procedure, the implant is fitted into the prepared bone and then an attachment called a healing cap, which protrudes through the gum, is placed over it. This healing cap is removed after a 3-6 month period and replaced with a permanent attachment called the abutment, which takes the form of a post and core. The replacement tooth, or crown, is cemented in place over the abutment. • In the two-stage procedure, a cover screw is placed flush over the top of the implant and the gum is sewn up over it for the period of healing. A second procedure is needed to uncover the implant via a small incision in the gum and attach the healing cap. Then, after the gums have healed, the healing cap is removed and replaced by the abutment, in readiness for the new crown. • Your implant dentist will use his/her clinical judgment and experience to select the appropriate procedure for your implant therapy. • Dental implant impression When your dental implant has fully healed (usually after healing period of 3 months), your dentist will take a new mould of your implant. This will be used to make a model of your teeth on which the dental technician will fabricate your implant crown or bridge, trying to achieve a natural finish that mimic the rest of your natural dentition. • Installation of crowns or bridges When your new crowns and bridges have been fabricated, your implant dentist will cement or screw them on to the abutments over the dental implants, assess the appearance and fitting, and check that your upper and lower teeth work together comfortably when you bite. You will usually need to return for several clinical review sessions to make sure that the implants are stable and functioning appropriately, and that you are completely comfortable and pain free with the new implant prosthesis. 27