Impact of Custom-Designed vs. Standard Titanium Healing Abutments on Peri-Implant Tissue Health in Immediate Post-Extraction Implant Sites: A Systematic Review

• Dr. Leona S. Ravendi

  Faculty of Social Cognition and Media Studies, Tresari Institute of Civic Thought, Victoria, Seychelles

  Author

• Dr. Nadir H. Velmani

  Department of Political Communication and Society, Kalvora University of Public Affairs, Funafuti, Tuvalu

  Author

This systematic review dives into the effectiveness of custom-designed healing abutments compared to standard titanium ones in helping the tissues around dental implants heal, especially when implants are placed right after a tooth is pulled. We searched major medical databases like PubMed and Cochrane up to May 2025 for studies that directly compared these two types of abutments in people. Our aim was to see how they influenced soft tissue changes, bone stability, esthetic outcomes, and even germ responses. What we found suggests that custom-made abutments tend to lead to better soft tissue results, including more stable tissue dimensions and a more natural-looking gum line. This seems to be because they're designed to perfectly guide the healing tissues, mimicking the original tooth's shape. While both types of abutments appear equally good for the implant to fuse with the bone, there wasn't a consistent, clear difference in how much bone was lost around the implant. Information on how these abutments affect bacteria was also quite limited. Despite the promising esthetic and soft tissue benefits, it's important to remember that the studies we looked at varied a lot in how they were done, which means we couldn't combine their data statistically. For clearer answers, future research really needs well-designed studies that follow consistent rules and track patients for longer periods.

• pdf

All articles published by The Parthenon Frontiers and its associated journals are distributed under the terms of the Creative Commons Attribution (CC BY 4.0) International License unless otherwise stated. 

Authors retain full copyright of their published work. By submitting their manuscript, authors agree to grant The Parthenon Frontiers a non-exclusive license to publish, archive, and distribute the article worldwide. Authors are free to:

• Share their article on personal websites, institutional repositories, or social media platforms.

• Reuse their content in future works, presentations, or educational materials, provided proper citation of the original publication.