Journal of Prosthetic Dentistry
Dental Technique|Articles in Press

Digital workflow for low-cost 3D-printed custom healing abutment based on emergence profile CBCT segmentation

Published:December 09, 2022DOI:


      Several protocols have been used with computer-aided design and computer-aided manufacture (CAD-CAM) prostheses after image-guided implant surgery based on a prosthetically driven surgical plan. For delayed approaches, a CAD-CAM custom healing abutment can be manufactured before the surgery and installed immediately after implant placement. However, information on the use of emergence profile segmentation on which to base the digital design and on the use of low-cost 3-dimensional printers to produce custom healing abutments are lacking. The purpose of this article was to present a fully digital workflow to digitally design and 3-dimensionally print custom healing abutments with a biocompatible light-polymerizing resin based on the natural emergence profile of the tooth to be replaced.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Prosthetic Dentistry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Azer S.S.
        A simplified technique for creating a customized gingival emergence profile for implant-supported crowns.
        J Prosthodont. 2010; 19: 497-501
        • Touati B.
        Improving aesthetics of implant-supported restorations.
        Pract Periodontics Aesthet Dent. 1995; 7 (quiz 93): 81-92
        • Gomez-Meda R.
        • Esquivel J.
        • Blatz M.B.
        The esthetic biological contour concept for implant restoration emergence profile design.
        J Esthet Restor Dent. 2021; 33: 173-184
        • Bishara M.
        • Kurtzman G.M.
        • Krause E.S.
        Implant restorations: establishing a proper emergence profile.
        Compend Contin Educ Dent. 2020; 41: e16-e20
        • Soulami S.
        • Slot D.E.
        • van der Weijden F.
        Implant-abutment emergence angle and profile in relation to peri-implantitis: a systematic review.
        Clin Exp Dent Res. 2022; 8: 795-806
        • Xia H.B.
        Influencing factors and esthetic considerations of emergence profile of implant dentures in the anterior teeth area.
        Zhonghua Kou Qiang Yi Xue Za Zhi. 2021; 56: 1165-1171
        • Mizumoto R.M.
        • Yilmaz B.
        Intraoral scan bodies in implant dentistry: a systematic review.
        J Prosthet. 2018; 120: 343-352
        • Costa A.J.M.E.
        • Burgoa S.
        • Rayes A.
        • Siva R.L.B.D.
        • Ayres A.P.
        • Cortes A.R.G.
        Digital workflow for CAD-CAM custom abutments of immediate implants based on natural emergence profile of the tooth to be extracted.
        J Oral Implantol. 4 May 2021; ([Epub ahead of print])
        • Stumpel J.L.
        • Wadhwani C.
        A customized healing abutment for immediate and delayed implant cases.
        Compend Contin Educ Dent. 2017; 38: 672-678
        • Costa A.J.M.E.
        • Burgoa S.
        • Pinhata-Baptista O.H.
        • Gutierrez V.
        • Cortes A.R.G.
        Digital workflow for image-guided immediate implant placement by using the socket-shield technique and custom abutment in the esthetic area.
        J Prosthet Dent. 30 October 2021; ([Epub ahead of print])
        • Teślak M.
        • Ziemlewski A.
        • Foltyn I.
        • Ordyniec-Kwaśnica I.
        • Drogoszewska B.
        Development of custom anatomic healing abutment based on cone-beam computer tomography measurement on human teeth cross-section.
        Materials (Basel). 2021; 14: 4570
        • Ruales-Carrera E.
        • Pauletto P.
        • Apaza-Bedoya K.
        • Volpato C.A.M.
        • Özcan M.
        • Benfatti C.A.M.
        Peri-implant tissue management after immediate implant placement using a customized healing abutment.
        J Esthet Restor Dent. 2019; 31: 533-541
        • Doliveux S.
        • Jamjoom F.Z.
        • Finelle G.
        • Hamilton A.
        • Gallucci G.O.
        Preservation of soft tissue contours using computer-aided design/computer-assisted manufacturing healing abutment with guided surgery in the esthetic area: case report.
        Int J Oral Maxillofac Implants. 2020; 35: e15-e20
        • Mukai S.
        • Mukai E.
        • Santos-Junior J.A.
        • Shibli J.A.
        • Faveri M.
        • Giro G.
        Assessment of the reproducibility and precision of milling and 3D printing surgical guides.
        BMC Oral Health. 2021; 21: 1
        • Proussaefs P.
        Custom CAD-CAM healing abutment and impression coping milled from a poly(methyl methacrylate) block and bonded to a titanium insert.
        J Prosthet Dent. 2016; 116: 657-662
        • Gowda V.S.
        • Anand D.
        • Sundar M.K.
        • Reveredo A.M.
        • Shetty S.
        Custom anatomic healing abutments.
        J Indian Prosthodont Soc. 2016; 16: 386-389
        • Pinhata-Baptista O.H.
        • Kim J.H.
        • Choi I.G.G.
        • Tateno R.Y.
        • Costa C.
        • Cortes A.R.G.
        Full digital workflow for anterior immediate implants using custom abutments.
        J Oral Implantol. 2021; 47: 140-144
        • Ferraz M.A.M.M.
        • Henning H.H.W.
        • da Costa P.F.
        • et al.
        Potential health and environmental risks of three-dimensional engineered polymers.
        Environ Sci Technol Lett. 2018; 5: 80-85