Iatrogenic Damage to the Periodontium Caused by Fixed Prosthodontic Treatment Procedures
Identifieur interne : 000D60 ( Pmc/Checkpoint ); précédent : 000D59; suivant : 000D61Iatrogenic Damage to the Periodontium Caused by Fixed Prosthodontic Treatment Procedures
Auteurs : Pv Harish [Inde] ; Sonila Anne Joseph [Koweït] ; Syed Sirajuddin [Inde] ; Veenadharini Gundapaneni [Inde] ; Sachidananda Chungkham [Inde] ; Ambica .Source :
- The Open Dentistry Journal [ 1874-2106 ] ; 2015.
Abstract
Missing teeth should be replaced as soon as possible to maintain arch integrity and thereby avoid both morphologic and functional derangements in the occlusion. Otherwise, changes occur that upset the masticatory system, such as extrusion of the teeth opposing the edentulous areas along with their alveolar housing, their supporting tissues and ultimately the maxillary sinus. Concurrently with extrusion, shifting of the interproximal contacts and migration of the adjacent teeth occur, thereby impairing function and causing disharmony. Good oral health cannot be achieved when changes in tooth position alter the coronal contour and occlusion interfering with mutual support, which encourages food impaction and retention, further leading to osseous defects.
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DOI: 10.2174/1874210601509010190
PubMed: NONE
PubMed Central: 4541334
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Iatrogenic Damage to the Periodontium Caused by Fixed Prosthodontic Treatment Procedures</title><author><name sortKey="Harish, Pv" sort="Harish, Pv" uniqKey="Harish P" first="Pv" last="Harish">Pv Harish</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Prosthodontics, Rajarajeswari Dental College & Hospital, Bangalore, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Prosthodontics, Rajarajeswari Dental College & Hospital, Bangalore, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Joseph, Sonila Anne" sort="Joseph, Sonila Anne" uniqKey="Joseph S" first="Sonila Anne" last="Joseph">Sonila Anne Joseph</name><affiliation wicri:level="1"><nlm:aff id="aff2">Dental Art Clinic, Mareena towers, Coastal Road, Mahaboula, Kuwait</nlm:aff><country xml:lang="fr">Koweït</country><wicri:regionArea>Dental Art Clinic, Mareena towers, Coastal Road, Mahaboula</wicri:regionArea><wicri:noRegion>Mahaboula</wicri:noRegion></affiliation></author><author><name sortKey="Sirajuddin, Syed" sort="Sirajuddin, Syed" uniqKey="Sirajuddin S" first="Syed" last="Sirajuddin">Syed Sirajuddin</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Gundapaneni, Veenadharini" sort="Gundapaneni, Veenadharini" uniqKey="Gundapaneni V" first="Veenadharini" last="Gundapaneni">Veenadharini Gundapaneni</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Chungkham, Sachidananda" sort="Chungkham, Sachidananda" uniqKey="Chungkham S" first="Sachidananda" last="Chungkham">Sachidananda Chungkham</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey=", Ambica" sort=", Ambica" uniqKey=" A" first="Ambica" last=".">Ambica .</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">4541334</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541334</idno><idno type="RBID">PMC:4541334</idno><idno type="doi">10.2174/1874210601509010190</idno><idno type="pmid">NONE</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000402</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000402</idno><idno type="wicri:Area/Pmc/Curation">000402</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000402</idno><idno type="wicri:Area/Pmc/Checkpoint">000D60</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000D60</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Iatrogenic Damage to the Periodontium Caused by Fixed Prosthodontic Treatment Procedures</title><author><name sortKey="Harish, Pv" sort="Harish, Pv" uniqKey="Harish P" first="Pv" last="Harish">Pv Harish</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Prosthodontics, Rajarajeswari Dental College & Hospital, Bangalore, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Prosthodontics, Rajarajeswari Dental College & Hospital, Bangalore, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Joseph, Sonila Anne" sort="Joseph, Sonila Anne" uniqKey="Joseph S" first="Sonila Anne" last="Joseph">Sonila Anne Joseph</name><affiliation wicri:level="1"><nlm:aff id="aff2">Dental Art Clinic, Mareena towers, Coastal Road, Mahaboula, Kuwait</nlm:aff><country xml:lang="fr">Koweït</country><wicri:regionArea>Dental Art Clinic, Mareena towers, Coastal Road, Mahaboula</wicri:regionArea><wicri:noRegion>Mahaboula</wicri:noRegion></affiliation></author><author><name sortKey="Sirajuddin, Syed" sort="Sirajuddin, Syed" uniqKey="Sirajuddin S" first="Syed" last="Sirajuddin">Syed Sirajuddin</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Gundapaneni, Veenadharini" sort="Gundapaneni, Veenadharini" uniqKey="Gundapaneni V" first="Veenadharini" last="Gundapaneni">Veenadharini Gundapaneni</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Chungkham, Sachidananda" sort="Chungkham, Sachidananda" uniqKey="Chungkham S" first="Sachidananda" last="Chungkham">Sachidananda Chungkham</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey=", Ambica" sort=", Ambica" uniqKey=" A" first="Ambica" last=".">Ambica .