Effects of restorative procedure on periodontium

EFFECTS OF RESTORATIVE PROCEDURE ON PERIODONTIUM

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ESTHETIC CONSIDERATION IN GINGIVAL TISSUE: - Interproximal Embrasure form. - Restorative correction of open gingival Embrasure OCCLUSAL CONSIDERATION ROLE OF DENTAL PROSTHESIS RESTORATION OF ROOT RESECTED TOOTH ANTERIOR ESTHETIC SURGERY

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1.SURGICALLY: By removing bone away from proximity to the restorative margins. Drawback: High risk of inter papillary recession. 2. ORTHODONTICALLY: By extruding the tooth out of the socket. Correction of Biologic-Width Voilation: ,[object Object],[object Object],Two Methods

Why the restoration extended sub-gingivally??? ,[object Object],[object Object],[object Object]

Too Sub-Gingivally located margins may results….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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SUB-GINGIVAL DEBRIS: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ESTHETICS COSIDERATION OF GINGIVAL TISSUE

Any change in shape or form of embrassure Change in height & form of the papilla Food impaction, Accumulation of micro-organisms & Plaque accumulation Inter-proximal Embrasure Form

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3. Lap facing pinpoint contact pontic with closed interproximal space. 4. Sanitary pontic Contact between the pontic and alveolar mucosa should be restricted to pinpoint as far as possible plaque control.

Restoration of Root – Resected Tooth ,[object Object],[object Object],[object Object]

Applied to: Bonded External Appliances Intra Coronal Appliances Indirect Cast Restorations Indication: To prevent mobility ,[object Object]

Anterior Aesthetic Surgery ,[object Object],[object Object],[object Object],[object Object]

REFERENCE : Clinical periodontology - Michael G.Newman - Henry H. Takei - Ferrmin A. Carranza Clinical periodontology and Implant Dentistry -Jan Lindhe

Effects of restorative procedure on periodontium

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