REVIEW PAPER
Influence of permanent restorations and associated treatment techniques on marginal periodontal tissues
More details
Hide details
1
Poradnia Protetyki Stomatologicznej, Uniwersytecka Klinika Stomatologiczna w Krakowie
Submission date: 2021-09-22
Final revision date: 2021-11-09
Acceptance date: 2021-12-14
Publication date: 2021-12-15
Corresponding author
Rafał Pawlak
Poradnia Protetyki Stomatologicznej, Uniwersytecka Klinika Stomatologiczna w Krakowie
Prosthodontics 2021;71(4):386-391
KEYWORDS
TOPICS
ABSTRACT
The aim of the study is to present the influence of clinical activities in the production of
prosthetic crowns on the condition of marginal periodontium. Positive and negative effects of
crowns on the adjacent soft tissues and the alveolar bone have been presented. The article describes
the anatomy of the marginal periodontium and its division according to the ratio of the crest
to the dentogingival complex (DGK). The main focus was on the technical aspects of subgingival
preparation which, if performed incorrectly, carries the risk of many complications, such
as acute and chronic marginal gingivitis, recessions, periodontal pocket. Due to the high
risk of iatrogenic damage to the biological width (BW) during preparation, appropriate
procedures should be followed at every clinical and laboratory stage. It has been shown that by
shaping the step during grinding, better depth control and better visibility of the preparation
margin are achieved. The article draws attention to a very important aspect, which is a thorough
analysis of the structure made at the laboratory stage. The analysis should include: assessment of
the contour of the prosthetic crown, smoothness of the cervical surface, adhesion of the crown to
the tooth stump, adaptation of the crown edges to the tooth grade, shape of the contacting walls of
the crown, and their adherence to adjacent teeth.