Combining perio-restorative protocols to maximize function.
This article describes a team approach for periodontal and restorative treatment intended to produce a predictable, biologically sound outcome that preserves more supporting bone and restores carious and broken down teeth. The goal of periodontal treatment, when performed in conjunction with restorative dentistry, is to provide restorative dentists with a high percentage of tooth structure that allows for a supragingival margin. An equally important goal is to ensure that an adequate thickness of connective tissue exists to create an environment more resistant to trauma and inflammation. The team approach consists of a restorative phase and a surgical phase. The restorative phase involves preparation with complete caries removal, adhesive core buildups, and provisionalization. The surgical phase involves biologic shaping of the roots and judicious osseous resection. Case studies are used to demonstrate the team approach.
Pikos Implant Institute, Pam Harbor Institute, Palm Harbor, Florida, USA.
Lloyd M
LM
Tucker
Daniel J
DJ
Melker
Howard M
HM
Chasolen
D000541:Alveolectomy / Q000379:methods; D003238:Connective Tissue / Q000637:transplantation; D016556:Crown Lengthening / Q000379:methods; D003731:Dental Caries / Q000628:therapy*; D017267:Dental Prosthesis Design; D003793:Dental Restoration, Permanent / Q000379:methods; D003794:Dental Restoration, Temporary / Q000379:methods; D017823:Furcation Defects / Q000601:surgery; D005881:Gingiva / Q000473:pathology / Q000637:transplantation; D006801:Humans; D010347:Patient Care Planning; D010348:Patient Care Team; D010510:Periodontal Diseases / Q000601:surgery / Q000628:therapy*; D010521:Periosteum / Q000601:surgery; D011176:Post and Core Technique; D013524:Surgical Flaps; D019246:Tooth Preparation / Q000379:methods; D014092:Tooth Root / Q000601:surgery; D016896:Treatment Outcome