What is the proper way to seat a maxillary anterior abutment or crown?
- Eliminate or control bleeding by using a combination of vasoconstrictors, pressure and time.
- Clean the abutment post with an alcohol wipe and implant well with an appropriately sized cotton-tipped applicator.
- Insert and align abutment/crown using an incisal orientation jig when necessary.
- While digitally supporting the bridge of the nose, apply an initial seating tap using a custom seating jig on a threaded straight handle.
- Confirm passive interproximal contacts with dental floss and, if necessary, remove the prosthesis by tapping on the handle of a grasping forceps to adjust any non-passive interproximal contact area.
- After confirming passive interproximal contacts intermittently apply six additional definitive seating taps using a custom seating jig an a mallet.
- Reconfirm contacts
- Check occlusion especially during protrusive and retrusive excursions
- Using a custom seating jig on a threaded straight handle assures that the seating forces are being directed in the long axis of the implant.