احتمالاً نام اباتمنت را اولینبار وقتی که برای شروع مراحل کاشت ایمپلنت دندان به دندانپزشکی مراجعه میکنید میشنوید. The abutment is a very small piece that plays a very important role in the success of implant placement. To know what is dental abutment and the effect of abutment on the performance and durability of dental implants, stay with us until the end of this article.
What is an abutment in dentistry
In response to the question, what is a dental abutment? We must say that the abutment is the middle part dental implant. An implant consists of three parts: fixture (implant base), abutment and cover. Basically, an abutment is a type of connector that It connects the implant fixture (implant base) to its cover or to its bridge and keeps it firmly in place.
Types of tooth abutment
Dental implant abutments are designed and manufactured based on the required function, aesthetic requirements, compatibility with the body, the implant system used and the required resistance. Also, different materials are used to make it so that the abutment can meet the said expectations.
In the table below, we briefly review the types of dental abutments.
| Type of abutment |
Description |
Use |
| Ready or stock abutment | Prefabricated abutment is made in standard sizes and models and is ready. | Suitable for areas of the mouth where aesthetic expectations are less important. Like back teeth |
| Custom abutment | This type of dental implant is made based on the form and shape of the patient's gums and considering the alignment of the teeth. | It is made according to the anatomy of the patient's mouth to have optimal beauty and function. This type of abutment is suitable for front teeth. |
| Temporary abutment | Temporary abutments are used to shape the gingiva and prepare it for permanent abutment installation. | These abutments are installed after the implant surgery to shape the gum and prepare it for the installation of the final and main prosthesis. |
| angled abutment | This type of abutment is used to adjust the angle of the implant and veneer. | This abutment is used when the surgeon has placed the base of the dental implant at an angle due to the specific anatomy or density of the patient's jaw bone. |
| titanium abutment | Titanium is known for its strength, beauty and high compatibility, and most abutments are made of this material. | Usually used for back teeth such as molars. |
| Zirconia abutment | These abutments are made of zirconium dioxide. The color of this type of abutment is similar to a natural tooth and its compatibility with the body is very good. | Zirconia abutment is used for front teeth and more beauty. |
Dental abutments are made of gold, steel, titanium, zirconia, etc.; But the most common materials used to make these small parts are titanium and zirconia.
titanium abutments
Most abutments are made of titanium. Titanium has good biocompatibility and resistance and has been used in dentistry for many years to make the base or implant abutment. These abutments are reasonably priced and are often used for molars.
Why should we choose Dr. Afzali's clinic?
Zirconia abutments
The color of zirconia (zirconium dioxide) is very similar to natural teeth. For this reason, zirconia is widely used in dentistry. Zirconia abutments are commonly used for front teeth. Because these teeth are thin and sometimes the metal abutment is visible from under them. By using this type of abutment, the appearance of the implant becomes more similar to the natural tooth and looks more natural. Also, zirconia abutments are highly biocompatible and the possibility of allergic reaction to them is very low. This type of abutment has a higher price than titanium abutments.
Differences between custom and prefabricated abutments
Abutment manufacturing companies, besides producing the implant base or fixture, usually also produce other parts such as abutment. These abutments are made with advanced technologies and in standard dimensions and angles. Although these implants are standard, their dimensions and angles may not be suitable for everyone. Also, the limited shape of these abutments can make the abutment visible even after the veneer is installed.
On the other hand, customized abutments are made according to the mold taken from the patient's mouth and completely based on the anatomy of the patient's mouth, the shape of his gums and the length of the patient's teeth, and after installing the veneer, they create a natural appearance.
The role of abutment in dental implants
The role of abutment in implant placement is undeniable. This small piece is the interface between the implant base and the cover (artificial tooth) and connects these two parts safely.
The effect of abutment on the performance and durability of dental implants
One of the main tasks of tooth abutment is to create stability. That is, by connecting the cover to the fixture, the abutment prevents any movement or displacement of the cover. This stability is essential for chewing and speaking, and makes you able to chew food or speak comfortably.
Another important function of the abutment is to maintain healthy gum tissue. Abutments are designed in such a way that the gum can grow well around it. This piece also prevents the accumulation of bacteria around the implant and reduces the risk of infection. In this way, the implant abutment guarantees the long-term durability of the implant. Finally, by holding the bridge or veneer, abutments create a beautiful and natural smile for you.
How to connect the abutment to the implant fixture
After the surgeon places the implant abutment or fixture into the jawbone and the implant is well bonded to the jawbone, another small surgery must be performed to allow the surgeon to install the abutment on the abutment. For this purpose, the surgeon makes a small incision on the gum tissue and installs the abutment on the base.
