One-time abutment for all kinds of cases in dental implantology

The one-time abutment protocol is to provide a long-term restoration with as lesssurgery procedures as possible, reducing the abutment unscrewing at once. Patientsoften come to the outpatient clinic demanding for fast but long-term, stable, functional,and aesthetic solutions. In the article, this protocol will be analyzed and practical useand results will be showed.With a one-time abutment protocol, a good primary stability and stable, healthy keratinizedsoft tissue around the implant abutment can be achieved with only one surgerystage.Another aim is the connection between the implant and abutment protection (platformswitching) from bacteria, so the resorption of bone induced due to infection is minimized.Patient’s comfort was also considered. Less surgery means less trauma and, finally,lower costs.

Introduction

The one-time abutment technique is employed in dental implantology when the final abutment is placed at the time of implant insertion. To achieve optimal and reliable results during this process, certain guidelines must be followed. Beyond the fundamental principles, it is essential to ensure adequate implant insertion torque to achieve strong primary stability.This technique can be used for immediate provisional prosthetic rehabilitation, preservation of the bone crest, full-arch rehabilitation, or simply to save time compared to conventional implant treatments.Additionally, it is applicable in cases of post-extraction implants and reshaped bone crests, as a solution for the aesthetic zone, or in bridges supported by two or three implants in the posterior maxilla, as well as for full-arch restorations using Toronto bridge and All-on techniques.It is worth emphasizing that patient collaboration is crucial for successful rehabilitation. Therefore, advanced interpersonal skills are required of the clinician.