Biomaterial Database

Periodontal considerations in prosthodontic treatment. 1993

M Nevins

The Institute for Advanced Dental Studies, Swampscott, Massachusetts.

This paper reviews the relationship of periodontics to restorative dentistry. Specific emphasis is placed on the relationship of the restorative margin to the periodontium and the frequent need to alter the placement of the gingival margin so that the restoration will be constructed on sound tooth structure. The prognosis of the sectioned multirooted tooth and other alternatives of treating a shortened dental arch are considered. However, all treatment modalities conclude that a compliant patient and a strong periodontal maintenance program are integral to success, which, with a coordinated effort by the periodontist and the restorative dentist, best assures a successful long-term dental treatment.

UI	MeSH Term	Description	Entries
D010516	Periodontal Splints	Fixed or removable devices that join teeth together. They are used to repair teeth that are mobile as a result of PERIODONTITIS.	Splints, Periodontal,Periodontal Splint,Splint, Periodontal
D010519	Periodontium	The structures surrounding and supporting the tooth. Periodontium includes the gum (GINGIVA), the alveolar bone (ALVEOLAR PROCESS), the DENTAL CEMENTUM, and the PERIODONTAL LIGAMENT.	Paradentium,Parodontium,Tooth Supporting Structures,Paradentiums,Parodontiums,Periodontiums,Structure, Tooth Supporting,Structures, Tooth Supporting,Supporting Structure, Tooth,Supporting Structures, Tooth,Tooth Supporting Structure
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013516	Oral Surgical Procedures, Preprosthetic	Surgery necessary for a denture to rest on a firm base, free from marked osseous protuberances or undercuts, and devoid of interfering muscle attachments, excess mucoperiosteum, hyperplasias, and fibrous or papillary growths.	Preprosthetic Oral Surgical Procedures,Oral Surgical Procedure, Preprosthetic,Preprosthetic Oral Surgical Procedure,Surgical Procedure, Oral, Preprosthetic,Surgical Procedures, Oral, Preprosthetic
D014092	Tooth Root	The part of a tooth from the neck to the apex, embedded in the alveolar process and covered with cementum. A root may be single or divided into several branches, usually identified by their relative position, e.g., lingual root or buccal root. Single-rooted teeth include mandibular first and second premolars and the maxillary second premolar teeth. The maxillary first premolar has two roots in most cases. Maxillary molars have three roots. (Jablonski, Dictionary of Dentistry, 1992, p690)	Root, Tooth,Roots, Tooth,Tooth Roots
D016556	Crown Lengthening	Technique combining controlled eruptive TOOTH MOVEMENT TECHNIQUES and incision of the supracrestal gingival attachment to allow for proper restoration of a destroyed or damaged crown of a tooth. Controlled eruption of the tooth is obtained using ORTHODONTIC APPLIANCES. During this eruptive phase, repeated incisions are made at the junctional epithelium of the sulcus and the supracrestal connective tissue to prevent coronal displacement of the gingiva and of the attachment apparatus.	Lengthening, Crown
D016557	Guided Tissue Regeneration, Periodontal	Techniques for enhancing and directing cell growth to repopulate specific parts of the PERIODONTIUM that have been damaged by PERIODONTAL DISEASES; TOOTH DISEASES; or TRAUMA, or to correct TOOTH ABNORMALITIES. Repopulation and repair is achieved by guiding the progenitor cells to reproduce in the desired location by blocking contact with surrounding tissue by use of membranes composed of synthetic or natural material that may include growth inducing factors as well.	Guided Periodontal Tissue Regeneration,Periodontal Guided Tissue Regeneration,Regeneration, Periodontal Guided Tissue