Periodontal Considerations and Surgical Options

  • Louise O’DowdEmail author
  • Arindam Dutta
  • Angus Walls
  • Robert Wassell
Part of the BDJ Clinician’s Guides book series (BDJCG)


This chapter will emphasise the need to:
  • Consider viable methods of aesthetically managing the gingivae, including gingival veneers, and obtain informed consent to avoid unrealistic patient expectations

  • Avoid gingival recession in patients with a thin biotype by respecting and not traumatising the gingival tissues or extending a margin too far subgingivally

  • Place subgingival margins well above the epithelial attachment to avoid invading the biologic width. If possible, use a supragingival or equigingival margin where aesthetics or retention is not critical

  • Consider using crown lengthening to improve aesthetics or crown retention, but be aware of the factors which determine the type of procedure, and unless confident of a satisfactory outcome, refer for specialist opinion/treatment

  • Be aware of surgical procedures to treat recession or to augment the width of keratinised gingiva. Both are best undertaken in a specialist setting

  • Manage risk of periodontal damage at every stage of providing extra-coronal restorations and ensure patients understand the need for supportive periodontal care provided at an appropriate recall interval.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Louise O’Dowd
    • 1
    Email author
  • Arindam Dutta
    • 2
  • Angus Walls
    • 1
  • Robert Wassell
    • 3
  1. 1.Edinburgh Dental InstituteEdinburghUK
  2. 2.School of DentistryCardiff UniversityCardiffUK
  3. 3.Department of Restorative DentistryNewcastle University School of Dental SciencesNewcastle upon TyneUK

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