Article:
Combining Perio-Restorative Protocols to Maximize Function

Summary:
This article describes a team approach for periodontal and
restorative treatment intended to produce a predictable, biologically
sound outcome that preserves more supporting bone and
restores carious and broken down teeth. The goal of periodontal
treatment, when performed in conjunction with restorative
dentistry, is to provide restorative dentists with a high percentage
of tooth structure that allows for a supragingival margin. An
equally important goal is to ensure that an adequate thickness of
connective tissue exists to create an environment more resistant
to trauma and inflammation. The team approach consists of a
restorative phase and a surgical phase. The restorative phase
involves preparation with complete caries removal, adhesive core
buildups, and provisionalization. The surgical phase involves
biologic shaping of the roots and judicious osseous resection.
Case studies are used to demonstrate the team approach.