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Virtual Design Considerations for Fixed Dental Prosthesis Including Axial Contour and Proximal Contact to Maintain Periodontal Health and Physiologic Function: A Narrative Review

  • Jun-Ho Cho (Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University) ;
  • Se-Hyoun Kim (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Jae-Bok Lee (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Hyung-In Yoon (Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University)
  • Received : 2023.06.20
  • Accepted : 2023.07.19
  • Published : 2023.12.30

Abstract

The axial contour and proximal contact of the prosthesis affect periodontal health, food impaction, and patient satisfaction. This narrative review provides a summary of articles regarding the axial contour and proximal contact of a fixed dental prosthesis on periodontal health and physiologic function. By acquiring a comprehensive understanding of the axial contour and proximal contact of teeth and prostheses, as well as their functional significance, the virtual design of fixed dental prosthesis can be optimized to maintain periodontal health and promote physiologic function effectively.

Keywords

Acknowledgement

This research was supported by Creative-Pioneering Researchers Program through Seoul National University (SNU).

References

  1. Tjan AH, Freed H, Miller GD. Current controversies in axial contour design. J Prosthet Dent. 1980; 44: 536-40. https://doi.org/10.1016/0022-3913(80)90074-8
  2. Burch JG. Periodontal considerations in operative dentistry. J Prosthet Dent. 1975; 34: 156-63. https://doi.org/10.1016/0022-3913(75)90008-6
  3. Perel ML. Periodontal considerations of crown contours. J Prosthet Dent. 1971; 26: 627-30. https://doi.org/10.1016/0022-3913(71)90087-4
  4. Wheeler RC. Complete crown form and the periodontium. J Prosthet Dent. 1961; 11: 722-34. https://doi.org/10.1016/0022-3913(61)90181-0
  5. Herlands RE, Lucca JJ, Morris ML. Forms, contours, and extensions of full coverage in occlusal reconstruction. Dent Clin North Am. 1962; 6: 147-62.
  6. Yuodelis RA, Weaver JD, Sapkos S. Facial and lingual contours of artificial complete crown restorations and their effects on the periodontium. J Prosthet Dent. 1973; 29: 61-6. https://doi.org/10.1016/0022-3913(73)90140-6
  7. Morris ML. Artificial crown contours and gingival health. J Prosthet Dent. 1962; 12: 1146-56. https://doi.org/10.1016/0022-3913(62)90168-3
  8. Perel ML. Axial crown contours. J Prosthet Dent. 1971; 25: 642-9. https://doi.org/10.1016/0022-3913(71)90127-2
  9. Eissmann HF, Radke RA, Noble WH. Physiologic design criteria for fixed dental restorations. Dent Clin North Am. 1971; 15: 543-68. https://doi.org/10.1016/S0011-8532(22)01473-2
  10. Parkinson CF. Excessive crown contours facilitate endemic plaque niches. J Prosthet Dent. 1976; 35: 424-9. https://doi.org/10.1016/0022-3913(76)90010-X
  11. Padbury A Jr, Eber R, Wang HL. Interactions between the gingiva and the margin of restorations. J Clin Periodontol. 2003; 30: 379-85. https://doi.org/10.1034/j.1600-051X.2003.01277.x
  12. Burch JG. Ten rules for developing crown contours in restorations. Dent Clin North Am. 1971; 15: 611-8. https://doi.org/10.1016/S0011-8532(22)01478-1
  13. Koidis PT, Burch JG, Melfi RC. Clinical crown contours: contemporary view. J Am Dent Assoc. 1987; 114: 792-5. https://doi.org/10.14219/jada.archive.1987.0189
  14. Goldberg PV, Higginbottom FL, Wilson TG. Periodontal considerations in restorative and implant therapy. Periodontol 2000. 2001; 25: 100-9. https://doi.org/10.1034/j.1600-0757.2001.22250108.x
  15. Knoernschild KL, Campbell SD. Periodontal tissue responses after insertion of artificial crowns and fixed partial dentures. J Prosthet Dent. 2000; 84: 492-8. https://doi.org/10.1067/mpr.2000.110262