</name></author></analytic><series><title level="j">The Open Dentistry Journal</title><idno type="eISSN">1874-2106</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Missing teeth should be replaced as soon as possible to maintain arch integrity and thereby avoid both morphologic and functional derangements in the occlusion. Otherwise, changes occur that upset the masticatory system, such as extrusion of the teeth opposing the edentulous areas along with their alveolar housing, their supporting tissues and ultimately the maxillary sinus. Concurrently with extrusion, shifting of the interproximal contacts and migration of the adjacent teeth occur, thereby impairing function and causing disharmony. Good oral health cannot be achieved when changes in tooth position alter the coronal contour and occlusion interfering with mutual support, which encourages food impaction and retention, further leading to osseous defects.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Baldissara, P" uniqKey="Baldissara P">P. Baldissara</name></author><author><name sortKey="Catapano, S" uniqKey="Catapano S">S. Catapano</name></author><author><name sortKey="Scotti, R" uniqKey="Scotti R">R. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Open Dent J</journal-id><journal-id journal-id-type="iso-abbrev">Open Dent J</journal-id><journal-id journal-id-type="publisher-id">TODENTJ</journal-id><journal-title-group><journal-title>The Open Dentistry Journal</journal-title></journal-title-group><issn pub-type="epub">1874-2106</issn><publisher><publisher-name>Bentham Open</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">4541334</article-id><article-id pub-id-type="publisher-id">TODENTJ-9-190</article-id><article-id pub-id-type="doi">10.2174/1874210601509010190</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group><series-title>Suppl 1: M4</series-title></article-categories><title-group><article-title>Iatrogenic Damage to the Periodontium Caused by Fixed Prosthodontic Treatment Procedures</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Harish</surname><given-names>PV</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Joseph</surname><given-names>Sonila Anne</given-names></name><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Sirajuddin</surname><given-names>Syed</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Gundapaneni</surname><given-names>Veenadharini</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Chungkham</surname><given-names>Sachidananda</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>.</surname><given-names>Ambica</given-names></name></contrib></contrib-group><aff id="aff1"><label>1</label>Department of Prosthodontics, Rajarajeswari Dental College & Hospital, Bangalore, Karnataka, India</aff><aff id="aff2"><label>2</label>Dental Art Clinic, Mareena towers, Coastal Road, Mahaboula, Kuwait</aff><aff id="aff3"><label>3</label>Department of Periodontology, Rajarajeswari Dental College & Hospital, Bangalore-560074, Karnataka, India</aff><author-notes><corresp id="cor1"><label>*</label> Address correspondence to this author at the 1st Floor, Mareena towers, Coastal Road, Mahaboula, Kuwait; Tel: 0096566206465;
E-mail: <email xlink:href="josephsonila@gmail.com">josephsonila@gmail.com</email></corresp></author-notes><pub-date pub-type="epub"><day>26</day><month>6</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>9</volume><fpage>190</fpage><lpage>196</lpage><history><date date-type="received"><day>22</day><month>12</month><year>2014</year></date><date date-type="rev-recd"><day>4</day><month>3</month><year>2015</year></date><date date-type="accepted"><day>10</day><month>3</month><year>2015</year></date></history><permissions><copyright-statement> © Harish <italic>et al.</italic>; Licensee <italic>Bentham Open.</italic></copyright-statement><copyright-year>2015</copyright-year><copyright-holder>Harish</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (<uri xlink:type="simple" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</uri>) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.</license-p></license></permissions><abstract><p>Missing teeth should be replaced as soon as possible to maintain arch integrity and thereby avoid both morphologic and functional derangements in the occlusion. Otherwise, changes occur that upset the masticatory system, such as extrusion of the teeth opposing the edentulous areas along with their alveolar housing, their supporting tissues and ultimately the maxillary sinus. Concurrently with extrusion, shifting of the interproximal contacts and migration of the adjacent teeth occur, thereby impairing function and causing disharmony. Good oral health cannot be achieved when changes in tooth position alter the coronal contour and occlusion interfering with mutual support, which encourages food impaction and retention, further leading to osseous defects.</p></abstract><kwd-group><title>Keywords</title><kwd>Crown</kwd><kwd>fixed prosthodontic treatment</kwd><kwd>iatrogenic damage</kwd><kwd>periodontium</kwd><kwd>fpd</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" position="float"><label>Fig. (1)</label><caption><p>The optimum restoration should satisfy biologic, mechanical,
and esthetic requirements.
