This article revisits the article written by the same author, focusing on endodontic pre-treatment. The aim is to identify the correct sequence of operations to simplify the process, reduce the […]
Decision making in endo-perio-restorative cases of severely compromised teeth (part 2)
This article revisits the article written by the same author, focusing on endodontic pre-treatment. The aim is to identify the correct sequence of operations to simplify the process, reduce the […]
Deep Margin Elevation and Clinical Crown Lengthening: Biological considerations and clinical procedures
The restoration of a severely compromised tooth represents a challenge for the clinician, not only due to a significant loss of structure of the element but also due to the invasion of the supracrestal tissue attachment, with consequent compromization of periodontal health.
The technique of deep margin elevation can be applied when the healthy margin of the tooth needing restoration is localized within the sulcular epithelium or at the level of the junctional epithelium.
On the other side, the presence of lesions of the dental element involving the space for the supracrestal connective attachment and/or the bone crest makes the surgical intervention necessary. The following article aims to describe the indications and surgical procedures for clinical crown lengthening from a biological, periodontal and biomechanical point of view.
Therefore, the operational steps of the clinical crown lengthening surgical procedure (bone-resective surgery) and the sub- sequent endodontic/restorative clinical phases will be illustrated.
ENDO-PERIO LESIONS: SIMPLIFIED CLASSIFICATION
Periodontium and pulpal spaces represent the two primary modes of dental infection from oral bacteria.
At the clinical level, compound dentoalveolar infections involving both tissues are common and present challenges for diagnosis and treatment. The complex lesions presenting the characteristics of both endodontic and periodontic infections are referred to as endo-periodontal lesions (EPLs).
Restoring the unrestorable: Surgical extrusion
One of the main objectives of dentistry is the preservation of the natural dentition.1 Carious lesions, dental trauma, root resorptions or iatrogenic procedures such as root perforations can cause the […]
Deep caries due to pre-eruptive intracoronal resorption (PIER) in a recently erupted maxillary second molar: a case report
A pre-eruptive intra-coronal resorption (PIER) is a defect located in the dentin of an unerupted tooth, just beneath the dentin-enamel junction. The depth of the lesion is variable and may […]
Management of a tooth with primary periodontal lesion with AF F One
Endo pero lesions of primary periodontal organ can be diffcult to diagnose. A multidisciplinary approach is mandatory to solve the case
Adhesive Direct Restoration in the Posterior Area with Subgingival Cervical Margins
Localized subgingival margins can complicate the use of direct adhesive restorations and subsequently hinder their durability and relation with the periodontal tissues. This article presents a technique involving placement of […]
Interactions Between Endodontics and Periodontics: Part I
Understanding the interaction between endodontics and periodontics is of crucial importance to the clinician because of the challenges frequently encountered in the assessment, diagnosis, treatment and prognosis of combined endodontic–periodontal […]