Biological shaping as a conservative alternative for crown lengthening: A review

Abstract Objectives The perio‐restorative approach to maintaining supracrestal tissue attachment (STA; formerly known as biologic width) is a fundamental goal in modern dentistry. This article aims to review the clinical impact of biologic shaping (BS) as an innovative alternative to traditional cro...

Full description

Bibliographic Details
Main Authors: Abdusalam Alrmali, Daniel Melker, Janet Zalucha, Hom‐Lay Wang
Format: Article
Language:English
Published: Wiley 2024-04-01
Series:Clinical and Experimental Dental Research
Subjects:
Online Access:https://doi.org/10.1002/cre2.873
_version_ 1827281072156573696
author Abdusalam Alrmali
Daniel Melker
Janet Zalucha
Hom‐Lay Wang
author_facet Abdusalam Alrmali
Daniel Melker
Janet Zalucha
Hom‐Lay Wang
author_sort Abdusalam Alrmali
collection DOAJ
description Abstract Objectives The perio‐restorative approach to maintaining supracrestal tissue attachment (STA; formerly known as biologic width) is a fundamental goal in modern dentistry. This article aims to review the clinical impact of biologic shaping (BS) as an innovative alternative to traditional crown lengthening procedures, reflecting over two decades of clinical experience. Material and Methods As a review paper, it is crucial to highlight that BS stands as a unique approach designed to optimize STA while emphasizing minimal to no removal of supporting bone. The review spans over two decades, consistently demonstrating clinical efficacy and predictability. Remarkably, BS focuses on addressing issues such as root concavities, developmental grooves, irregularities, furcation lips, and CEJ offering a remarkable level of clinical precision. Results The reviewed literature underscores that BS has consistently achieved substantial clinical success in fulfilling its objectives. This method presents a biologically sound alternative to traditional crown lengthening, placing a strong emphasis on the preservation of essential bone tissue and the establishment of durable STA. Conclusions The results suggest that BS is a logical and biologically driven approach for maintaining STA, making it a promising alternative to traditional crown lengthening. The method offers a predictable and reproducible way to preserve bone tissue while achieving durable STA. This innovation holds great promise in the field of periodontal and restorative dentistry.
first_indexed 2024-04-24T08:51:49Z
format Article
id doaj.art-36b7aead5023417cbcafb818a6d0c82f
institution Directory Open Access Journal
issn 2057-4347
language English
last_indexed 2024-04-24T08:51:49Z
publishDate 2024-04-01
publisher Wiley
record_format Article
series Clinical and Experimental Dental Research
spelling doaj.art-36b7aead5023417cbcafb818a6d0c82f2024-04-16T09:42:17ZengWileyClinical and Experimental Dental Research2057-43472024-04-01102n/an/a10.1002/cre2.873Biological shaping as a conservative alternative for crown lengthening: A reviewAbdusalam Alrmali0Daniel Melker1Janet Zalucha2Hom‐Lay Wang3Department of Periodontics and Oral Medicine University of Michigan School of Dentistry Ann Arbor Michigan USAPeriodontist private practice limited to Periodontics Clearwater Florida USADepartment of Periodontics and Oral Medicine University of Michigan School of Dentistry Ann Arbor Michigan USADepartment of Periodontics and Oral Medicine University of Michigan School of Dentistry Ann Arbor Michigan USAAbstract Objectives The perio‐restorative approach to maintaining supracrestal tissue attachment (STA; formerly known as biologic width) is a fundamental goal in modern dentistry. This article aims to review the clinical impact of biologic shaping (BS) as an innovative alternative to traditional crown lengthening procedures, reflecting over two decades of clinical experience. Material and Methods As a review paper, it is crucial to highlight that BS stands as a unique approach designed to optimize STA while emphasizing minimal to no removal of supporting bone. The review spans over two decades, consistently demonstrating clinical efficacy and predictability. Remarkably, BS focuses on addressing issues such as root concavities, developmental grooves, irregularities, furcation lips, and CEJ offering a remarkable level of clinical precision. Results The reviewed literature underscores that BS has consistently achieved substantial clinical success in fulfilling its objectives. This method presents a biologically sound alternative to traditional crown lengthening, placing a strong emphasis on the preservation of essential bone tissue and the establishment of durable STA. Conclusions The results suggest that BS is a logical and biologically driven approach for maintaining STA, making it a promising alternative to traditional crown lengthening. The method offers a predictable and reproducible way to preserve bone tissue while achieving durable STA. This innovation holds great promise in the field of periodontal and restorative dentistry.https://doi.org/10.1002/cre2.873biological widthfurcation defects/surgeryprosthodontic/methods*tooth preparation
spellingShingle Abdusalam Alrmali
Daniel Melker
Janet Zalucha
Hom‐Lay Wang
Biological shaping as a conservative alternative for crown lengthening: A review
Clinical and Experimental Dental Research
biological width
furcation defects/surgery
prosthodontic/methods*
tooth preparation
title Biological shaping as a conservative alternative for crown lengthening: A review
title_full Biological shaping as a conservative alternative for crown lengthening: A review
title_fullStr Biological shaping as a conservative alternative for crown lengthening: A review
title_full_unstemmed Biological shaping as a conservative alternative for crown lengthening: A review
title_short Biological shaping as a conservative alternative for crown lengthening: A review
title_sort biological shaping as a conservative alternative for crown lengthening a review
topic biological width
furcation defects/surgery
prosthodontic/methods*
tooth preparation
url https://doi.org/10.1002/cre2.873
work_keys_str_mv AT abdusalamalrmali biologicalshapingasaconservativealternativeforcrownlengtheningareview
AT danielmelker biologicalshapingasaconservativealternativeforcrownlengtheningareview
AT janetzalucha biologicalshapingasaconservativealternativeforcrownlengtheningareview
AT homlaywang biologicalshapingasaconservativealternativeforcrownlengtheningareview