Gingival margin stabilization using the final prosthetic restoration (BOPT). A case report.

Area of Science:

• Dentistry
• Prosthodontics
• Periodontology

Background:

• Accurate prosthetic restoration fabrication depends on precise gingival tissue management.
• Gingival collapse and inadequate shaping of temporary crowns pose challenges for impression accuracy and final restoration fit.

Observation:

• A twelve-week clinical observation period was employed to assess gingival tissue stabilization.
• Provisional crowns were recontoured twice, at four-week intervals, in the apical-coronal direction.
• This process aimed to encourage horizontal gingival tissue growth at the vestibular emergence profile.

Findings:

• The described recontouring technique facilitates gingival tissue adaptation to the temporary crown's emergence profile.
• Tissue stabilization is achieved through controlled growth, not a fixed numerical value.
• Successful outcomes are operator-dependent, influencing the degree of gingival adaptation.

Implications:

• This approach offers a method for managing gingival tissues to enhance the predictability of prosthetic restorations.
• Achieving a stable and well-defined gingival emergence profile is crucial for aesthetic and functional outcomes.
• Further clinical validation may refine the application of this technique in prosthetic dentistry.