Tissue Recession on Implant Bridges

In a recent article in Inclusive Magazine by Glidewell Laboratories, Dr. Dennis Tarnow addressed the issue of tissue recession - specifically with regards to the papilla - between two implant crowns. For us, this was really an eye opening article. We have seen on more than one occasion cases come back to us to add gingival porcelain specifically in the interproximal embrasure space between laterals and canines.

Here is a brief summary of the points that Dr. Tarnow discussed:
1. The importance of keeping at least 3mm of space between each implant fixture

2. The realization that for implant cases, the average height of tissue over the crest of the bone is not the desired 5mm but actually 3.4mm.

3. The subsequent realization that limiting the number of repeat removals of the abutment or healing cap will aid in the healing process

These points have all helped us to anticipate cases that would be good candidates for gingival pink porcelain in advance. It allows us to communicate our concerns with the doctor and pro-actively design the abutment and crown to deal with future gingival recession.

For a fully copy of the article, please click the link below: