Custom healing abutments: A practical approach for deep subgingival implants

This case study describes the rehabilitation of a missing maxillary anterior tooth using a customized gingival healing abutment for a deeply placed implant, focusing on optimal esthetics and function. Rehabilitating missing anterior teeth is challenging due to the need for precise esthetics and functional integration. Deeply placed implants complicate soft-tissue management and emergence profile, making customized gingival healing abutments essential for achieving satisfactory outcomes. A 59-year-old male presented with a missing maxillary anterior tooth. After implant placement, a deeply positioned implant was identified. A customized gingival healing abutment was fabricated to shape the soft tissue and create a natural emergence profile. After healing, a cement-retained prosthetic crown was placed, resulting in satisfactory fit, esthetics, and patient satisfaction. The use of customized gingival healing abutments is crucial in prosthodontic rehabilitation of deeply placed implants, especially in esthetically sensitive areas. This approach improves patient satisfaction and treatment success.