While many people think of dental implants as a single units, they’re actually made up of several parts. The implant itself is anchored within the gums to simulate a tooth’s root. The section that is visible is known as a crown. Dentists use a third piece, called an abutment, to hold these two pieces together. This guide explains exactly how an abutment is used to create a functional new tooth.

How Do Abutments Work?

Usually made of titanium, zirconium, or gold, an abutment is designed to attach to a dental implant on one side and a crown on the other. It extends from just below the gumline up into the mouth, where it provides support for a tooth prosthesis. Once the implant surgery is complete, it's completely hidden from view. 

How Are They Fitted?

Once a dental implant has been attached to the jawbone, the gums and bone are left to heal around it. This process, known as osseointegration, can take several months. 

Once it’s complete, the final abutment can be placed. If a patient’s gum tissue has grown over the top of the implant, a minor second surgery will be performed to reopen it. Then the dentist simply fits the abutment into place. Finally, there’s a wait of a few weeks before the dental crown can be installed that allows the gum tissue to heal around the abutment.

A healing abutment is temporary hardware sometimes used to cap the implant during surgery. It stays in place long enough to prevent the gum from healing over the implant and is then removed and replaced with a final abutment. Some patients prefer it because it eliminates the need for a second incision into the gums, while others dislike its visibility during the post-op wait for final dental crowns. Both types of abutment fittings are painless when performed with local anesthesia or intravenous sedation.

Dental Implant Care Tips

Each piece of a dental implant needs to be cared for as though it were a natural tooth. Even temporary healing abutments can harbor oral bacteria and plaque if not brushed regularly. Between surgeries and after the final crowns are placed, continue following a thorough dental hygiene routine, which should include flossing, brushing, and regular preventative care appointments.

If you’re interested in learning more about dental implants and how they can benefit you, contact Four Corners Dental Group in Anchorage and Wasilla, AK. Their compassionate team of dental professionals provides gentle, comprehensive oral health care. From dental crowns to root canals, their restorative dentistry options can help you regain confidence in your smile. Call (907) 258-3384 to schedule an appointment, or visit them online to learn more about the procedures they offer.