Filling an Implant Access Hole with Resin Buildup

I’m Dentist So Hyun-su, the one who likes restoring teeth with resin.

Since I started studying esthetic restorative dentistry, I’ve also spent a long time focusing on resin buildup.

Today, I filled the implant screw access hole of a patient whose prosthetic restoration had already been placed, using resin buildup.

Dentist So’s Implant Hole Resin Buildup

If you look closely, you can see the hole, but at first glance, it’s hard to notice.

The second tooth from the left in the photo is the prosthesis placed on the implant.

If you look carefully, you can see something like a round border, right?

This is originally the spot with the screw access hole for implant maintenance.

The lab director made the zirconia crown so well that it really looks like a natural tooth... but if I just casually covered it with resin, I thought the quality of the prosthetic work might look lower, so I decided to help with it myself.

2025.01.15.

The stain serves to help the prosthesis look more like a natural tooth. I used a product called Optiglaze, and fortunately, it seems to have turned out well haha.

Actually, it only stands out a little because it was photographed with a full-frame mirrorless camera under bright lighting. In the mouth, it doesn’t stand out at all (really).

I sent the photos to the dental technician who made the prosthesis, and they said it looked like a cement-type prosthesis made from the beginning without a hole, which made them happy haha.

Filling an implant access hole with resin buildup is actually not something that must be done. From the perspective of implant survival or maintenance, there is no particular additional benefit just because it is done with resin buildup.

However, since the 'esthetic quality' of a prosthesis can clearly be one of the criteria for judging treatment quality, for a more natural result I filled the hole with resin buildup.

I don’t think it’s necessary to do this every time, and when I look at a prosthesis, if I think it would be better for me to do the resin buildup myself (especially in cases like this where stain adjustment is needed), I plan to do it.

I will always do my best.