A common misconception about dental implants is it consists of only one component. The fact is that a dental implant involves three parts, namely a screw-like titanium post, an abutment, and a prosthesis, which can be a dental crown, bridge, or denture. You may already know about the implant post and the tooth restoration, what about the abutment? What is a dental implant abutment and how does it work?

dental implant abutment

This post from Sydney Dental should answer these questions and give you a general idea of this connector part in a dental implant. Wait no more, read on with us and find out!

dental implant

1. What is a dental implant abutment?

An implant abutment is a component that is used to connect a dental implant to a prosthesis, such as a crown, bridge, or denture. The abutment is placed on top of the implant post, which is surgically placed into the jawbone, and serves as a connector between the implant and the prosthetic tooth or teeth.

Implant abutments come in a variety of shapes, sizes, and materials, and are chosen based on a number of factors, including the location of the implant, the patient’s bite, and the desired aesthetic outcome. The type of abutment used can have a significant impact on the success of the implant and the longevity of the prosthesis.

2. How many types of abutment are there?

There are several different types of implant abutments, including stock abutments, custom abutments, and abutments with a metal or ceramic collar.

2.1. Stock abutment

Stock abutments are prefabricated abutments that come in a variety of shapes and sizes. They are generally less expensive than custom abutments and can be placed quickly and easily. However, because they are not custom-fitted to the patient’s mouth, they may not provide the best fit or aesthetic outcome.

2.2. Custom abutment

Custom abutments are designed specifically for each patient and are custom-made to fit the shape of the implant post and the surrounding teeth. They are often used in cases where the implant is in a highly visible location, such as the front teeth, and where aesthetics are of particular concern. Custom abutments provide a better fit than stock abutments and can help to ensure that the prosthetic tooth looks and feels as natural as possible.

2.3. Abutment with a metal or ceramic collar

Abutments with a metal or ceramic collar are used in cases where the implant is in the front of the mouth and the patient has thin or receding gum tissue. The collar is used to create a more natural-looking transition between the implant and the gum tissue, which can help to improve the aesthetics of the prosthesis.

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dental implant abutment

3. How is an abutment placed?

The process of placing an implant abutment typically involves several steps. First, the implant post is surgically placed into the jawbone, and a healing period of several months is allowed to pass to allow the bone tissue to fuse to the implant. Once the implant has fully integrated with the bone, an abutment is attached to the implant post.

In some cases, the abutment can be placed at the same time as the implant post, which is known as immediate loading. This approach can reduce the number of visits required and speed up the overall treatment time. However, not all patients are suitable candidates for immediate loading, and careful consideration must be given to the patient’s individual needs and circumstances.

After the abutment has been placed, the dentist will take an impression of the abutment and the surrounding teeth. This impression is used to create a custom-fitted prosthetic tooth or teeth, which will be attached to the abutment at a later appointment.

4. What are the problems associated with implant abutments?

Complications can arise when an implant abutment is not properly maintained or cared for. These include:

Loosening of abutment screws

One of the most common complications with implant abutments is loosening of the abutment screws. This can occur due to improper tightening of the screw, poor fit of the abutment, or poor quality of the abutment screw. If the abutment screw becomes loose, it can cause the implant restoration to become unstable and result in damage to the implant or the surrounding tissues. To avoid this complication, it is essential to use high-quality abutment screws, properly tighten the screws, and verify that the abutment has a proper fit.

Fracture of abutments

Another complication that can occur with implant abutments is the fracture of the abutment. This can occur due to various reasons, such as improper design of the abutment, improper selection of the abutment material, or improper occlusion. Abutment fracture can cause the implant restoration to become unstable, and it may need to be replaced. To prevent this complication, it is important to select the appropriate material and design for the abutment and ensure that it is properly placed and restored.


Peri-implantitis is a severe form of inflammation that affects the tissues surrounding an implant. This complication can occur due to poor oral hygiene, poor placement of the implant, poor selection of the abutment, or poor selection of the restoration material. Peri-implantitis can cause bone loss around the implant and may result in the implant’s failure. It is important to prevent peri-implantitis by maintaining good oral hygiene, properly placing the implant and abutment, and using appropriate restoration materials.

Soft tissue complications

Soft tissue complications can also occur with implant abutments. These complications can occur due to poor design of the abutment, poor selection of the abutment material, or improper placement of the abutment. Soft tissue complications can cause the implant to become unstable, and it may result in the implant’s failure. To prevent soft tissue complications, it is important to select the appropriate material and design for the abutment, properly place the abutment, and monitor the soft tissue’s health around the implant.

dental implant with bone graft
dental implant abutment

5. How to tend to your abutment?

One of the key factors in the success of an implant abutment is proper maintenance and care. Patients with implant-supported prostheses should practice good oral hygiene habits, including regular brushing and flossing, and should schedule regular checkups with their dental care provider to monitor the health of the implant and the surrounding tissues.

6. A note from Sydney Dental

Implant abutments are an important component of dental implant restorations, but they can also be the source of complications that can arise during and after treatment. It is essential to prevent these complications by selecting appropriate materials and designs for the abutment and restoration, properly placing the abutment, and monitoring the patient’s oral health. By understanding the common complications associated with implant abutments, dental professionals can take the necessary steps to prevent these complications and ensure the success and longevity of implant restorations.

Hopefully this read on dental implant abutments from Sydney is informative and helpful to you learning about dental implant treatment. If you are still unsure of anything in search of a new unforgettably stunning smile, do not hesitate to reach out to us. We are at 499-501 Ba Hat St, Ward 8, District 10, HCMC, Vietnam looking forward to your visit. You may also call us at (028) 3504 9440 for a free no-obligation comprehensive consultation. Your pretty, shiny smile is 100% guaranteed at Sydney Dental!

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