The relationship between periodontal health and the restoration of teeth is intimate and inseparable. Dental restorations and periodontal health are inseparably interrelated. In vitro study during the 4th conseuro 2009 meeting on prevention, restoration and aesthetics, which took place in seville, spain on 1214 march 2009. Of particular importance is the correct assessment of periodontal status in the pro prosthetic treatment stage the and assessment of existing general or local risk factors 7. Mar 11, 2016 retrospective study of combined splinting restorations in the aesthetic zone of periodontal patients. Iatrogenic factors affecting periodontium theapical migration and results in periodontitis and recession. In proximal area restoration by prosthetic means, the volume of the space is dependent on the anatomy of the proximal area of the contact surface of the teeth which change in the physiological or pathological conditions. Class ii composite restorations, there has been a shift from circumferential to. Quality of fixed prosthodontic restorations and periapical. The objective of the present study was to correlate radiographic findings of biologic width invasion with the periodontium status. Patients with known systemic diseases affecting the periodontal status, restorations, supra erupted teeth, marginal ridge discrepancies, open contacts and third molars, as well as smokers, were excluded. Analysis of the characteristics of cracked teeth and. Dental restorations and periodontal health are closely linkedperiodontal health is necessary for proper operation of all restorations.
One of the challenges associated with the use of resin composite restorations is the reconstruction of an intact proximal surface, and particularly, a proper interproximal contact area. Orthodontic elastic bands were proposed as being the source of gingival abscesses that can rapidly lead to bone loss and teeth exfoliation. Proximal restorations and periodontal status jansson. Effects of direct dental restorations on periodontium clinical and. Status periodontal dan kehilangan tulang alveolar pada. Proximal restorations and periodontal status, journal of. Microbial pathogens associated with proximal dental caries in the primary dentition and their association with periodontal disease in children adel s alagl department of preventive dental sciences, college of dentistry, university of dammam, dammam, saudi arabia. Overhanging dental restorations and periodontal disease. In a committee report from the world workshop in periodontics, it was stated that over hanging restorations are local factors which initiate, enhance or supplement periodontal disease. The aim of the study was to find out relation prevalence periodontal status and alveolar bone loss on. Accordingly, they should take appropriate steps to minimize the occurrence of either, and to monitor carefully and where necessary treat inter proximal sites that have or require adjacent. Assess the periodontal status for preparation of a treatment plan 1. Dental caries and restorations in proximal tooth surfaces often impinge upon the periodontal biological health. Periodontal attachment loss associated with proximal tooth.
Novel microscalpels for removing proximal composite resin. The purpose of the present investigation was to evaluate the influence of overhanging marginal restorations on periodontal status and whether any such. Accordingly, dentists should take appropriate steps to minimize the occurrence of either, and to monitor carefully interproximal sites that have adjacent restorations. This study examines whether these factors may contribute to risk for alveolar bone loss. Clinical examination was conducted by an examiner according to the instructions. The influence of restorations on periodontal health. Proximal tooth surface quality and periodontal status. The adaptation of the margins, the contours of the restoration, the proximal relationships and the surface smoothness have a critical biological impact on the gingiva and the supporting periodontal tissues. In the restoration of the proximal surfaces of posterior.
Comprehensive periodontal evaluation contd dental examination including caries assessment, proximal contact relationships, the status of dental restorations and prosthetic appliances, and other tooth or implantrelated problems an occlusal examination that includes, but may not be limited to. An adequate understanding of relationship between periodontal tissues and restorative dentistry is paramount to ensure adequate form, function and esthetics, and comfort of. A healthy periodontal tissue dependent on placing a proper restoration especially proximal restoration whereas to place an overhang restoration could be a risk factor for gingivitis and alveolar bone loss. Overcontour were more common among metal restorations and lack of proximal contact was more frequent among nonmetal restorations. The successful integration of periodontal and restorative dentistry for. The next cause is fixed prosthesis, then artificial crowns and the. The pathophysiology of overhangs is associated with environmental changes and the disruption of the. Interpretation of a satisfactory number of updated, di. Summary the aim of this study was to determine the periodontal status in relation to the quality of the adjacent proximal tooth surface. Effect of restorations on periodontal health semantic scholar. Regarding the effect on periodontal tissue of the overextension of the. Proximal restorations and periodontal status pubmed.
Proximal marginal overhang of composite restorations in. The gingival index gi and probable pocket depth pd were measured in 144 contra. Felton university of north carolina school of dentistry 209h chapel hill, nc 27514 periodontal attachment loss associated with proximal tooth restorations jentai jeremy chen, d. Overhanging interproximal restorations are viewed as contributing factors for gingivitis and periodontal attachment loss by causing gingival inflammation owing to their retentive capacity for bacterial plaque gilmore et al. References 1 giollo md, valle pm, gomes sc, rosing ck. Clinical and radiographic evaluation of the periodontium. We report an adolescent, otherwise, healthy patient whose periodontal status was sound. The restorations studied were silver amalgams and tooth. The study was presented as a poster under the title the influence of matrix type on the proximal contact in class ii resin composite restorations. The association between dental proximal restorations and. The odontoperiodontal status was assessed, assessing the restoration obturation marginal. Retrospective study of combined splinting restorations in the. So without disturbing the epithelial attachment the margins must be placed subgingivally.
