Home Healing Abutment vs Cover Screw - What is the Difference?

Healing Abutment vs Cover Screw - What is the Difference?


Posted on 6/16/2025 by Brian Rounds, DDS
A patient holds a model of teeth with a single dental implant, while discussing implant benefits with his dentist. Getting a dental implant is a big step, and it's important to understand all the different parts involved. Two components you might come across are healing abutments and cover screws. While they seem similar, they serve different purposes during the implant process.

What is a Dental Implant?

A dental implant is a small, screw-like device made of titanium that is surgically placed into the jawbone. It acts as an artificial tooth root and provides a foundation for a crown, bridge, or denture.

Healing Abutment

A healing abutment is a temporary abutment placed on top of the implant after it has been surgically inserted into the jawbone. Its purpose is to help shape the gum tissue around the implant and promote proper healing. It is typically left in place for several weeks or months, depending on the individual case.

Here are some key features of a healing abutment:
•  Shape: Healing abutments come in different shapes to accommodate the desired shape of the gum tissue.
•  Material: They are usually made of titanium or zirconia, which are biocompatible materials that promote healing.
•  Height: The height of the healing abutment is chosen based on the thickness of the gum tissue and the desired final position of the crown.
•  Removal: After the gum tissue has healed, the healing abutment is removed and replaced with a permanent abutment, which will support the final restoration.

Cover Screw

A cover screw is a temporary screw placed on top of the implant after it has been surgically inserted. Its purpose is to protect the implant site and prevent the gums from growing over the implant. It is typically left in place for a shorter period than a healing abutment, usually just a few weeks.

Here are some key features of a cover screw:
•  Shape: Cover screws are typically cylindrical in shape with a flat top.
•  Material: They are usually made of titanium, which is a biocompatible material.
•  Function: The cover screw protects the implant and helps maintain the space for the future abutment and crown.
•  Removal: The cover screw is removed when the dentist is ready to place the healing abutment or the final abutment and crown.

Key Differences

While both healing abutments and cover screws are temporary components used in the dental implant process, there are some key differences between them:
•  Purpose: Healing abutments help shape the gum tissue, while cover screws protect the implant site.
•  Material: Healing abutments may be made of zirconia in addition to titanium, while cover screws are typically made of titanium.
•  Shape: Healing abutments come in different shapes to shape the gums, while cover screws are usually cylindrical.
•  Duration: Healing abutments are left in place for several weeks or months, while cover screws are typically left in place for a few weeks.

Conclusion

Understanding the difference between healing abutments and cover screws can help you feel more informed and confident during your dental implant journey. Remember, if you have any questions or concerns, always consult with your dentist. They can explain the specific details of your treatment plan and answer any questions you may have.
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