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The aesthetic prosthodontic management of periodontally involved teeth

From Volume 45, Issue 9, October 2018 | Pages 828-840

Authors

Dominic P Laverty

ACF/StR in Restorative Dentistry, Birmingham Dental Hospital

Articles by Dominic P Laverty

David Green

BDS (Hons) BSc (Hons) MSc (Res) MFDS RCS (Ed) MRD (Prostho) RCS (Eng) FDS (Rest)

StR in Restorative Dentistry, Birmingham Dental Hospital, London, UK

Articles by David Green

JJ Jansen Van Rensburg

BChD, (PRET)

General Dental Practitioner, Jade Dental Practice, Ashford, Kent, UK

Articles by JJ Jansen Van Rensburg

Abstract

There are a number of aesthetic issues that may occur as a result of periodontal disease and/or its management and it is a common motivation for patients to seek treatment, particularly when it affects the anterior teeth due to their prominence within the dentition. Clinicians and patients are becoming increasingly aware of the importance of the periodontal/muco-gingival tissues to provide an aesthetic smile and, as a result, this has led to the development of both surgical and prosthodontic techniques to improve or maintain the dental aesthetics. The aim of this article is to provide an overview of the prosthodontic solutions available to improve the aesthetics of retained periodontally involved teeth.

CPD/Clinical Relevance: To present an overview of the prosthodontic solutions available to improve the aesthetics of retained periodontally involved teeth.

Article

A number of aesthetic issues may occur as a result of periodontal disease and/or its management and these are a common motivation for patients to seek treatment,1 particularly when the anterior teeth are affected due to their prominence within the dentition.

Patients are becoming more aesthetically aware and are now seeking dental care not just to attain or maintain oral health but also for aesthetic reasons. It has been shown that an aesthetic smile improves patients' self-confidence and ability to interact in society and those that don't have what society perceives as a ‘normal smile’ may lead to a lack of confidence or self-esteem.2 Clinicians and patients are becoming increasingly aware of the importance of the periodontal/muco-gingival tissues to provide an aesthetic smile; a result of which has led to the development of both surgical and prosthodontic techniques to improve or maintain the dental aesthetics.3

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