</p></caption><graphic xlink:href="TODENTJ-9-190_F1"></graphic></fig><fig id="F2" position="float"><label>Fig. (2)</label><caption><p>Damage to adjacent teeth is prevented by making a thin "lip" of enamel as the bur passes through a proximal contact.
</p></caption><graphic xlink:href="TODENTJ-9-190_F2"></graphic></fig><fig id="F3" position="float"><label>Fig. (3)</label><caption><p>Average human biologic width: Connective tissue attachment
1 mm in height; junctional epithelial attachment 1 mm in
height; sulcus depth of approximately 1 mm. The combined connective
tissue attachment and junctional epithelial attachment, or
biologic width, equals 2 mm. biologic width.
</p></caption><graphic xlink:href="TODENTJ-9-190_F3"></graphic></fig><fig id="F4" position="float"><label>Fig. (4)</label><caption><p>Consequences of a biologic width violation if a restorative
margin is placed within the zone of the attachment. On the mesial
surface of the left central incisor, bone has not been lost, but gingival
inflammation occurs. On the distal surface of the left central
incisor, bone loss has occurred, and a normal biologic width has
been reestablished.
</p></caption><graphic xlink:href="TODENTJ-9-190_F4"></graphic></fig><fig id="F5" position="float"><label>Fig. (5)</label><caption><p>Possible disparities exist in biologic width. Connective
tissue attachments and junctional epithelial attachments may be
variable. In this example the connective tissue attachment is 2 mm
in height, the junctional epithelial attachment 1 mm in height, and
the sulcus depth 1 mm, for a combined total tissue height above
bone of 4 mm. However, the biologic width is 3 mm. This is just
one variation that can occur from the average.
</p></caption><graphic xlink:href="TODENTJ-9-190_F5"></graphic></fig><fig id="F6" position="float"><label>Fig. (6)</label><caption><p>Radiograph shows a biologic width violation on the mesial
surface interproximally. Removal of interproximal bone would
produce an esthetic deformity.
</p></caption><graphic xlink:href="TODENTJ-9-190_F6"></graphic></fig><fig id="F7" position="float"><label>Fig. (7)</label><caption><p>Excessive taper results in considerable loss of tooth structure
(shaded area). BC
</p></caption><graphic xlink:href="TODENTJ-9-190_F7"></graphic></fig><fig id="F8" position="float"><label>Fig. (8)</label><caption><p>To conserve tooth structure, the preparation of axial surfaces
should be as uniform as possible. A, The path of withdrawal
should coincide with the long axis of the tooth, which for a mandibular
premolar is typically inclined 9 degrees lingually. Preparing
the tooth perpendicular to the occlusal plane is a commonly seen
error and results in additional tooth reduction (shaded area). B and
C, Tooth structure is conserved by uprighting a tilted FPD abutment.
</p></caption><graphic xlink:href="TODENTJ-9-190_F8"></graphic></fig><fig id="F9" position="float"><label>Fig. (9)</label><caption><p>A and B, Poor preparation design, leading to increased margin length. C, A rough, irregular margin will make the fabrication of an
accurately fitted restoration almost impossible. D, An accurately fitting margin is possible only if it is prepared smoothly.
</p></caption><graphic xlink:href="TODENTJ-9-190_F9"></graphic></fig><fig id="F10" position="float"><label>Fig. (10)</label><caption><p>Gingival retraction may be impossible, due to a shallow
sulcus.
</p></caption><graphic xlink:href="TODENTJ-9-190_F10"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Inde</li><li>Koweït</li></country></list><tree><noCountry><name sortKey=", Ambica" sort=", Ambica" uniqKey=" A" first="Ambica" last=".">Ambica .</name></noCountry><country name="Inde"><noRegion><name sortKey="Harish, Pv" sort="Harish, Pv" uniqKey="Harish P" first="Pv" last="Harish">Pv Harish</name></noRegion><name sortKey="Chungkham, Sachidananda" sort="Chungkham, Sachidananda" uniqKey="Chungkham S" first="Sachidananda" last="Chungkham">Sachidananda Chungkham</name><name sortKey="Gundapaneni, Veenadharini" sort="Gundapaneni, Veenadharini" uniqKey="Gundapaneni V" first="Veenadharini" last="Gundapaneni">Veenadharini Gundapaneni</name><name sortKey="Sirajuddin, Syed" sort="Sirajuddin, Syed" uniqKey="Sirajuddin S" first="Syed" last="Sirajuddin">Syed Sirajuddin</name></country><country name="Koweït"><noRegion><name sortKey="Joseph, Sonila Anne" sort="Joseph, Sonila Anne" uniqKey="Joseph S" first="Sonila Anne" last="Joseph">Sonila Anne Joseph</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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