Gingival tissue management in Restorative Dentistry

2015 ◽  
Vol 7 (1) ◽  
pp. 33-35
Author(s):  
S Sreedhara ◽  
Prashanth Kumar Katta

Abstract The periodontium that surrounds the tooth should be healthy for the optimum functioning of the tooth. The gingiva which is a part of the periodontium must be healthy as well so that that any iatrogenic procedures don't damage the gingiva. The concept of biologic width must be well understood to properly manage the gingiva during any restorative procedures. How to cite this article Katta PK, Sreedhara S. Gingival tissue management in Restorative Dentistry. CODS J Dent 2015;7:33-35.

2021 ◽  
Vol 9 (02) ◽  
pp. 455-460
Author(s):  
Vidhyadhara Shetty S ◽  
◽  
Madeha Kauser Munaff ◽  
Prathap M.S ◽  
◽  
...  

Marginal integrity is one of the main factors that contribute to the outcome of a restoration and longevity of the restoration and cast restorations. An increased significance on the perio–restorative interface in restorative dentistry is essential to enable the utilization of the concept of biologic width in a practical manner. The goal, regarding the management of gingival tissues, is to ensure that the peridontium is in a healthy state. The oral cavity is a difficult to treat because of lips, cheeks, and tongue that hinders and makes it difficult to visualize and manipulate instruments in the area to be treated related. Gingival retraction is essential to perform better when the finish lines of the restoration is below the gingival margin. There are various gingival retractions that have been employed previously like mechanical, chemical, surgical and chemomechanical procedures. These methods not only provide an ideal working environment and ample vision, but also maintain hemostasis to certain extent. The choice of a retraction method depends on clinical situation and accessibility. The purpose of this review is to demonstrate the recent retraction materials and techniques.


The interaction between periodontology and restorative dentistry play an important role in many aspects including location of restorative margins, crown contours and response of all gingival tissues to restorative preparations. Most of the clinicians are aware of this interrelationship but the dilemma remains concerning specific concepts such as biologic width, its maintenance and applications of crown lengthening in cases of biologic width violation.


Author(s):  
Mohammed Ahsan Razi ◽  
Surangama Debnath ◽  
Sourav Chandra ◽  
Adreet Hazra

2013 ◽  
Vol 4 (4) ◽  
pp. 276-281
Author(s):  
Mateus Rodrigues Tonetto ◽  
Shelon Cristina Souza Pinto ◽  
Alvaro Henrique Borges ◽  
José Roberto Cury Saad ◽  
Matheus Coelho Bandeca ◽  
...  

ABSTRACT The best way to enhance gingival health and minimize trauma is to avoid contact of the gingivae with restorative materials. Subgingival finish lines are not periodontally advantageous. Crown lengthening is a periodontal resective procedure, aimed at removing periodontal tissue support to increase the clinical crown height. Periodontal health is of paramount importance to understand the concept of biologic width, indications, techniques and other principles as well as some possible limitations. This article aims to discuss these concepts and its relationship to periodontal health and restorative dentistry. The importance of restorative margin location and contours related to periodontal health are also addressed in order that the restorative dentist can use crown lengthening as part of an overall treatment plan in a controlled and predictable manner, taking into account biological factors. How to cite this article Souza Pinto SC, Tonetto MR, de Oliveira Barud HG, Porto TS, Saad JRC, Borges AH, Bandeca MC. Interactions between Restorative Dentistry and Periodontics: Surgical Procedure (Part I). World J Dent 2013;4(4):276-281.


2012 ◽  
Vol 15 (1) ◽  
pp. 12 ◽  
Author(s):  
Babitha Nugala ◽  
BB Santosh Kumar ◽  
S Sahitya ◽  
PMohana Krishna

Author(s):  
B. Van Meerbeek ◽  
L. J. Conn ◽  
E. S. Duke

Restoration of decayed teeth with tooth-colored materials that can be bonded to tooth tissue has been a highly desirable property in restorative dentistry for many years. Advantages of such an adhesive restorative technique over conventional techniques using non-adhesive metal-based restoratives include improved restoration retention with minimal sacrifice of sound tooth tissue for retention purposes, superior adaptation and sealing of the restoration margins in prevention of caries recurrence, improved stress distribution across the tooth-restoration interface throughout the whole tooth, and even reinforcement of weakened tooth structures. The dental adhesive technology is rapidly changing. An efficient resin bond to enamel has already long been achieved. Its bonding mechanism has been fully elucidated and has proven to be a durable and reliable clinical treatment. However, bonding to dentin represents a greater challenge. After the failures of a dentin acid-etch technique in imitation of the enamel phosphoric-acid-etch technique and a bonding procedure based on chemical adhesion, modern dentin adhesives are currently believed to bond to dentin by a micromechanical hybridization process. This process is developed by an initial demineralization of the dentin surface layer with acid etchants exposing a collagen fibril arrangement with interfibrillar microporosities that subsequently become impregnated by low-viscosity monomers. Although the development of such a hybridization process has well been documented in the literature, questions remain with respect to parameters of-primary importance to adhesive efficacy.


1982 ◽  
Vol 46 (4) ◽  
pp. 221-226 ◽  
Author(s):  
LS Forehand ◽  
WF Vann ◽  
DA Shugars

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