[Risks and side effects of periodontitis therapy. Focus on restorative possibilities for improving esthetic defects].
The primary goal of the prophylaxis and therapy of periodontitis is the establishment and the preservation of the secondary oral health. Thereby, the main expected outcomes are the reduction of inflammation and probing pocket depths. During the healing process, some tissue shrinkage during the reparative process and healing is inevitable in most cases and leads to more or less pronounced recession. The latter can cause subsequent secondary side effects due to dentin exposure, which appear - in most cases - unwanted and negative, i. e. hypersensitivity, increased caries risk, erosion and abrasion of the exposed dentin. These pathologic conditions may also encounter esthetic and functional impairments. The aim of this article is to elucidate and discuss these potential clinical pitfalls and their minimal-invasive management, especially when using adhesive strategies using composite resin materials.
Klinik für Präventivzahnmedizin, Parodontologie und Kariologie, Zentrum für Zahnmedizin, Universität Zürich, Zürich, Switzerland. patrick.schmidlin@zzm.uzh.ch
Patrick R
PR
Schmidlin
D003807:Dentin Sensitivity / Q000209:etiology*; D004955:Esthetics, Dental; D005889:Gingival Recession / Q000209:etiology*; D006801:Humans; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D010518:Periodontitis / Q000601:surgery / Q000628:therapy*; D012307:Risk Factors; D017213:Root Caries / Q000209:etiology*; D019237:Tooth Cervix / Q000473:pathology; D014077:Tooth Erosion / Q000209:etiology; D014945:Wound Healing / Q000502:physiology