Managing Iatrogenic Periodontal Disease

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Periodontal disease has known etiological factors which include plaque and calculus which harbor bacteria. This multifactorial disease process is primarily a chronic inflammatory response to toxic bacterial byproducts which are the result of a lack of effective oral hygiene procedures. This is particularly true in cases of iatrogenically induced periodontal disease of the hard and soft tissue caused by restorations which violate  known biological principles.  Ill fitting restorations harbor plaque and calculus and frequently exhibit residual excess cement. The patient nor the clinician can accomplish effective oral hygiene which would maintain an acceptable level of gingival health.   Crown preparations which violate the biologic width,  are over contoured, and/or have uncleansible bridge or splint connectors cause chronic inflammation which destroys the supporting tissues.   Continue reading