ABSTRACT
The restoration of anterior spaces with a loss of interdental tissue has been reviewed. A surgical technique combining a subepithelial connective tissue autograft and a free gingival graft has been described. This preprosthodontic surgical approach is recommended as the treatment of choice. When surgery is contraindicated, the use of a cantilevered porcelain papilla is suggested.
Subject(s)
Denture, Partial, Fixed , Gingiva/pathology , Dental Porcelain , Denture Design , Gingiva/transplantation , Gingival Diseases/therapy , Gingivoplasty/methods , Humans , Oral Surgical Procedures, Preprosthetic/methodsABSTRACT
The treatment of teeth with subalveolar injury or pathology by vertical orthodontic extrusion technique and fixed prosthodontic restoration has been examined. A prosthodontic technique using a permanently positioned post and core for orthodontic anchorage has been described. This single-dowel technique precludes hazardous repetitive intracanal instrumentation and facilitates esthetic management throughout treatment. Further clinical research is necessary to explore directional force vectors and the treatment of difficult extrusion cases due to occlusal interferences.