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Periodontal Considerations and Surgical Options

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Extra-Coronal Restorations

Part of the book series: BDJ Clinician’s Guides ((BDJCG))

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Abstract

This chapter will emphasise the need to:

  • Consider viable methods of aesthetically managing the gingivae, including gingival veneers, and obtain informed consent to avoid unrealistic patient expectations

  • Avoid gingival recession in patients with a thin biotype by respecting and not traumatising the gingival tissues or extending a margin too far subgingivally

  • Place subgingival margins well above the epithelial attachment to avoid invading the biologic width. If possible, use a supragingival or equigingival margin where aesthetics or retention is not critical

  • Consider using crown lengthening to improve aesthetics or crown retention, but be aware of the factors which determine the type of procedure, and unless confident of a satisfactory outcome, refer for specialist opinion/treatment

  • Be aware of surgical procedures to treat recession or to augment the width of keratinised gingiva. Both are best undertaken in a specialist setting

  • Manage risk of periodontal damage at every stage of providing extra-coronal restorations and ensure patients understand the need for supportive periodontal care provided at an appropriate recall interval.

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Author information

Authors and Affiliations

  1. Edinburgh Dental Institute, Edinburgh, UK

    Louise O’Dowd & Angus Walls

  2. School of Dentistry, Cardiff University, Cardiff, UK

    Arindam Dutta

  3. Department of Restorative Dentistry, Newcastle University School of Dental Sciences, Newcastle upon Tyne, UK

    Robert Wassell

Authors
  1. Louise O’Dowd
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  2. Arindam Dutta
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  3. Angus Walls
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  4. Robert Wassell
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Corresponding author

Correspondence to Louise O’Dowd .

Editor information

Editors and Affiliations

  1. Department of Restorative Dentistry, Newcastle University School of Dental Sciences, Newcastle upon Tyne, United Kingdom

    Robert Wassell

  2. Department of Restorative Dentistry, Newcastle University School of Dental Sciences, Newcastle upon Tyne, United Kingdom

    Francis Nohl

  3. Newcastle University School of Dental Sciences, Newcastle upon Tyne, United Kingdom

    Jimmy Steele

  4. Edinburgh Dental Institute, Edinburgh, United Kingdom

    Angus Walls

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O’Dowd, L., Dutta, A., Walls, A., Wassell, R. (2019). Periodontal Considerations and Surgical Options. 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_10

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  • DOI: https://doi.org/10.1007/978-3-319-79093-0_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-79092-3

  • Online ISBN: 978-3-319-79093-0

  • eBook Packages: MedicineMedicine (R0)

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