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Ask UsGingiva Blanches Around Implant-Abutment Junction: Will This Resolve?
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Dr. R. asks:
When I torque down the abutment into the dental implant, sometimes the gingiva blanches around the junction of the implant platform and the abutment margin on the buccal. My understanding is that if the blanching clears up within 5 minutes, everything is okay. I recently seated a five unit bride. When I torqued down the abutments, the gingiva blanched and became thinned out and very tight at the junction of the abutment and the dental implant platform on two of the implants. Two weeks later, the gingival still looks blanched. Should I have thinned out the gingiva on the buccal? Will this resolve by itself? Is this going to cause a dehiscence?
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2 Responses to “ Gingiva Blanches Around Implant-Abutment Junction: Will This Resolve? ”
Maybe you should try the Hebel technique, a little anesthesia, and witha small blade you make small incitions in the palatal or lingual depending on the area, that will allow an easy seating of the abutments and no blanching beyond of the anesthesia. It is really easy and very effective.
I dont like to make predictions on gingiva matters but a a very tight gingiva and prolonged blanching usually get to gingiva loss.
best of luck
Gingival Blanching.
Using a laser or electosurge is a great way to create a trough around the implant and dissapate any blanching. Blanching means there is pressure on the gingival tissue and will cause remodeling and utimately lead to recession or attachment loss.
Gordon
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