If you want to use ready-made abutments, the dentist only has to choose the right size and model. But if you want to use a custom abutment, the dentist must take a mold of your mouth and send it to the laboratory to make a special abutment for you. In this case, a temporary abutment is installed on the base of your implant so that the gum tissue around the implant takes a proper shape. It takes about three weeks for the gums to heal. بعد از ترمیمشدن بافت لثه و آمادهشدن اباتمنت سفارشی، دندانپزشک اباتمنت و پایه ایمپلنت را با استفاده از یک پیچ کوچک به هم متصل میکند.
در نهایت بعد از قرارگرفتن اباتمنت روی پایه ایمپلنت، دندانپزشک روکش ایمپلنت را با استفاده از یک پیچ کوچک یا با استفاده از چسب مخصوص به اباتمنت متصل میکند.
مزایا و معایب اباتمنت دندان
قرارگرفتن اباتمنت روی فیکسچر ایمپلنت مزایا و معایبی دارد.
مزایای استفاده از اباتمنت در ایمپلنت دندان
زمانی که اباتمنت توسط یک دندانپزشک مجرب، بهدرستی در جایش نصب شود، یک اتصال ایمن و محکم را بین پایه و روکش ایجاد میکند تا بیماران بتوانند بدون نگرانی از لق شدن ایمپلنتشان، غذایی که دوست دارند را بخورند. Also, choosing the right size and angle of the abutment makes the force and pressure of biting evenly distributed between the teeth and implants. As a result, the base of the implant is well connected to your jawbone and makes a successful operation for you. It also prevents jaw bone analysis.
In addition to the aforementioned, the abutment prevents the accumulation of bacteria and keeps the gum tissue around the implant healthy. As a result, the risk of infection and inflammation of the gums or damage to the jaw bone also decreases.
Disadvantages and possible problems in using abutment
- Swelling, redness and slight bruising of the gums are some of the complications that may occur after abutment installation surgery.
- Bleeding is another problem that may happen after the installation of the abutment or if it is installed improperly.
- Also, according to a study in ncbi has been performed, breakage or loosening of the abutment screw may also occur in rare cases. Although the probability is low.
- Choosing the wrong abutment or installing it incorrectly can also cause problems such as implant loosening and causing problems when eating.
tooth abutment price
As we explained to you in the abutment types section, there are different types of abutments, the difference of which, apart from the material, also depends on how they are made and designed. There are also various companies that produce implants and their components. Due to the wide variety of abutments, we cannot consider a fixed price for it. Also, the price of abutment includes only a part of your treatment cost for implant implantation; Therefore, if you want to estimate Dental implant cost, you should visit a reputable dentist so that the doctor can explain the overall implant costs to you.
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care after dental abutment installation
It takes about 3 to 4 weeks for the gums to heal after placing the abutment. Now you may have a question, what are the cares after installing a dental abutment?
After connecting the abutment to the implant fixture, the dentist will give you instructions for caring for the implant and the surgical site. We will tell you some of these points in this article.
- You must maintain good oral and dental hygiene during and after the treatment. For this, you must use a suitable toothbrush and toothpaste and brush your teeth at least twice a day. You should also prevent the accumulation of bacteria and food particles (plaque) around the implant with Using mouthwash after dental implants and using implant dental floss.
- During recovery, regularly use salt water to wash your mouth.
- Take the medicines prescribed by the dentist on time.
- Eat soft foods after surgery. You can find these foods in the article nutrition after implant.
- Avoid smoking during this time.
Summary
In this article, we examined together what a tooth abutment is and saw what important role this small piece plays in the success of dental implant implantation. We also explained to you that there are different types of dental abutments and they are mainly made of titanium or zirconia. Finally, we feel it necessary to remind you to go to a reputable dentist and an experienced dentist for implanting a dental implant and installing its abutment in order to have a successful surgery.
Dental clinic of Dr. Hamidreza Afzali
Frequently Asked Questions
What is dental abutment?
Abutment is a small piece that is placed between the base of the implant and its cover and connects these two parts of the implant together.
What is an abutment in dentistry?
The meaning of the term abutment in dentistry is the same as implant abutment.
What are the types of tooth abutment?
There are different types of abutments. Abutment implants are divided into two categories, angular and flat, and ready-made and custom-made. Also, implants can be different in terms of sex. Titanium, zirconia and gold are the materials used to make abutment.
