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Article: Volume 41 Number 7 Page 638 - September 2014

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  Dent Update 2014; 41: 638-652

Restorative dentistry:  Restorative Aspects of Periodontal Disease: An Update Part 2

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Abstract: Along with the biologic considerations regarding crown placement, restorative margin location and implications for soft tissue stability, as explained in the first part of this two part series, there are various restorative dentistry procedures and restorations which, if neglected, may aggravate periodontal disease. This second article describes the surgical techniques for correction of biologic width, correction of interproximal embrasure form, crown preparation and pontic design, and thereafter covers the restorative aspects that may damage the periodontal tissues. Some of the special cases, like splinting, restoration of root resected or bicuspidized tooth, root caries or external resorption cases leading to periodontal tissue damage have also been explained.

Clinical relevance: Knowledge of the maintenance of the periodontium and how it can be affected by restorative procedures is important for both the clinician and the patient in order to preserve the aesthetics and health of the dentition as a whole.

Author notes: Nikhil Puri, MDS, Senior Lecturer, Department of Conservative Dentistry and Endodontics, Komal Puri, MDS, Senior Lecturer, Department of Periodontics, Institute of Dental Studies and Technologies, Modinagar, Ghaziabad, Uttar Pradesh, India, Sujata Surendra Masamatti, MDS, Reader and Vidya Dodwad, MDS, Professor and Head, Department of Periodontics, ITS Dental College, Murad Nagar, Ghaziabad, Uttar Pradesh, India.

Objective: To understand the importance and various techniques available for the maintenance of biologic width.