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Abduo J, Lyons KM. Interdisciplinary interface between fixed prosthodontics and periodontics. Periodontol 2000 2018; 74:40-62. [PMID: 28429481 DOI: 10.1111/prd.12189] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/01/2016] [Indexed: 12/16/2022]
Abstract
Although periodontal factors do not usually have a direct effect on the survival of a fixed prosthesis, harmony between the prosthesis and the periodontium is critical otherwise esthetics, the longevity of the prosthesis and the periodontium will be compromised. A close interdisciplinary relationship between periodontics and prosthodontics is therefore necessary to avoid an unsatisfactory treatment outcome, requiring extensive and expensive retreatment. The design of the prosthesis, the number and quality of the abutment teeth, the preparation and the pontic, the occlusion and the material need to be considered when planning prosthodontic treatment. The location of the preparation margin and the contour and emergence profile of the prosthesis will influence the response of the gingival tissues to the prosthesis. Pontic design and cleansibility also contribute to the response of the gingival tissues as well as to the clinical and esthetic outcome. Even an optimal pontic design will not prevent inflammation of the mucosa adjacent to the pontic if pontic hygiene is not maintained by removal of plaque. Case selection and the patients' ability to carry out adequate oral hygiene are therefore essential for longevity of the prosthesis, and regular reviews provide an opportunity for early detection and treatment of failures.
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Yan J, Zhang J, Zhang Q, Zhang X, Ji K. Effectiveness of laser adjunctive therapy for surgical treatment of gingival recession with flap graft techniques: a systematic review and meta-analysis. Lasers Med Sci 2018; 33:899-908. [PMID: 29374364 DOI: 10.1007/s10103-018-2440-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Accepted: 01/08/2018] [Indexed: 02/06/2023]
Abstract
Various flap graft techniques in the treatment of gingival recession have already been reported in the literatures for root coverage. Laser therapy has effects of ablative, hemostatic, and decontamination. Therefore, we performed a meta-analysis of randomized controlled trials (RCTs) to compare the efficacy of flap surgery combined with laser with surgery alone for treating gingival recession. The studies were searched from PubMed, Embase, Web of science, and the Cochrane Central Register of Controlled Trials by two reviewers up to August 2017. The quality of RCTs was assessed by Cochrane Handbook. Data were extracted from studies and analyzed by Review Manager 5.3. 95% confidence interval (CI) and risk ratio (RR) were calculated for dichotomous data. Seven RCTs with 173 patients and 296 teeth were included in the meta-analysis. We found no statistically significant differences between two groups in GRD (gingival recession depth) (P = 0.21), GRW (gingival recession width) (P = 0.92), RES (root esthetic score) (P = 0.21), and CRC (complete root coverage) (P = 0.09). Statistically significant differences were found between two groups in the WKT (width of keratinized tissue) (P < 0.0001) and 1-year follow-up of PD (probing depth) (P = 0.03) and CAL (clinical attachment level) (P < 0.00001). The meta-analysis found that surgery with laser therapy provided clinical advantages in terms of WKT and 1-year follow-up of PD and CAL. However, flap graft associated with laser did not offer additional benefit to root coverage and esthetics in treating gingival recession. More long-term studies are required to assess these parameters.
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Affiliation(s)
- Jing Yan
- Department of Stomatology, The General Hospital of Tianjin Medical University, No. 154 Anshan Road, Heping District, Tianjin, 300050, China
| | - Jie Zhang
- Department of Stomatology, The General Hospital of Tianjin Medical University, No. 154 Anshan Road, Heping District, Tianjin, 300050, China.