  16. Becker CM, Kaldahl WB. Current theories of crown contour, margin placement, and pontic design. J Prosthet Dent. 1981; 45: 268-77. https://doi.org/10.1016/0022-3913(81)90387-5
  17. Morris ML. The position of the margin of the gingiva. Oral Surg Oral Med Oral Pathol. 1958; 11: 969-84. https://doi.org/10.1016/0030-4220(58)90137-3
  18. Chaves ES, Lovell JS, Tahmasebi S. Implant-supported crown design and the risk for peri-implantitis. Clin Adv Periodontics. 2014; 4: 118-26. https://doi.org/10.1902/cap.2013.120117
  19. Katafuchi M, Weinstein BF, Leroux BG, Chen YW, Daubert DM. Restoration contour is a risk indicator for peri-implantitis: a cross-sectional radiographic analysis. J Clin Periodontol. 2018; 45: 225-32. https://doi.org/10.1111/jcpe.12829
  20. Serino G, Hultin K. Periimplant disease and prosthetic risk indicators: a literature review. Implant Dent. 2019; 28: 125-37. https://doi.org/10.1097/ID.0000000000000841
  21. Linkow LI. Contact areas in natural dentitions and fixed prosthodontics. J Prosthet Dent. 1962; 12: 132-7. https://doi.org/10.1016/0022-3913(62)90020-3
  22. Jung JH, Oh SC, Dong JK. A clinical study on the occurrence of food impaction. J Korean Acad Prosthodont. 2000; 38: 50-8.
  23. Chanthasan S, Mattheos N, Pisarnturakit PP, Pimkhaokham A, Subbalekha K. Influence of interproximal peri-implant tissue and prosthesis contours on food impaction, tissue health and patients' quality of life. Clin Oral Implants Res. 2022; 33: 768-81. https://doi.org/10.1111/clr.13958
  24. Newell DH, John V, Kim SJ. A technique of occlusal adjustment for food impaction in the presence of tight proximal contacts. Oper Dent. 2002; 27: 95-100.
  25. Lu Q, Wang L. The reduction of vertical food impact using adjacent surface retaining zirconium crowns preparation technique: a 1-year follow-up prospective clinical study. Ann Transl Med. 2020; 8: 1019.
  26. Du H, Gao M, Qi C, Liu S, Lin Y. Drug-induced gingival hyperplasia and scaffolds: they may be valuable for horizontal food impaction. Med Hypotheses. 2010; 74: 984-5. https://doi.org/10.1016/j.mehy.2010.01.013
  27. Cheng Y, Wang Z, Shi Y, Guo Q, Li Q, Chai R, Wu F. Research on the characteristics of food impaction with tight proximal contacts based on deep learning. Comput Math Methods Med. 2021; 2021: 1000820.
  28. Jeong JS, Chang M. Food impaction and periodontal/peri-implant tissue conditions in relation to the embrasure dimensions between implant-supported fixed dental prostheses and adjacent teeth: a cross-sectional study. J Periodontol. 2015; 86: 1314-20. https://doi.org/10.1902/jop.2015.150322
  29. Yen JY, Kang L, Chou IC, Lai YL, Lee SY. Risk assessment of interproximal contact loss between implant-supported fixed prostheses and adjacent teeth: a retrospective radiographic study. J Prosthet Dent. 2022; 127: 86-92. https://doi.org/10.1016/j.prosdent.2020.06.023
  30. Li QL, Ying Cao C, Xu QJ, Xu XH, Yin JL. Atraumatic restoration of vertical food impaction with an open contact using flowable composite resin aided by cerclage wire under tension. Scientifica (Cairo). 2016; 2016: 4127472.
  31. Dorfer CE, von Bethlenfalvy ER, Staehle HJ, Pioch T. Factors influencing proximal dental contact strengths. Eur J Oral Sci. 2000; 108: 368-77. https://doi.org/10.1034/j.1600-0722.2000.108005368.x
  32. Oh SH, Nakano M, Bando E, Keisuke N, Shigemoto S, Jeong JH, Kang DW. Relationship between occlusal tooth contact patterns and tightness of proximal tooth contact. J Oral Rehabil. 2006; 33: 749-53. https://doi.org/10.1111/j.1365-2842.2006.01635.x
  33. Chopra A, Sivaraman K, Narayan AI, Balakrishnan D. Etiology and classification of food impaction around implants and implant-retained prosthesis. Clin Implant Dent Relat Res. 2019; 21: 391-7. https://doi.org/10.1111/cid.12716
