Custom healing abutment performing The Spider Web Technique. A series of two cases

doi:10.4317/jced.63239

Q3 · DentistryImpact Factor · 1.368

AutoresCarlos Polis-Yanes, Carla Cadenas-Sebastián, S. Egido-Moreno, José López‐López

Por qué importa

Este artículo presenta una técnica novedosa para la confección de muñones de cicatrización personalizados (CHA) directamente en clínica ("chair-side") para implantes inmediatos. Se describe el uso de la "Spider Web Technique" con un muñón de titanio y composite fluido como alternativa a los prefabricados. El objetivo es mantener el perfil de emergencia y minimizar la pérdida de volumen tisular tras la extracción dental, facilitando la obtención de la corona definitiva. La técnica resulta sencilla, rápida y de bajo coste, mostrando resultados preclínicos favorables en dos casos presentados, con un periodo postoperatorio satisfactorio y tejidos periimplantarios óptimos. La relevancia clínica reside en ofrecer una solución eficiente para la regeneración tisular guiada y la estética inmediata en implantología.

Abstract original

Background: Bone and soft tissue remodeling after tooth loss is an inevitable physiological process. By placing immediate dental implants and performing a custom healing abutment (CHA), we can help achieve a stable emergence profile and reduce tissue volume loss. Purpose: The purpose of this work is to present a series of two clinical cases to show the Spider Web Technique for the creation of custom healing abutments (CHAs) chair-side in immediate implants. Material and Methods: We present two cases of lower molars with CHAs performed chair-side in the clinic using titanium abutments and flowable composite with the Spider Web Technique as an alternative to prefabricated titanium or polyetheretherketone (PEEK) ones. A brief discussion was held providing other techniques for carrying out CHAs. Results: The creation of CHAs was simple and fast and the postoperative period was very good. After the osseointegration period, the appearance of the peri-implant tissues, as well as the bone level, were optimal for making the definitive crown. Conclusions: The Spider Web Technique provides an effective way to create a CHA around a provisional titanium abutment immediately intraoperatively chair-side with low cost and predictable results. Comparative protocolized studies with others are necessary to obtain clear conclusions and protocols.

Leer texto completo ↗DOI · 10.4317/jced.63239

Autor Doctor&Cols

Carlos Polis Yanes
Cirugía Oral e Implantología

Cómo citar

Polis-Yanes C, Cadenas-Sebastián C, Egido-Moreno S, López‐López J. Custom healing abutment performing The Spider Web Technique. A series of two cases. Journal of Clinical and Experimental Dentistry. 2025. doi:10.4317/jced.63239