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The Clinical Advantages of Custom Abutments: Why Customization Is Rendering Stock Abutments Obsolete

The Clinical Advantages of Custom Abutments - Dental CE Course
Launch Course

Course Objectives (2 CE Credits)

Jack A. Hahn, DDS

Custom abutments help ensure predictable outcomes for implant therapy by managing soft tissue during the healing phase and conforming to the patient's gingival anatomy upon delivery of the final restoration. Continual advancements in CAD/CAM technology have made patient-specific components a convenient, efficient and affordable option for implant cases while facilitating superior clinical outcomes. Dr. Jack Hahn discusses the optimal restorative results he has observed since converting to custom abutments, highlighting the exceptional fit, margins, contours and emergence profiles exhibited by the final restorations he has placed since leaving behind stock abutments. Topics include:

  • How patient-specific customization benefits implant cases
  • Role of soft tissue management in producing predictable restorative outcomes
  • Healing of peri-implant tissue around stock abutments and custom abutments
  • Advantages of using zirconia abutments in the esthetic zone
  • Clinical efficiencies yielded by CAD/CAM milled abutments
  • Achieving optimal gingival contours with custom abutments during the healing phase
  • Clinical resources required in placing custom abutments vs. stock abutments
  • Use and benefits of delivery jigs in seating custom abutments
  • Minimizing chair time with custom abutments


Custom abutments train the soft tissue immediately following implant placement, establishing gingival contours that ease the delivery of the final restoration and minimize chairside adjustments. While there is a perception that stock abutments are more affordable, a careful weighing of the clinical efficiencies and advantages offered by custom abutments suggests that patient-specific, CAD/CAM milled components are more cost-effective. Given the optimal clinical outcomes fostered by custom abutments, they will become the restorative option of choice as more clinicians observe their benefits firsthand.

CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.

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