TITLE

THE INFLUENCE OF THE MARGINAL ADAPTATION OF THE PROSTHETIC CROWN ON THE GINGIVAL TISSUE - CASE REPORT

AUTHOR(S)
Sӑndulescu, M.
PUB. DATE
September 2009
SOURCE
Therapeutics, Pharmacology & Clinical Toxicology;2009, Vol. 13 Issue 3, p335
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
Soft tissue management has a major influence on the esthetic result of a restorative dentistry treatment. The esthetic zone not only plays a significant role in the physical appearance of a person, but it also has a subtle but definite influence on the psychology of th at person. The clinical exam of a 22 year-old female revealed a chronic gingivitis around the central right incisor (tooth 1.1). Moreover, the probing depth s around 1.1 were increased, and were accompanied by severe bleeding. As such, the patient was dealing with a displeasing appearance of her smile which determined her to deprive herself of the social communication instrument th at laughter is. We proceeded to removal of the crown and contoured a shoulder preparation of the tooth. We gave the periodontium time to heal (10 days), as well as time for the swelling to go down. The final impression was taken only after the gingival architecture was considered to be stable (another 14 days). During the whole treatment, the patient wore a provisional crown which played a significant role in the healing process of the gingival tissue. The final restoration consisted of a full ceramic crown (with ideal marginal adaptation), which provided a superior translucency and, as such, a more natural appearance of the tooth . This restorative dentistry case emphasizes the importance of marginal adaptation of a prosthetic crown for preserving the health of the marginal periodontium of the tooth, as well as the esthetic aspect.
ACCESSION #
50339704

 

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