Peri-Implant Architecture Management With Customized Healing Abutment in Flowable Composite in Immediate Implants: Two Case Reports and Narrative Review

Background: The management of peri-implant tissue seeks to meet the aesthetic expectations of patients, with a smaller number of procedures that favor the development and maintenance of healthy peri-implant soft tissue. The customized healing abutment technique on immediate implants has demonstrated numerous functions for the success of restorations on implants. Objectives: The objective of the study is to analyze the biological aspects of the customized healing abutment using PEEK and flowable composite to condition the peri-implant tissues by presenting a clinical case of a patient from the oral surgery service of Pontificia Xavierian University. Case Report: A patient underwent the placement of two postextraction implants and customized healing abutments in the posteroinferior area. Discussion: This technique is aimed at maintaining the volume of keratinized mucosa and creating an emergence profile for the future prosthesis and reducing the risk of peri-implantitis. The development of healthy peri-implant soft tissues is essential to achieve the aesthetics and biological success of implant-supported restorations in all stages of healing and tissue maturation, and the abutment is essential because it allows a biological seal that protects the bone tissue. Conclusion: It was demonstrated that the use of the customized healing abutment with PEEK and flowable composite immediately after implant placement after dental extraction keeps the volume of the soft and hard tissues around the implants at the time of definitive rehabilitation.