Biologic Perspectives in Restorative Treatment

Abstract

One of the primary goals of a long term successful restorative therapy is to establish a physiologic periodontal climate that facilitates the maintenance of periodontal health. The contemporary clinician has a host of alternatives for the restoration of teeth. It is now possible to mimic nature and provide restorations that defy detection but the most challenging procedure in clinical dentistry is fabricating a restoration in gingival harmony. Periodontal health is the basis of all restorative dentistry. Because periodontal disease is a major cause of tooth loss in adults, the clinician must be aware of the biological variables relevant to restorative therapy, basic concepts and clinical modes of therapy available, to be able to develop an appropriate diagnosis and treatment plan. A natural looking prosthesis within a healthy periodontium should represent the ultimate goal. This article addresses the interactions between periodontal tissues and restorative procedures. It reviews the essentials of soft tissue management inherent in restorative dentistry that will increase the probability of a successful restoration.

Clinical and radiographic evaluation of the Periodontium with biologic width invasion

“…Periodontal health is a basic requirement for both the longevity of restoration and the aesthetics, as well as, function and maintenance of dentition. However, dental restorations presenting width invasion are a frequently problem in clinical practice and are capable of inducing gingival inflammation, loss of connective tissue and unpredictable bone loss [19,20]. Also, the invasion of the biologic width may cause periodontal pocket which does not imply the diagnosis of periodontal disease.…”

Prosthetic rehabilitation of a mandibular root amputated molar using single crown

“… Although supragingival margin is favorable,[ 13 ] too provide sufficient retention and proper emergence profile, margins should be placed subgingival, but not too much In the conventional method, the smaller size of the occlusal table is a determining factor in the survival of restoration in root resected tooth. [ 14 ] The buccolingual width of the occlusal table should be decreased toward the cantilevered portion (to the distal part, in this case) Another important factor in root resected teeth is proper occlusal adjustment[ 10 ] which is more important in such cases.…”

Características clínicas gingivales de pacientes portadores de prótesis fija tratados en una clínica dental docente

“…Estos resultados coinciden con lo descrito por Savadi y col. (14), y Nart y col. (15), acerca de la agresión que sufren los tejidos periodontales luego de ser sometidos a un tratamiento protésico fijo y más aún si esta prótesis no se encuentra en buenas condiciones. La última relación significativa encontrada entre variables fue: estado de la prótesis y retención de placa, observándose que el 43,7% de las prótesis en mal estado presentaban retención de placa.…”