Document Detail


Periodontal and prosthetic biologic considerations to restore biological width in posterior teeth.
MedLine Citation:
PMID:  21959465     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The biologic width is an essential dental space that always needs to be maintained to ensure periodontal health in any dental prosthetic restorations. An iatrogenic partial fixed prosthesis constructed in lower posterior teeth predisposed the development of subgingival caries, which induced violation of the biologic width in involved teeth, resulting in an uncontrolled inflammatory process and periodontal tissue destruction. This clinical report describes a periodontal surgical technique to recover a violated biologic width in lower posterior teeth, by crown lengthening procedure associated with free gingival graft procedure, to ensure the possibility to place a modified partial fixed prosthesis in treated area. The procedure applied to recover the biologic width was crown lengthening with some modifications, associated with modified partial fixed prosthesis to achieve health in treated area. The modified techniques in both surgical and prosthetic procedures were applied to compensate the contraindications to recover biologic width by osteotomy in lower posterior teeth. The result, after 4 years under periodic control, seems to achieve the projected goal. Treating a dental diseased area is necessary to diagnose, eliminate, or control all etiologic factors involved in the process. When the traditional methods are not effective to recover destructed tissues, an alternative, compensatory, and adaptive procedure may be applied to restore the sequelae of the disease, applying a restorative method that respects the biology of involved tissues.
Authors:
José Ricardo Kina; Paulo Henrique Dos Santos; Eunice Fumico Umeda Kina; Thaís Yumi Umeda Suzuki; Pâmela Letícia Dos Santos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  22     ISSN:  1536-3732     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1913-6     Citation Subset:  D    
Affiliation:
From the *Department of Surgery and Integrated Clinic, Discipline of Periodontics; †Department of Dental Materials and Prosthodontics; Discipline of Dental Materials; ‡Department of Dental Materials and Prosthodontics; Discipline of Prosthodontics; and §Department of Surgery and Integrated Clinic, Discipline of Oral and Maxillofacial Surgery, UNESP-São Paulo State University, Araçatuba, São Paulo, Brazil. Dr. Kina is in private practice in Araçatuba, São Paulo, Brazil.
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