RESUMO
Dentists frequently balance periodontal, restorative, and esthetic concerns that will provide adequate tooth length, ensure periodontal health, and provide biological predictability. This report discusses the current and classical literature and provides a multidisciplinary approach of predictably "accessing" the restoration margins to facilitate long-term gingival health and tooth survival.
Assuntos
Restauração Dentária Permanente/efeitos adversos , Inserção Epitelial/lesões , Perda da Inserção Periodontal/etiologia , Perda da Inserção Periodontal/prevenção & controle , Aumento da Coroa Clínica , Inserção Epitelial/microbiologia , Gengivectomia , Humanos , Retalhos Cirúrgicos , Técnicas de Movimentação DentáriaRESUMO
Obtaining a correct working length is critical to the success of endodontic therapy. Failure to identify this crucial measurement can result in untoward treatment outcomes, which may include increased patient discomfort, possible infection or cyst development, and extrusion or intra-canal medication into the periradicular tissue. This article reviews the classical and current terminology, philosophies, and techniques that are used at present to determine endodontic working length accurately, and describes their clinical application. Recent clinical advances such as the electronic apex locator, direct digital radiography, and the surgical operating microscope also are discussed.
Assuntos
Cavidade Pulpar/anatomia & histologia , Tratamento do Canal Radicular/instrumentação , Raiz Dentária/anatomia & histologia , Adulto , Humanos , Masculino , Microscopia/instrumentação , Odontometria/instrumentação , Radiografia Dentária Digital , Raiz Dentária/diagnóstico por imagemRESUMO
This review of the evolution of the resin-bonded fixed partial denture (RBFPD) design, from the original "prepless" restoration to the present prosthesis, requiring careful treatment planning and technical skill, also discusses the materials used to enhance the longevity of this restoration. That, in turn, increases the patient's confidence in both the dentist and the prosthesis itself.
Assuntos
Prótese Adesiva , Falha de Restauração Dentária , Humanos , Cimentos de Resina , Preparo Prostodôntico do DenteRESUMO
This chronological review of the major biological events that occur secondary to injury of mucoperiosteal tissue from either simple surgical wounding or trauma discusses the materials used to repair the compromised tissue surgically. Suturing techniques and post-surgical wound maintenance also are reviewed. The physiological stages of wound healing, factors affecting wound healing, and wound repair techniques are discussed.
