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

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.

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.

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.

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.