  34. Odman J, Grondahl K, Lekholm U, Thilander B. The effect of osseointegrated implants on the dentoalveolar development. A clinical and radiographic study in growing pigs. Eur J Orthod. 1991; 13: 279-86. https://doi.org/10.1093/ejo/13.4.279
  35. Manicone PF, De Angelis P, Rella E, Papetti L, D'Addona A. Proximal contact loss in implant-supported restorations: a systematic review and meta-analysis of prevalence. J Prosthodont. 2022; 31: 201-9. https://doi.org/10.1111/jopr.13407
  36. Southard TE, Behrents RG, Tolley EA. The anterior component of occlusal force. Part 2. Relationship with dental malalignment. Am J Orthod Dentofacial Orthop. 1990; 97: 41-4. https://doi.org/10.1016/S0889-5406(05)81707-X
  37. Oesterle LJ, Cronin RJ Jr. Adult growth, aging, and the single-tooth implant. Int J Oral Maxillofac Implants. 2000; 15: 252-60.
  38. Varthis S, Randi A, Tarnow DP. Prevalence of interproximal open contacts between single-implant restorations and adjacent teeth. Int J Oral Maxillofac Implants. 2016; 31: 1089-92. https://doi.org/10.11607/jomi.4432
  39. Shi JY, Zhu Y, Gu YX, Lai HC. Proximal contact alterations between implant-supported restorations and adjacent natural teeth in the posterior region: a 1-year preliminary study. Int J Oral Maxillofac Implants. 2019; 34: 165-8. https://doi.org/10.11607/jomi.6870
  40. Koori H, Morimoto K, Tsukiyama Y, Koyano K. Statistical analysis of the diachronic loss of interproximal contact between fixed implant prostheses and adjacent teeth. Int J Prosthodont. 2010; 23: 535-40.
  41. Liang CH, Nien CY, Chen YL, Hsu KW. The prevalence and associated factors of proximal contact loss between implant restoration and adjacent tooth after function: a retrospective study. Clin Implant Dent Relat Res. 2020; 22: 351-8. https://doi.org/10.1111/cid.12918
  42. Jeffcoat MK, Howell TH. Alveolar bone destruction due to overhanging amalgam in periodontal disease. J Periodontol. 1980; 51: 599-602. https://doi.org/10.1902/jop.1980.51.10.599
  43. Choquet V, Hermans M, Adriaenssens P, Daelemans P, Tarnow DP, Malevez C. Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. A retrospective study in the maxillary anterior region. J Periodontol. 2001; 72: 1364-71. https://doi.org/10.1902/jop.2001.72.10.1364
  44. Chang LC. The association between embrasure morphology and central papilla recession. J Clin Periodontol. 2007; 34: 432-6. https://doi.org/10.1111/j.1600-051X.2007.01072.x
  45. Gastaldo JF, Cury PR, Sendyk WR. Effect of the vertical and horizontal distances between adjacent implants and between a tooth and an implant on the incidence of interproximal papilla. J Periodontol. 2004; 75: 1242-6. https://doi.org/10.1902/jop.2004.75.9.1242
  46. Tarnow D, Elian N, Fletcher P, Froum S, Magner A, Cho SC, Salama M, Salama H, Garber DA. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol. 2003; 74: 1785-8. https://doi.org/10.1902/jop.2003.74.12.1785
  47. Cosyn J, Raes M, Packet M, Cleymaet R, De Bruyn H. Disparity in embrasure fill and papilla height between tooth- and implant-borne fixed restorations in the anterior maxilla: a cross-sectional study. J Clin Periodontol. 2013; 40: 728-33. https://doi.org/10.1111/jcpe.12116
  48. Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol. 1992; 63: 995-6. https://doi.org/10.1902/jop.1992.63.12.995
  49. Salama H, Salama MA, Garber D, Adar P. The interproximal height of bone: a guidepost to predictable aesthetic strategies and soft tissue contours in anterior tooth replacement. Pract Periodontics Aesthet Dent. 1998; 10: 1131-41; quiz 1142.
  50. Chang M, Wennstrom JL. Peri-implant soft tissue and bone crest alterations at fixed dental prostheses: a 3-year prospective study. Clin Oral Implants Res. 2010; 21: 527-34. https://doi.org/10.1111/j.1600-0501.2009.01874.x