Emergence Profile

Proper emergence profile fabrication steps

Getting a proper emergence profile is a combination of proper implant depth and proper temporary shape placement at the proper time. It is much easier to maintain a nice emergence profile from an immediate extraction and placement rather than to rebuild one.

What a proper emergence profile looks like.

A proper anterior tooth emergence profile should have a sloping S shape.

What it should not look like.

This picture is from AACD. Rather surprising that would come from them. These result mostly from the implant not being deep enough or coming too vertical at first and ending with a 90 degree elbow. What we have seen with these sharp angle prosthesis is that they get chronic low grade gingival irritation. Would definitely expect this are to bleed like crazy in six months if you probe the facial or brush too hard there.

Improper anterior tooth emergence profileHow to capture the emergence profile for a single dental implant.

Check out our post on capturing your emergence profile with a custom impression coping.

How to capture the emergence profile of an implant bridge or prosthesis.

After the initial impression you can have your lab pour up the case like normal. Then remove their soft tissue moulage material. Seat your temp prosthesis on the model and inject new soft tissue moulage material under your temp. DT and Lane have a nice thread on this.

 

Example of a screw retained case

Constructed using non-engaging screw retained Ti temp abutment with lab fabricated temp

Temps in place 4 months
View on day of impression
Final prosthesis

 

Finish

 

Cross sectional area of what abutment should look like for proper emergence profile
Research

Neale D, Chee W. Development of implant soft tissue emergence profile: a technique. J Prosthetic Dent. 1994;71:364-368.

Bain CA, Weisgold AS. Customized emergence profile in the implant crown-a new technique. Compend Contin Educ Dent 1997;18:41-45.

Macintosh
DCT, Sutherland M. Method for developing an optimal emergence profile
using heat-polymerized provisional restorations for single-tooth
implant-supported restorations. J Prosthetic Dent 2004;91:289-292.

Potashnick SR. Soft tissue modeling for the esthetic single-tooth implant restoration. J Esthet Dent 1998;10:121-131.

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