Author: Shajahan P A, Rohit Raghavan, Monisha V S
Dept. of Prosthodontics and Crown & Bridge, Royal Dental College, Palakkad, Kerala, India.
The first and most basic objective of restorative dentistry is preservation of the tooth structure. However, for the long-term survival of restoration, the periodontium must also remain healthy or vice versa. An adequate understanding of the relationship between periodontal tissues and restorative dentistry is paramount to ensure adequate form, function, esthetics, and comfort of the dentition. While most clinicians are aware of this important relationship, uncertainty remains regarding specific concepts such as the biologic width and indications and applications for surgical crown lengthening. This review discusses the concept of the biologic width and its relationship to periodontal health and restorative dentistry. The importance of restorative margin location, materials, and contours related to periodontal health is also addressed.
Dentistry of the modern era is dominated by restorative procedures that not only retain the functions of lost structures but also needs to retain the esthetics. Functional and esthetic restorations can gain complete patient’s and dentist’s satisfaction only when these restorations exist in harmonious relationship with the surrounding structures. Often dental practitioners come across to cases with chief complaints of a problematic or faulty restorations that appear to be normal to an untrained eye. Consistent complaint of the patient towards the inconvenience, makes the dentist to examine the regions with restorations and such cases are diagnosed as the restorations violating the biologic width.
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