Postsurgical Timing of Restorative Therapy: A Review

E. A. Dowling, G. I. Maze, Wayne Berwyn Kaldahl

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Knowledge of wound healing is necessary for the clincian when determining the time of prosthodontic treatment after periodontal surgery. Wound healing and longitudinal clinical studies indicate that the clinician should wait approximately 8 weeks before proceeding with the final restoration. Restorative procedures could be considered as early as 6 weeks if (1) the patient shows good systemic health; (2) injury is not inflicted on the gingiva by the restorative technique; (3) restorative margins are supragingival; and (4) esthetics are not critical. With a thick periodontium, more common in posterior areas, the gingiva often will move coronally as the tissue matures. Thin periodontal tissues may recede postsurgically, and in areas of esthetic concern, postponement of final restoration for up to 5 to 6 months may be desirable to assure gingival margin stability. Modifiers that may affect time and quality of healing, such as the patient's smoking frequency and age, should be considered when scheduling restorative treatment after periodontal surgery.

Original languageEnglish (US)
Pages (from-to)172-177
Number of pages6
JournalJournal of Prosthodontics
Volume3
Issue number3
DOIs
StatePublished - Sep 1994

Fingerprint

Gingiva
Esthetics
Wound Healing
Periodontium
Prosthodontics
Longitudinal Studies
Smoking
Health
Wounds and Injuries
Therapeutics
Clinical Studies

Keywords

  • esthetics
  • gingival margin
  • recession
  • smoking
  • wound healing

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Postsurgical Timing of Restorative Therapy : A Review. / Dowling, E. A.; Maze, G. I.; Kaldahl, Wayne Berwyn.

In: Journal of Prosthodontics, Vol. 3, No. 3, 09.1994, p. 172-177.

Research output: Contribution to journalArticle

Dowling, E. A. ; Maze, G. I. ; Kaldahl, Wayne Berwyn. / Postsurgical Timing of Restorative Therapy : A Review. In: Journal of Prosthodontics. 1994 ; Vol. 3, No. 3. pp. 172-177.
@article{5e09ecb0e1a34be3a805295d90af15b5,
title = "Postsurgical Timing of Restorative Therapy: A Review",
abstract = "Knowledge of wound healing is necessary for the clincian when determining the time of prosthodontic treatment after periodontal surgery. Wound healing and longitudinal clinical studies indicate that the clinician should wait approximately 8 weeks before proceeding with the final restoration. Restorative procedures could be considered as early as 6 weeks if (1) the patient shows good systemic health; (2) injury is not inflicted on the gingiva by the restorative technique; (3) restorative margins are supragingival; and (4) esthetics are not critical. With a thick periodontium, more common in posterior areas, the gingiva often will move coronally as the tissue matures. Thin periodontal tissues may recede postsurgically, and in areas of esthetic concern, postponement of final restoration for up to 5 to 6 months may be desirable to assure gingival margin stability. Modifiers that may affect time and quality of healing, such as the patient's smoking frequency and age, should be considered when scheduling restorative treatment after periodontal surgery.",
keywords = "esthetics, gingival margin, recession, smoking, wound healing",
author = "Dowling, {E. A.} and Maze, {G. I.} and Kaldahl, {Wayne Berwyn}",
year = "1994",
month = "9",
doi = "10.1111/j.1532-849X.1994.tb00149.x",
language = "English (US)",
volume = "3",
pages = "172--177",
journal = "Journal of Prosthodontics",
issn = "1059-941X",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Postsurgical Timing of Restorative Therapy

T2 - A Review

AU - Dowling, E. A.

AU - Maze, G. I.

AU - Kaldahl, Wayne Berwyn

PY - 1994/9

Y1 - 1994/9

N2 - Knowledge of wound healing is necessary for the clincian when determining the time of prosthodontic treatment after periodontal surgery. Wound healing and longitudinal clinical studies indicate that the clinician should wait approximately 8 weeks before proceeding with the final restoration. Restorative procedures could be considered as early as 6 weeks if (1) the patient shows good systemic health; (2) injury is not inflicted on the gingiva by the restorative technique; (3) restorative margins are supragingival; and (4) esthetics are not critical. With a thick periodontium, more common in posterior areas, the gingiva often will move coronally as the tissue matures. Thin periodontal tissues may recede postsurgically, and in areas of esthetic concern, postponement of final restoration for up to 5 to 6 months may be desirable to assure gingival margin stability. Modifiers that may affect time and quality of healing, such as the patient's smoking frequency and age, should be considered when scheduling restorative treatment after periodontal surgery.

AB - Knowledge of wound healing is necessary for the clincian when determining the time of prosthodontic treatment after periodontal surgery. Wound healing and longitudinal clinical studies indicate that the clinician should wait approximately 8 weeks before proceeding with the final restoration. Restorative procedures could be considered as early as 6 weeks if (1) the patient shows good systemic health; (2) injury is not inflicted on the gingiva by the restorative technique; (3) restorative margins are supragingival; and (4) esthetics are not critical. With a thick periodontium, more common in posterior areas, the gingiva often will move coronally as the tissue matures. Thin periodontal tissues may recede postsurgically, and in areas of esthetic concern, postponement of final restoration for up to 5 to 6 months may be desirable to assure gingival margin stability. Modifiers that may affect time and quality of healing, such as the patient's smoking frequency and age, should be considered when scheduling restorative treatment after periodontal surgery.

KW - esthetics

KW - gingival margin

KW - recession

KW - smoking

KW - wound healing

UR - http://www.scopus.com/inward/record.url?scp=0028511897&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028511897&partnerID=8YFLogxK

U2 - 10.1111/j.1532-849X.1994.tb00149.x

DO - 10.1111/j.1532-849X.1994.tb00149.x

M3 - Article

C2 - 7874260

AN - SCOPUS:0028511897

VL - 3

SP - 172

EP - 177

JO - Journal of Prosthodontics

JF - Journal of Prosthodontics

SN - 1059-941X

IS - 3

ER -