The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
권호 표지

The significance of soft tissue for maintenance of prosthesis

보철 건강유지를 위한 연조직의 중요성

  • Kim, Ok-Su (Department of Periodontology, School of Dentistry, Chonnam National University)
  • Received : 2010.08.11
  • Accepted : 2010.09.16
  • Published : 2010.09.01
Download PDF
⟨ Previous Next ⟩

Abstract

All prosthetic and restorative therapies require a healthy periodontium as a prerequisite for success. Understanding of the concepts of periodontal-restrorative interaction, especially with regard to interactions at the gingival margin is important. The aim of this article gives the information about the essential considering factor for successful prosthesis; biologic width, periodontal biotype, width of attached gingiva, margin of restoration. If a restorative margin must be extended below the gingival margin, it is critical that adequate band of attached gingiva is present, the margin does not violate the biologic width, the margin is closed and properly finished.

Keywords

References

  1. Padbury A, Eber R, Wang HL. Interactions between the gingiva and the margin of restorations. J Clin Periodontol 2003;30:379-385. https://doi.org/10.1034/j.1600-051X.2003.01277.x
  2. Savani F , Weisgold AS. Rose LF. Biologic width and its relation to periodontal biotypes. J Esthet Dent 1998;10:157-163. https://doi.org/10.1111/j.1708-8240.1998.tb00351.x
  3. Cohen DW. Biologic width, Lecture. Presentes at Walter Reed Army Medical Center, Washington, DC, June 3,1962.
  4. Gargiulo AW, Wentz FM, Orban B. Dimensions and relations of the dento-gingival junction in humans. J Periodontol 1961;32:261-267. https://doi.org/10.1902/jop.1961.32.3.261
  5. Vacek JS, Gehr ME, Asad DA, Richardson AC, Giambarresi LI. The dimensions of the human dentogingival junction. Int J Perio Rest Dent 1994;14:154-165.
  6. Xie GY, Chen JH, Wang H, Wang YJ. Morphological measurement of biologic width in Chinese people. J Oral Sci. 2007;49:197-200. https://doi.org/10.2334/josnusd.49.197
  7. Novak MJ, Albather HM, Close JM. Redefining the biologic width in severe, generalized, chronic periodontitis: Implications of therapy. J Periodontol 2008;79:1864-1869. https://doi.org/10.1902/jop.2008.080066
  8. Ingber JS, Rose LF, Coslet JG. The "biologic"width- A concept in periodontics and restorative dentistry. Alpha Omegan 1977;70:62-65.
  9. Maynard JG, Wilson RD. Physiologic dimension of the periodontium significants to the restorative dentist. J Periodontol 1979;50:170-174. https://doi.org/10.1902/jop.1979.50.4.170
  10. Nevins M, Skurow HM. The intracrevicular restorative margin, the biologic width, and the maintenance of the gingival margin. Int J Periodont Rest Dent 1984;3:31-49.
  11. Block PL. Restorative margins and periodontal health. A new look at an old perspective. J Prosthet Dent 1987;57:683-689. https://doi.org/10.1016/0022-3913(87)90363-5
  12. Reeves WG. Restorative margin placement and periodontal health. J Prosthet Dent 1991;66:733-736. https://doi.org/10.1016/0022-3913(91)90405-L
  13. Weisgold AS. Contours of the full crown restoration. Alpha Omegan 1977;70:77-89.
  14. Becker W, Ochsenbein C, Tibbets L, Becker B. Alveolar bone anatomic profiles as measured from dry skulls. J Clin Periodontol 1997;24:727-731. https://doi.org/10.1111/j.1600-051X.1997.tb00189.x
  15. Eghbali A, De Rouck T, De Buryn A, Cosyn A. The gingival biotype assessed by experienced and inexperienced clinicians. J Clin Periodontol 2009;36:958- 963. https://doi.org/10.1111/j.1600-051X.2009.01479.x
  16. Park YS, Lee SP, Kim TI. Three dimensional analysis of Korean dentogingival complex. J Korean Acad Periodontol 2008;38:199-206. https://doi.org/10.5051/jkape.2008.38.2.199
  17. Kan JY, Rungcharassaeng K, Umezu K, Kois JC. Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans. J Periodontol 2003;74:557-562. https://doi.org/10.1902/jop.2003.74.4.557
  18. Kao RT, Pasquinelli K. Thick vs. Thin gingival tissue: A key determinant in tissue response to disease and restorative treatment. Can Dent Assoc 2002;30:521-526.
  19. Orisini M, Orisini G, Benlloch D, Arnda JJ, Lazaro P, Sanz M. Esthetic and dimensional evaluation of free connective tissue grafts in prosthetically treated patients: A 1-year clinical study. J Periodontol 2004;75:470-477. https://doi.org/10.1902/jop.2004.75.3.470
  20. Lang NP, Löe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol 1972;43:623-627. https://doi.org/10.1902/jop.1972.43.10.623
  21. Stetler KJ, Bissada NB. Significance of the width of keratinized gingiva on periodontal status of teeth with submarginal restorations. J Periodontol 1987;58:696-700. https://doi.org/10.1902/jop.1987.58.10.696