J Interdiscip Dentistry
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INVITED REVIEW
Year : 2012  |  Volume : 2  |  Issue : 1  |  Page : 3-10

Periodontal considerations determining the design and location of margins in restorative dentistry


1 Department of Conservative Dentistry, Bapuji Dental College and Hospital, Davangere, India
2 Department of Periodontics, A B Shetty Institute of Dental Sciences, NITTE University, Mangalore, India

Correspondence Address:
Arvind Shenoy
Department of Conservative Dentistry, Bapuji Dental College and Hospital, Davangere
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5194.94184

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The first and most basic objective of restorative dentistry is preservation of the tooth structure. However, for the long-term survival of restoration the periodontium must also remain healthy or vice versa. The connective tissue of the attachment apparatus consists of three-dimensionally oriented fibers connecting firmly the tooth structures to the surrounding gingiva. Both the epithelial as well as connective tissue attachment contribute to a 'protection mechanism' in a most challenging area where the natural tooth penetrates the ectodermal integrity of the body. The attainment of this objective would be far less complex if it could be considered independent of restoration of function, comfort and esthetics, but such is not the case. The latter objectives usually require sophisticated restorative dentistry as often such esthetic restorations require placement of intra-crevicular margins without compromising on the periodontal health.


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