Abstract
Restorative care helps to stabilize teeth for many patients who have been treated for chronic destructive periodontal disease. However, in many other cases there is additional periodontal destruction after restorative care. Changes such as gingival inflammation, pocket formation, alveolar bone loss, destructive occlusal forces, and increased tooth mobility may occur. Pulpal pathosis is also not uncommon. There are many reasons for failure when both periodontal therapy and restorative therapy are included in the treatment plan. The principal reasons are: 1. Restorative care is not done when it is indicated. 2. Restorative care is done when it is not indicated. 3. Restorative care is done when it is indicated; but it fails either because it is poorly designed or it is poorly constructed. The important features of the construction that determine whether the restoration will help to stabilize the teeth are: the contour of the abutments; the fit of the abutments; the occlusion of the abutments and pontics with their antagonists; and the contour of the pontics.
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