Impact of restorative dental procedures on periodontal health: A comprehensive review

Abstract

Restorative dental procedures play a crucial role in restoring function and aesthetics to damaged teeth, yet their impact on the periodontium—comprising the gingiva, periodontal ligament, cementum, and alveolar bone—cannot be overlooked. This review aims to explore the relationship between restorative dental treatments and periodontal health, emphasizing the potential risks and considerations involved. Factors such as improper crown placement, overhanging restorations, subgingival margin placement, and inadequate proximal contact can lead to periodontal inflammation, tissue damage, and bone loss. The integration of restorative and periodontal care is essential to ensure long-term success and to prevent adverse outcomes such as gingival recession, periodontal pocket formation, and compromised periodontal support. This review highlights the importance of precise clinical techniques, appropriate material selection, and careful case planning to minimize detrimental effects on the periodontium. Additionally, the role of regular periodontal maintenance and patient education in preserving periodontal health following restorative procedures is underscored. Understanding the delicate interplay between restorative interventions and periodontal health is vital for clinicians to achieve optimal treatment outcomes and maintain the integrity of both the teeth and supporting structures.