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Structurally compromised teeth. Part II: A novel approach to peripheral build up procedures
Guido Fichera1, Claudia Mazzitelli2, Vincenzo Picciariello3
1Dr Guido Fichera Private Practice, Monza, Italy.
Summary
The Peripheral Build-Up technique (PBUt) offers a new restorative strategy for structurally compromised teeth with deep defects. This additive approach preserves tooth structure and enhances abutment features for improved dental restorations.
Area of Science:
- Restorative Dentistry
- Periodontology
Background:
- Deep subgingival defects pose challenges for restorative procedures.
- Existing techniques like cervical marginal relocation have limitations.
Purpose of the Study:
- Introduce the Peripheral Build-Up technique (PBUt) for structurally compromised teeth (SCT).
- Present PBUt as a versatile, additive direct restorative strategy.
Main Methods:
- Describes innovative clinical steps of the PBUt.
- Highlights clamp insertion, proximal wall extension, and matrix customization.
- Details managing apical and peripheral borders of residual tooth structure.
Main Results:
- PBUt allows treatment of defects up to 1.5 mm above the bone crest.
- The technique preserves significant sound tooth structure.
- Enhances resistance and retention of the abutment tooth.
Conclusions:
- PBUt is a valuable addition to managing SCT with deep subgingival defects.
- Requires long-term monitoring of periodontal response.
- Offers a wider application field compared to previous methods.
Keywords:
additive techniquebuild-upfoundation restorationproximal matrixresidual tooth structurestructurally compromised teeth
