Extra-Coronal RestorationsPeriodontal Considerations and Surgical Options
Extra-Coronal Restorations: Periodontal Considerations and Surgical Options
O’Dowd, Louise; Dutta, Arindam; Walls, Angus; Wassell, Robert
2018-08-01 00:00:00
[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.]
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Extra-Coronal RestorationsPeriodontal 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.]
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