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Indirect restorations on teeth with reduced crown height.

J D Satterthwaite¹

¹School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester M15 6FH, UK.

SADJ : Journal of the South African Dental Association = Tydskrif Van Die Suid-Afrikaanse Tandheelkundige Vereniging

|August 12, 2008

Summary

Managing short clinical crown height in teeth needing indirect restorations requires preventing restoration loss and maintaining pulp health. Traditional methods and surgical crown lengthening are often effective, but contemporary adhesive dentistry and the Dahl concept offer advanced solutions.

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Area of Science:

Restorative Dentistry
Prosthodontics

Background:

Patients often require indirect restorations like crowns and inlays.
Short clinical crown height presents challenges in restoration retention and pulp protection.
Compromised teeth with short crowns necessitate careful management strategies.

Purpose of the Study:

To review management strategies for teeth with short clinical crown height requiring indirect restorations.
To discuss the limitations of traditional methods and the role of contemporary techniques.

Main Methods:

Review of traditional techniques for enhancing resistance and retention.
Discussion of surgical crown lengthening as a treatment option.
Exploration of contemporary approaches including adhesive dentistry and the Dahl concept.

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Main Results:

Traditional methods and surgical crown lengthening can address many short crown issues.
These conventional approaches are not universally applicable.
Adhesive dentistry and the Dahl concept provide valuable alternatives for complex cases.

Conclusions:

Effective management of short clinical crowns involves preventing restoration dislodgement and preserving pulp vitality.
While traditional methods have utility, they are not always sufficient.
Modern adhesive techniques and the Dahl concept are increasingly important for successful indirect restorations on short teeth.