Abstract
This chapter will emphasise the need to:
-
Ensure the gingivae are healthy and have had time to stabilise following periodontal treatment or surgery
-
Discuss with patients the possibility that subgingival margins may eventually become visible
-
Be aware of the medicaments and techniques used for gingival retraction in conjunction with gingival retraction cords and gingival retraction pastes
-
Use a gentle technique for retraction cord placement to avoid gingival recession
-
Consider using electrosurgery or laser surgery to help with more difficult cases
-
Delay retaking impressions for at least 3Â weeks where gingival bleeding is an issue.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alhouri N, McCord JF, Smith PW. The quality of dental casts used in crown and bridgework. Br Dent J. 2004;197(5):261–4.
Winstanley RB, Carrotte PV, Johnson A. The quality of impressions for crowns and bridges received at commercial dental laboratories. Br Dent J. 1997;183(6):209–13.
Bennani V, Schwass D, Chandler N. Gingival retraction techniques for implants versus teeth: current status. J Am Dent Assoc. 2008;139(10):1354–63.
Ahmed SN, Donovan TE. Gingival displacement: survey results of dentists’ practice procedures. J Prosthet Dent. 2015;114(1):81–5.
Livaditis GJ. The matrix impression system for fixed prosthodontics. J Prosthet Dent. 1998;79(2):208–16.
Tabassum S, Adnan S, Khan FR. Gingival retraction methods: a systematic review. J Prosthodont. 2016;26(8):637–43.
Cloyd S, Puri S. Using the double-cord packing technique of tissue retraction for making crown impressions. Dent Today. 1999;18(1):54–9.
Baharav H, Kupershmidt M, Laufer BZ, Cardash HS. The effect of sulcular width on the linear accuracy of impression materials in the presence of an undercut. Int J Prosthodont. 2004;17(5):585–9.
Stuffken M, Vahidi F. Preimpression troughing with the diode laser: a preliminary study. J Prosthet Dent. 2016;115(4):441–6.
Huang C, Somar M, Li K, Mohadeb JV. Efficiency of cordless versus cord techniques of gingival retraction: a systematic review. J Prosthodont. 2015;26(3):177–85.
Shillingburg HT, Sather DA. Fluid control and soft tissue management. In: Fundamentals of fixed prosthodontics. 4th ed. Hanover Park: Quintessence Publishing; 2012. p. 269–90.
Pelzner RB, Kempler D, Stark MM, Lum LB, Nicholson RJ, Soelberg KB. Human blood pressure and pulse rate response to racemic epinephrine retraction cord. J Prosthet Dent. 1978;39(3):287–92.
Weir DJ, Williams BH. Clinical effectiveness of mechanical-chemical tissue displacement methods. J Prosthet Dent. 1984;51(3):326–9.
Bowles WH, Tardy SJ, Vahadi A. Evaluation of new gingival retraction agents. J Dent Res. 1991;70(11):1447–9.
de Gennaro GG, Landesman HM, Calhoun JE, Martinoff JT. A comparison of gingival inflammation related to retraction cords. J Prosthet Dent. 1982;47(4):384–6.
Donovan TE, Gandara BK, Nemetz H. Review and survey of medicaments used with gingival retraction cords. J Prosthet Dent. 1985;53(4):525–31.
Shaw DH, Krejci RF, Cohen DM. Retraction cords with aluminum chloride: effect on the gingiva. Oper Dent. 1980;5(4):138–41.
Chandra S, Singh A, Gupta KK, Chandra C, Arora V. Effect of gingival displacement cord and cordless systems on the closure, displacement, and inflammation of the gingival crevice. J Prosthet Dent. 2016;115(2):177–82.
Al Hamad KQ, Azar WZ, Alwaeli HA, Said KN. A clinical study on the effects of cordless and conventional retraction techniques on the gingival and periodontal health. J Clin Periodontol. 2008;35(12):1053–8.
Riordan AT, Gamache C, Fosko SW. Electrosurgery and cardiac devices. J Am Acad Dermatol. 1997;37(2 Pt 1):250–5.
Krishna Ch V, Gupta N, Reddy KM, Sekhar NC, Aditya V, Reddy GV. Laser gingival retraction: a quantitative assessment. J Clin Diagn Res. 2013;7(8):1787–8.
Ingraham R, Sochat P, Hansing FJ. Rotary gingival curettage–a technique for tooth preparation and management of the gingival sulcus for impression taking. Int J Periodontics Restorative Dent. 1981;1(4):8–33.
Brady WF. Periodontal and restorative considerations in rotary gingival curettage. J Am Dent Assoc. 1982;105(2):231–6.
Kamansky FW, Tempel TR, Post AC. Gingival tissue response to rotary curettage. J Prosthet Dent. 1984;52(3):380–3.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Trainor, J., Keeling, A., Wassell, R. (2019). Gingival Management and Retraction. In: Wassell, R., Nohl, F., Steele, J., Walls, A. (eds) Extra-Coronal Restorations. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-319-79093-0_21
Download citation
DOI: https://doi.org/10.1007/978-3-319-79093-0_21
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-79092-3
Online ISBN: 978-3-319-79093-0
eBook Packages: MedicineMedicine (R0)