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Extra-Coronal RestorationsPeriodontal Considerations and Surgical Options

Extra-Coronal Restorations: Periodontal Considerations and Surgical Options [This chapter will emphasise the need to:Consider viable methods of aesthetically managing the gingivae, including gingival veneers, and obtain informed consent to avoid unrealistic patient expectationsAvoid gingival recession in patients with a thin biotype by respecting and not traumatising the gingival tissues or extending a margin too far subgingivallyPlace subgingival margins well above the epithelial attachment to avoid invading the biologic width. If possible, use a supragingival or equigingival margin where aesthetics or retention is not criticalConsider using crown lengthening to improve aesthetics or crown retention, but be aware of the factors which determine the type of procedure, and unless confident of a satisfactory outcome, refer for specialist opinion/treatmentBe aware of surgical procedures to treat recession or to augment the width of keratinised gingiva. Both are best undertaken in a specialist settingManage risk of periodontal damage at every stage of providing extra-coronal restorations and ensure patients understand the need for supportive periodontal care provided at an appropriate recall interval.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Extra-Coronal RestorationsPeriodontal Considerations and Surgical Options

Part of the BDJ Clinician’s Guides Book Series
Editors: Wassell, Robert; Nohl, Francis; Steele, Jimmy; Walls, Angus
Extra-Coronal Restorations — Aug 1, 2018

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Publisher
Springer International Publishing
Copyright
© Springer International Publishing AG, part of Springer Nature 2019. This book has been previously published in 2002 by BDJ Books with the following title: A Clinical Guide to Crowns and Other Extra-coronal Restorations.
ISBN
978-3-319-79092-3
Pages
99 –114
DOI
10.1007/978-3-319-79093-0_10
Publisher site
See Chapter on Publisher Site

Abstract

[This chapter will emphasise the need to:Consider viable methods of aesthetically managing the gingivae, including gingival veneers, and obtain informed consent to avoid unrealistic patient expectationsAvoid gingival recession in patients with a thin biotype by respecting and not traumatising the gingival tissues or extending a margin too far subgingivallyPlace subgingival margins well above the epithelial attachment to avoid invading the biologic width. If possible, use a supragingival or equigingival margin where aesthetics or retention is not criticalConsider using crown lengthening to improve aesthetics or crown retention, but be aware of the factors which determine the type of procedure, and unless confident of a satisfactory outcome, refer for specialist opinion/treatmentBe aware of surgical procedures to treat recession or to augment the width of keratinised gingiva. Both are best undertaken in a specialist settingManage risk of periodontal damage at every stage of providing extra-coronal restorations and ensure patients understand the need for supportive periodontal care provided at an appropriate recall interval.]

Published: Aug 1, 2018

Keywords: Periodontal Considerations; Crown Lengthening; Biological Width; Thin Biotype; Subgingival Margins

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