Implant Exposure Surgery
Implant exposure surgery is a minor surgical procedure performed to uncover a dental implant that was intentionally buried beneath the gum tissue at the time of placement. In a two-stage implant protocol, the implant is placed and the gum tissue is closed over it to allow undisturbed healing and osseointegration. Once the implant has fully integrated with the bone, a second procedure is needed to expose the implant, attach a healing abutment, and prepare the site for the final restoration.
At Bensonhurst Dental Care, implant exposure surgery is performed by Dr. Geoffrey Rubinshtein, who placed the implant and continues to manage the surgical and soft tissue aspects of the case through every phase. The procedure is straightforward: Dr. Geoffrey makes a small incision in the gum tissue to access the top of the implant, removes any tissue covering it, and attaches a healing abutment that protrudes through the gumline. This abutment shapes the surrounding gum tissue as it heals, creating the proper contour for the eventual implant crown or prosthesis.
The procedure is quick, performed under local anesthesia, and recovery is minimal. Most patients experience little to no discomfort and return to normal activities the same day. The healing abutment remains in place for several weeks while the gum tissue matures around it, at which point the final impression is taken and the permanent restoration is fabricated.
Frequently Asked Questions
Why is implant exposure surgery necessary?
In a two-stage implant protocol, the implant is buried beneath the gum tissue during placement to protect it during the osseointegration period. Exposure surgery is the second stage, needed to uncover the implant so that a healing abutment can be placed and the site can be prepared for the final restoration.
Is the procedure painful?
The procedure is performed under local anesthesia and is very well tolerated. Most patients describe it as less involved than the original implant placement. Post-operative discomfort is minimal and typically does not require more than over-the-counter pain medication.
How long after exposure surgery can I get my final crown?
The healing abutment is typically left in place for two to four weeks to allow the gum tissue to shape properly around it. After that, impressions are taken for the final restoration, which is fabricated and delivered within a few additional weeks.
What is a healing abutment?
A healing abutment is a small connector that is attached to the implant after it is exposed. It sits above the gumline and guides the soft tissue to heal in the proper shape and contour around the implant, creating an ideal emergence profile for the final crown or prosthesis.
