Periodontal Esthetic Considerations in Fixed Prosthodontics

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  • Atraumatic clinical procedures should be followd, respect the biologic width, precise marginal preparations and provisional restoration.
  • Periodontal Esthetic Considerations in Fixed Prosthodontics

    1. 1. Welcome TO OUR PRESENTATIONYOU ARE LOOKING AT TODAY TOPIS IS WE ARE CURRENTLY HEREGroup 3 Periodontal Considerations in Esthetic Fixed 1 of 10 Prosthodontics
    2. 2. Small INTROImportant information about the Periodontal Esthetics The primary elements of beautifulsmile are aligned teeth, related to eachother and to the surrounding soft tissuethat act as their frames. The esthetic components of thegingiva that contribute to the beauty ofthe smile are: • Gingival health • Interdental embrasures • Zenith points • Gingival level and harmony • Lip line YOU ARE LOOKING AT TODAY TOPIS IS WE ARE CURRENTLY HERE Yousef Al Homaid Periodontal Considerations in Esthetic Fixed Prosthodontics 2 of 10 208017334
    3. 3. Gingival Health How a healthy gingival looks like?Elements of a Healthy Gingiva The surfaceThe Free Gingiva extends from the free gingival The gingiva has a Pale Pink color, firm texturemargin to the gingival groove (keratinized and attached), and stippling (orange-peel appearance).The Attached Gingiva extends from the gingivalgroove to the mucogingival junction The prosthodontic treatment should be postponed until the health of the gingiva isThe Alveolar Mucosa extends apical to the restored, to allow us to designs the prosthesis tomucogingival junction achieve maximum esthetic results. YOU ARE LOOKING AT TODAY TOPIS IS WE ARE CURRENTLY HERE Yousef Al Homaid Periodontal Considerations in Esthetic Fixed Prosthodontics 3 of 10 208017334
    4. 4. Interdental EmbrasureInterdental Papilla Clinical ImportanceInterdental papilla should be thin, form a It may be possible to compensate for the openpyramid shape, ends in a knife edge contour, and embrasures by restorative means.completely fill the interdental embrasure.If the oral hygiene is neglected, periodontaldisease can result in alteration of the gingivalarchitecture or complete loss of papilla. YOU ARE LOOKING AT TODAY TOPIS IS WE ARE CURRENTLY HERE Abdulmajeed Al Junaidi Periodontal Considerations in Esthetic Fixed Prosthodontics 4 of 10 208011340
    5. 5. Zenith PointsDefinition Clinical ImportanceThe most apical point of the gingival outline The Zenith point has special importance whenwhere the gingiva is scalloped most. Usually lies closing diastema: if the Zenith points are notdistal to the center of the tooth, with the moved mesially from the original position, theexception of the lateral incisors in some cases. finished prosthesis may give the perception of being mesially tilted. YOU ARE LOOKING AT TODAY TOPIS IS WE ARE CURRENTLY HERE Ali Al- Khalfan Periodontal Considerations in Esthetic Fixed Prosthodontics 5 of 10 208020313
    6. 6. Gingival Level & HarmonyGingival Level Clinical ImportanceThe gingival contour of the lateral incisor ideally In case of deformity, plastic periodontal surgeryshould lie 0.5 ~ 1 mm coronal to the level of the can be used to optimize the gingival contours.central incisor and canine. The tip of the papilla is Removal of excess gingiva, bone and new rootmost incisally between the two centrals, and coverage procedures can be used to create thegradually assumes a more cervical position beautiful smile.toward the canine. YOU ARE LOOKING AT TODAY TOPIS IS WE ARE CURRENTLY HERE Turki Al Subai’e Periodontal Considerations in Esthetic Fixed Prosthodontics 6 of 10 208017590
    7. 7. Lip LineTooth Visibility Excessive Gingival DisplayIdeally; 75% ~ 100% of upper teeth show when Altered passive eruption can be a cause ofsmiling, and 3 ~ 4 mm when talking. Low lip line excessive gingival display and short clinicalwill cover more of the upper teeth and show crowns which can be corrected with periodontalmore of the lower teeth, giving an elderly osseous surgery. Other treatment modalities canappearance. With high lip line we will have: be implemented to treat excessive gingival display, including orthodontics and orthognathic surgery. YOU ARE LOOKING AT TODAY TOPIS IS WE ARE CURRENTLY HERE Ryan Bukhari Periodontal Considerations in Esthetic Fixed Prosthodontics 7 of 10 208023137
    8. 8. Clinical CasesLost papilla, open embrasures Redistribution of the spaces Final Restoration Excessive gingival display During surgery After treatment YOU ARE LOOKING AT TODAY TOPIS IS WE ARE CURRENTLY HERE Ryan Bukhari Periodontal Considerations in Esthetic Fixed Prosthodontics 8 of 10 208023137
    9. 9. Our References Carrranza’s Clinical Periodontology Gurel, Galip. The Science and art of porcelainlaminate veneers. 2003 Quintessence Publishing. Magne, Pascal. Bonded porcelain restorations inthe anterior dentition: a biomimetric approach.2003 Quintessence Publishing. YOU ARE LOOKING AT TODAY TOPIS IS WE ARE CURRENTLY HERE Group 3 Periodontal Considerations in Esthetic Fixed Prosthodontics 9 of 10 www.totalydarkpowerpointtemplate.com
    10. 10. Show is over YOU MAY NOW RELAX!YOU ARE LOOKING AT TODAY TOPIS IS WE ARE CURRENTLY HEREGroup 3 Periodontal Considerations in Esthetic Fixed Prosthodontics 10 of 10

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