| | - Qian Zhang
- Department of Stomatology, The General Hospital of Tianjin Medical University, No. 154 Anshan Road, Heping District, Tianjin, 300050, China
| | - Xinlu Zhang
- Department of Stomatology, The General Hospital of Tianjin Medical University, No. 154 Anshan Road, Heping District, Tianjin, 300050, China
| | - Kui Ji
- Department of Stomatology, The General Hospital of Tianjin Medical University, No. 154 Anshan Road, Heping District, Tianjin, 300050, China
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Bennani V, Ibrahim H, Al-Harthi L, Lyons KM. The periodontal restorative interface: esthetic considerations. Periodontol 2000 2017; 74:74-101. [DOI: 10.1111/prd.12191] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/01/2016] [Indexed: 12/14/2022]
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Merijohn GK. Management and prevention of gingival recession. Periodontol 2000 2016; 71:228-42. [DOI: 10.1111/prd.12115] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/08/2015] [Indexed: 01/10/2023]
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Stafeev AA, Zinov'ev GI, Drozdov DD. [Planning of esthetic oral rehabilitation according to correlative analysis of clinical and morphological features of the marginal gingiva]. STOMATOLOGII︠A︡ 2015; 94:38-43. [PMID: 26953427 DOI: 10.17116/stomat201594538-43] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The orthopedic restoration and related to its clinical stages (preparation, gingival retraction, impression) is often associated with complications which arise from the marginal gingiva. The technology of indirect ceramic restoration requires an assessment of the clinical and morphological parameters of periodontal tissues. The study outlines correlation between the type of periodontal histhology and inflammatory and degenerative complications that has been established after the analysis of morphofunctional state of periodontal tissue. Results of clinical studies and correlation analysis of clinical and morphological parameters of marginal gingiva has shown that important parameter influencing the choice of manufacturing technology are the position of restoration margin relatively to marginal gingiva and periodontal morphotype.
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Savadi A, Rangarajan V, Savadi RC, Satheesh P. Biologic perspectives in restorative treatment. J Indian Prosthodont Soc 2011; 11:143-8. [PMID: 22942573 PMCID: PMC3175237 DOI: 10.1007/s13191-011-0101-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2011] [Accepted: 08/18/2011] [Indexed: 11/28/2022] Open
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.
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Affiliation(s)
- Anupama Savadi
- Department of Prosthodontics, The Oxford Dental College, Hospital & Research Institute, Bommanhalli, Hosur Road, Bangalore, 560068 India
| | - V. Rangarajan
- Department of Prosthodontics, The Oxford Dental College, Hospital & Research Institute, Bommanhalli, Hosur Road, Bangalore, 560068 India
| | - Ravindra C. Savadi
- Department of Prosthodontics, The Oxford Dental College, Hospital & Research Institute, Bommanhalli, Hosur Road, Bangalore, 560068 India
| | - Preeti Satheesh
- Department of Prosthodontics, The Oxford Dental College, Hospital & Research Institute, Bommanhalli, Hosur Road, Bangalore, 560068 India
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Affiliation(s)
- Terry E Donovan
- Department of Operative Dentistry, University of North Carolina School of Dentistry, Chapel Hill, NC 27599-7450, USA
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Affiliation(s)
- Terry E Donovan
- Advanced Education in Prosthodontics Program, University of Southern California School of Dentistry, Los Angeles, USA
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Abstract
The contemporary restorative dentist has a host of impression materials available for making impressions in fixed prosthodontics,implant dentistry, and operative dentistry. With proper material selection and manipulation, accurate impressions can be obtained for fabrication of tooth- and implant-supported restorations. This article outlines the ideal properties of impression materials and explains the importance of critical manipulative variables. Available impression materials are analyzed relative to these variables, and several "specialized" impression techniques are described. Special attention is paid to polyvinyl siloxane impression materials because they have become the most widely used impression material in restorative dentistry.
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Affiliation(s)
- Terry E Donovan
- University of Southern California School of Dentistry, University Park MC0641, 925 West 34th Street, Los Angeles, CA 90089-0641, USA.
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Abstract
Gingival displacement is an important procedure with fabricating indirect restorations. Gingival displacement is relatively simple and effective when dealing with healthy gingival tissues and when margins are properly placed a short distance into the sulcus. Several techniques have proven to be relatively predictable, safe,and efficacious. No scientific evidence has established the superiority of one technique over the others, so the choice of technique depends on the presenting clinical situation and operator preference.
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Affiliation(s)
- Terry E Donovan
- University of Southern California School of Dentistry, University Park MC0641, 925 West 34th Street, Los Angeles, CA 90089-0641, USA.
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Abstract
The contemporary dentist has a wide variety of options to use in the restoration of extensively damaged or previously restored teeth. Metal-ceramic and all-ceramic crowns are frequently used to restore esthetics and function. One of the essentials for success with either option is proper tooth preparation, which includes proper selection and preparation of the cervical margin of the preparation.
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Affiliation(s)
- Terry E Donovan
- University of Southern California School of Dentistry, University Park MC0641, 925 West 34th Street, Los Angeles, CA 90089-0641, USA.
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