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牙冠外形与牙龈反应。

Crown contours and gingival response.

作者信息

Jameson L M, Malone W F

出版信息

J Prosthet Dent. 1982 Jun;47(6):620-4. doi: 10.1016/0022-3913(82)90135-4.

Abstract

The following periodontal/restorative interrelations should be observed: 1. Deflective contours and/or overcontouring should be avoided in the cervical third and the interproximal surfaces of tooth restorations. 2. Overcontouring of the interproximal region is common and harmful to periodontal health. 3. Adequate tooth reduction at the gingival margin and interproximally provides for restorative materials and lessens the potential for overcontouring in these critical regions. 4. Fluting or barreling of exposed furcations eliminates plaque shelves and promotes accessibility for hygiene. 5. Minimal disruption within the intracrevicular space during tooth preparation allows a more predictable, favorable periodontal response to satisfactorily contoured restorations.

摘要

应注意以下牙周/修复体的相互关系:1. 在牙齿修复体的颈部三分之一和邻面应避免出现牙体外形不良和/或外形过凸。2. 邻面外形过凸很常见,且对牙周健康有害。3. 在牙龈边缘和邻面进行适当的牙体预备,以便容纳修复材料,并降低这些关键区域外形过凸的可能性。4. 对暴露的根分叉进行刻纹或成桶状处理可消除菌斑堆积平台,并便于进行口腔卫生清洁。5. 牙体预备过程中对龈沟内空间的干扰最小,可使修复体外形良好,从而对牙周产生更可预测的有利反应。

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