Customised Impression Coping After Provisionalization

In implant prosthodontics, maintaining soft tissue architecture is critical for long-term success—both functionally and aesthetically. One technique that supports this goal is the use of a customised impression coping after provisionalization, which allows for highly accurate replication of the submergence profile created during the provisional phase.

When conventional impressions or scans are taken without capturing this sculpted profile, soft tissues may collapse, leading to inaccuracies in the final restoration. By fabricating a customised impression coping, clinicians can ensure the peri-implant tissue shape is transferred precisely to the master model or digital scan.

Why it matters:

• Prevents tissue collapse during impressions or scanning

• Preserves the emergence profile developed in the provisional phase

• Supports long-term soft tissue stability and reduces risk of recession

• Works for both analogue and digital workflows

  
  

Technique overview:

1. Remove the provisional crown and place an implant replica into impression material to capture the submergence zone.

2. Attach an open tray impression coping to the embedded replica.

3. Apply flowable composite around the coping to replicate the emergence shape.

4. Cure incrementally and ensure correct seating using a radiograph.

5. Use the customised coping for the final impression or digital scan.

This method ensures that the definitive prosthesis mimics the soft tissue profile established during provisionalization—supporting predictable, aesthetic, and stable outcomes.