EC Dental Science

Introduction: A good periodontal health is of utmost importance in maintaining the long-term success of any restoration or prosthetic rehabilitation. If the basic laws of periodontal surgery are not followed, especially in cases of subgingival restorations, then the risk of failure of the restoration increases. In cases where the periodontal health is not diagnosed or not treated before the restoration is done are bound to fail in the long term. Similarly, cases where the restoration is improper with overhanging margins may cause increased accumulation of plaque and calculus, leading to failure of the restoration as well as periodontal bone loss. Aim of Work: This review article aims at describing various considerations of operative dentistry that affect the periodontal health and periodontal factors that affect the margins of the restoration. It furthers emphasizes various periodontal surgical procedures that help in the longevity of the restorations. Methodology: This review is a comprehensive research of PUBMED and Google scholar from 1990 - 2020. Conclusion: The ultimate goal of any dental treatment is to maintain the natural dentition in its actual form. Any restorative phase should always be preceded by periodontal treatment. For a long term survival of any restoration, the restorative and periodontal phase should always be in harmony. Management of the gingival tissue is of high importance as it decides whether the prosthesis that is fabricated is properly fitting. A preoperative interdisciplinary management plan of the tooth is of utmost importance before going on with any particular treatment as the sequence in which the treatment should be done greatly affects the outcome of the treatment

Keywords: External Bevel Gingivectomy; Biological Width; Splinting; Crown Lengthening; Root Resection

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