Full-Coverage Restoration in Relation to the Gingival Sulcus
You will receive 1 credit(s) of continuing education credit upon successful completion of this course. The purchase price of this course is $41.00

Description:

This course discusses scientific evidence regarding the full-coverage restoration (FCR) margin placement and periodontal health.


Author:
Marc B. Ackerman, DMD Show Full Bio

Learning Objectives:

Upon completion of this course, participants should be able to do the following:

  1. Discuss the literature related to full coverage restoration and its effect on the periodontium.
  2. Describe the clinical circumstances requiring an intracrevicular full coverage restoration.
  3. Define the indications and contraindications for intracrevicular full coverage restoration.
  4. Discuss the procedure for FCR.

Abstract:

The full-coverage restoration (FCR) and its effect on the periodontium have been controversial over the last half-century. This conflict relates to whether the margin of the FCR should be placed at or above the gingival crest, or into the gingival crevice. Clinicians and researchers alike have focused their attention primarily on the mechanistic aspects of fixed prosthetic design (i.e., marginal configuration and fit). Although marginal quality and form are factors in the fabrication of the FCR, they alone will not determine periodontal health and restorative success. What determines the success of the FCR is its ability to restore form and function to the masticatory system, without adversely affecting its biology. Each technical phase of treatment (i.e., tooth preparation, impression-taking, the provisional restoration, and the final restoration) must be performed within the limits of biologic adaptation. The literature review in this course discusses the scientific evidence regarding FCR margin placement and periodontal health.


Outline:
COURSE OUTLINE

  1. Introduction

  2. Restorative Dentistry Comes of Age

  3. Supragingival VS. Subgingival

  4. Periodontal Prosthesis

  5. Crown Contour and Gingival Architecture

  6. The Biologic Width

  7. Intracrevicular Restorative Dentistry

  8. Summary


References:
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  3. Loe H. Reactions of marginal periodontal tissues to restorative procedures. Int Dent J. 1968; 18:759-778.
  4. Waerhaug J. Histologic considerations which govern where the margins of restorations should be located in relation to the gingiva. Dent Clin North Am. 1960; 5:161-176.
  5. Stein RS, Glickman I. Prosthetic considerations essential for gingival health. Dent Clin North Am. 1960; 4:177-188.
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