Tooth Preparation for Periodontal Disease
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Questions and Answers

What modifications should be made to the standard tooth preparation for teeth weakened by periodontal disease?

The finish line and location of the margin should be modified, with the margin placed on the root surface and a chamfer finish line recommended.

Why should crown margins be kept away from the root furcation in cases of periodontal disease?

To prevent bacterial invasion.

What type of restorations may be needed for teeth saved by periodontal therapy?

Cast restorations, which may be needed due to caries or previous damage, or to improve stability as abutments for prostheses.

When might an entire tooth need to be extracted and replaced with an implant-supported restoration?

<p>If there have been numerous teeth lost to periodontal disease, or if the loss of bone height around one tooth has been severe.</p> Signup and view all the answers

What is the optimum location for the gingival finish line of a crown preparation, and why may it need to be modified?

<p>On enamel, away from the gingival sulcus. However, it may need to extend apically to cover an expanse of root surface affected by caries or erosion.</p> Signup and view all the answers

What modifications to the standard tooth preparation are required for teeth weakened by periodontal disease?

<p>The modification of the finish line and location of the margin become crucial in such cases. The margin should be placed on the root surface, and a chamfer finish line is recommended. The crown margins should be kept away from the root furcation to prevent bacterial invasion.</p> Signup and view all the answers

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