Gingival (Tissue) Sculpting

Gingival Sculpting refers to placing custom teeth and healing abutments on dental implants at their time of placement — to sculpt the gingival tissue (gums) between the time the dental implant is placed until the final crown is placed.

With the technique we have developed, after your dental implant is placed, scan bodies as placed on your implant. A digital scan is then captured and we place a custom designed tooth or healing abutment onto your implant. The scan is completed by our in office lab technician and utilizing CAD/CAM milling technology, he mills these out of PMMA (Polymethylmethaacrylate Acrylic). Each of these are individually designed to fit into your dentition and gums. They allow the gingiva to mature and sculpt around the custom design.

This is helpful in many ways. In the front of the mouth (anterior teeth) the custom provisional tooth we make allows the papilla to fill in and optimize esthetics. The provisional tooth also maintains your original soft tissue papillas (gums) so they do not shrink away after your implant has been placed. This is significant because when your dentist fabricates your final crown, the gingival tissues have been sculpted and matured for ideal esthetics and function. In addition, during the healing phase, the provisional tooth’s contours can be adjusted to bring your gingival levels up or down to match adjacent teeth.

In the molar area, the teeth are much wider than the top of the implants, we place custom healing abutments, computer designed and CAD/CAM milled for your specific tooth’s space. This allows the gingiva to be contoured during healing, so your dentist can make a robust shaped crown (shaped like or better than your original tooth), which significantly prevents food impaction around your implant supported crown. Without the custom designed healing abutment, your dentist must cut your gums open to deliver a wide shaped crown, meaning the lab would have had to guess on the proper shape. By sculpting the tissue, your final crown will emerge from you gums with more natural contours for cleaning, flossing, and very importantly, to help keep food from becoming impacted between your implant crown and natural tooth. For molars (your back teeth), this is a significant improvement.

tissue sculpting case study, photos and X-rays
tissue sculpting case study