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Using a Laser for Implant Uncovery

Traditionally, uncovery of dental implants utilizes a scalpel blade or tissue punch to incise through the soft tissue, which exposes the cover screw of the implant. Unfortunately, this traditional technique can cause post-operative discomfort and bleeding.

One alternative to using a scalpel for uncovery includes electrosurgery, which decreases post-operative discomfort and bleeding by cauterizing tissue. However, it can potentially elevate the temperature around the implant, resulting in bone loss.

Another option for uncovery is laser, which is used for procedures such as soft-tissue crown lengthening, troughing, gingivectomy, and esthetic recontouring. The laser is ideal for implant uncovery and tissue modification around implants because there is little to no bleeding, and it reduces post-op pain.

This step-by-step visual essay shows how to use a laser for implant uncovery.

Frontal view of the patient. Teeth #7 and #11 were prepared for crowns and implants were placed in #8 and #10.
Figure 1: Frontal view of the patient. Teeth #7 and #11 were prepared for crowns, and implants were placed in #8 and #10.
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Figure 2: Occlusal view of the patient. The implant on #8 had already been uncovered, and a healing abutment was in place.
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Figure 3: A surgical guide marks the location of the implant so the soft tissue on top of it can be removed.
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Figure 4: A Waterlase laser with a MZ6 tip is used.
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Figure 5: The tip of the laser precisely removes only the necessary soft tissue above the implant to expose the cover screw/healing abutment.
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Figure 6: The result after soft tissue is removed.
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Figure 7: A view of the area after the healing abutment is removed.
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Figure 8: Impression copings are placed immediately following the uncovery to make the provisional impression.
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Figure 9: Occlusal post-operative view after seven days.
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Figure 10: Seating the provisional implant-supported restoration.
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Figure 11: Provisional restoration with composite-filled access screw.

This is a simple, step-by-step technique for using the laser for implant uncover. An advantage to using a laser is that the impression can be made immediately after the uncovery, and post-operative discomfort and bleeding are minimized.

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Hands-On Learning in Spear Workshops

With enhanced safety and sterilization measures in place, the Spear Campus is now reopened for hands-on clinical CE workshops. As you consider a trip to Scottsdale, please visit our campus page for more details, including information on instructors, CE curricula and dates that will work for your schedule.

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By: Ricardo Mitrani
Date: February 8, 2021


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