In the restoration of the proximal surfaces of posterior teeth, periodontal involvement is most likely to develop when the restoration is undercontoured gingivally has a flat marginal ridge is overcontoured buccolingually has an inadequate contact. The anatomy, position, and relationships of teeth within the dental arches are among the factors that have been associated 1 with plaque retention, gingivitis, and periodontitis. Subgingival margin placement is sometimes required due to different reasons and is often associated with adverse periodontal reactions. The odonto periodontal status was assessed, assessing the restoration obturation marginal. Some dentists, prior to placing a sub gingival finish line, retract the marginal gingiva either by electro surgery or by retraction card. Accordingly, dentists should take appropriate steps to minimize the occurrence of either, and to monitor carefully inter proximal sites that have adjacent restorations. The location and type of the cracked teeth, age and gender of the patients, restoration type, pulp status, ppd, and radiographic findings were analyzed. The aim of this study was to evaluate the longterm association between proximal restorations and the incidence and progression of periodontal disease in wellmaintained patients. Request pdf proximal restorations and periodontal status the purpose of the present investigation was to evaluate the influence of overhanging marginal restorations on periodontal status and. Maintenance of gingival health constitutes one of the keys for tooth and dental restoration longevity. Determination of the degree of mobility of teeth and dental implants. Shortly after undergoing preparations for orthodontic treatment consisting of orthodontic separators, he presented with a periodontal abscess for which there was. Material and methods clinical study patients presented in the odontology clinic between 1 october 2002 and 1 may 2003 were examined.
Luiza ungureanu, albertine leon, cristina nuca, corneliu. Clinical relevance microscalpels and scalpel numbers 12 and 15 can be efficiently used to remove excess composite material in accessible interproximal areas. The investigation was conducted as a retrospective study on a consecutive referral population. The purpose of this study was to determine if a single restoration with subgingival margin on a tooth, in the maxillary anterior zone, would affect its periodontal soft tissue parameters, and whether or not a deep chamfer preparation has a different influence. Materials such as amalgams used in conventional interproximal. The purpose of the present investigation was to evaluate the influence of overhanging marginal restorations on periodontal status and whether any. Microbial pathogens associated with proximal dental caries in. Proximal marginal overhang of composite restorations in relation. The purpose of the present investigation was to evaluate the influence of overhanging marginal restorations on periodontal status and whether any such influence is modified by the patients oral hygiene level and degree of radiographic attachment loss.
Summary the aim was to investigate in vitro the marginal overhang in class ii composite restorations placed with various separation rings and placement techniques. Pdf effect of restorations on periodontal health researchgate. Proximal restorations and periodontal status request pdf. Effect of iatrogenic factors on periodontal health. Radiographic assessment of the quality of dental restorations. Conclusion there is a definite correlation between the effects of restoration on the periodontal health status. Proximal restorations and periodontal status journal of.
In general, dentists should consider interproximal caries and dental restorations to be local risk factors for periodontal attachment loss. Therefore, there is a need to carry out continuing dental education programmes. Orthodontic elastic separatorinduced periodontal abscess. Factors related to the presence, design, fabrication, delivery, and materials of tooth. Periodontal response to two different subgingival restorative.
The influence of matrix type on the proximal contact in class. Periodontal pockets at proximal sites with marginal overhangs were significantly deeper 0. In general, dentists should consider inter proximal caries and dental restorations to be local risk factors for periodontal attachment loss. The biologic width is defined as the coronal dimension to the alveolar bone that is occupied by healthy gingival tissue.
In general, dentists should consider inter proximal caries and dental restorations to be local risk factors for localized periodontal attachment loss. The major cause for periodontal disease as a sequel of restorations is interproximal restorations. Probing pocket depths ppd, bleeding on probing bop, and radiographic status of proximal restorations were retrospectively retrieved from. The aim of the study was to find out relation prevalence periodontal status and alveolar bone loss on proximal restorations. In proximal area restoration by prosthetic means, the volume of the space is dependent. The purpose of the present investigation was to evaluate the influence of overhanging marginal restorations on periodontal status and whether any such influence is modified by the patients oral hygiene level and. Overhanging interproximal restorations are viewed as contributing factors for gingivitis and periodontal attachment loss by. Research shows that the periodontal apparatus of teeth are very sensitive to minor changes to their environment. Nov 28, 2017 the purpose of this study was to analyze the characteristics of cracked teeth and to evaluate pulp status according to periodontal probing depth ppd. The restoration is accurately placed on the tooth, the periodontal damage risk is reduced. Proximal restorations and periodontal status proximal restorations and periodontal status jansson, leif.
The presence of restorations was associated with increased prevalence of periodontal alterations. Periodontal restorative interrelationships pdf the colgate oral care. Improper prosthetic therapy helps defining the occurrence of iatrogenic associated periodontal pathology 5. Even with the option of dental implants, periodontists, restorative dentists, and general dentists alike continue to treat patients natural teeth on a daytoday. Periodontal status and alveolar bone loss on overhanging proximal restorations abstract a healthy periodontal tissue dependent on placing a proper restoration especially proximal restoration whereas to place an overhang restoration could be a risk factor for gingivitis and alveolar bone loss. Table 2 from overhanging dental restorations and periodontal. Classify the disease as gingivitis or periodontitis by determining whether the bone loss has occurred and whether the pockets are gingival or periodontal.
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