Dental & Oral Health

The interrelationship of restorative dentistry and periodontics is dynamic. Using these basic guidelines, restorative care can be used to directly aid periodontal treatment by restoring an esthetically pleasing, comfortable and stable dentition. The clinician strives to create a beautiful smile paying attention not only to the glimmering white teeth, but also to the health of the surrounding tissues. A sound periodontium provides a firm foundation for an esthetic and functional prosthesis. Conversely, when restorations are designed to be self-cleansing and promote gingival health, the tissues present a harmonious esthetic blend at the restorative-gingival interface. This involves incorporating a comprehensive treatment plan, paying close attention to both soft and hard tissues around teeth and implants before, during and after restorative procedure. Key aspects of the restoration design that have a direct effect on the periodontium include restoration contour, margin adaptation, margin placement, prosthetic and restorative materials, design of fixed partial dentures, restorative procedures and occlusal function. Special emphasis is paid to the consequences of violation of biologic width that leads to inflammation, possible recession and unsightly exposure of crown margin. Periodontal considerations include control of periodontal inflammation, correction of the gingival architecture, and periodontal maintenance. This literature review was addressing the interactions between periodontal tissues and restorative procedures.