Lee Ann Brady, DMD's Dental Blog

  • Home
  • About Dr. Lee Ann Brady
  • Dental Practice
  • Courses
    • The Art of Education in Dentistry
    • Step by Step
  • Categories
    • Dental Materials
    • Esthetic Dentistry
    • Occlusion/TMD
    • Practice of Dentistry
    • Preventive Dentistry
    • Restorative Dentistry
    • Restorative Techniques
    • Treatment Planning
    • Videos
    • A-Z Topic List
  • Speaker’s Packet Request
  • Contact
You are here: Home / Implant Dentistry / Tissue Blanching When Seating An Implant Restoration

Tissue Blanching When Seating An Implant Restoration

By Lee Ann Brady on 05.29.19Category: Implant Dentistry

One of the most important and difficult pieces of implant prosthodontics is mimicking the beauty of the biology. The tissue position, color and properties are often what gives away that this is dentistry not a real tooth.

One of the ways we can understand our impact on the tissue position is to watch for blanching. When seating an abutment/crown if the tissue blanches you are putting pressure on it and it is going to move. In the area of the free gingival margin, blanching means the tissue will move apically. For papilla it means we will push the tip of the papilla incisally.

So the first question to answer is where you want the tissue. This will allow you to determine if you want to see blanching or not at the time you seat. I make screw retained custom implant provisionals on the largest majority of my anterior cases in order to perfect the tissue position before we go to the final restoration. When I do see blanching at the time of seating I set a timer for 10 minutes and make sure the tissue has returned to normal color. If the tissue is still blanched after 10 minutes, I do not want to risk tissue necrosis, so I will reduce the emergence profile to relieve some of the pressure.

Even at 10 minutes you will be able to see the tissue has migrated due to the pressure placed on it. This will continue over some time, so I recall the patient at 30 days and evaluate tissue position in the provisional, and can then make changes to emergence profile to adjust it as necessary.

Related

Share

Leave a Comment Cancel

Search

Recent Posts

  • A Fantastic New Temporary Cement
  • Tissue Blanching When Seating An Implant Restoration
  • Is It Time To Get An Intra-oral Impression Scanner?
  • Does Your Team Order The Dental Materials You Want?
  • Not All Zirconia Is Created Equal
  • White Spot Lesions & ICON

Recent Comments

  • Denice on FMX or Panorex?
  • Lee Ann Brady on Fabricating an Anterior Bite Plane Appliance: Video
  • Thomas Lee on Fabricating an Anterior Bite Plane Appliance: Video
  • Abhishek Gupta on Removing The Air Inhibited Layer
  • renee on Allergic Reaction To A Dental Cleaning?
  • Evelyn on Is It Time To Get An Intra-oral Impression Scanner?

Policies

Terms of Use

Privacy Policy

Cancellations and Refunds

Security Seal

(C) 2018 Lee Ann Brady LLC, All Rights Reserved Site by CSL