[The value of horizontal discrepancy on the subgingival position of the tooth crown]

Marginal adaptation of the crown edge has been considered as primary and significant factor of prevention of secondary caries and periodontal disease on carryig tooth. There has been a clear dependence between hunting the periodontal tissue and the quality of edge closing of the crown. If we position subgingivaly the crown which clinically shows a good adoptiveness marginally and at the same time we position marginal crease in the ginguival sucus that should rush the accumulation of the plaque. The bacteries in the plaque would cause the inflammation of ginguive. The end of the crown edge in gingival sucus would cause chronic inflammation at ginguival tissue. The existence of transit zone that includes the crown edge, prepared tooth and dental cement became important if the crown edge has been positioned subgingivaly. If the crown edge ends in the ginguival sucus, the tooth meat is constantly being irritated that results with different degrees of inflammations. In many cases it causes ginguival dislocation. The possibility of clinical control of marginal positioning of subgingivaly positioned crown edge on demarcation line does not exist in terminal phase of cementing. The crown cement can be substratum of bacterial receptiveness and the plaque accumulation in the ginguival sucus. The procedure of cementing is an important cause of incomplete edge closing of the crown on the demarcation line. The form of demarcation line determine the form and the width of crown. They are favorising and degrading the level of marginal adaptations. The existing of horizontal discrepancy at the relation of based tooth--the crown edge is unavoidable. The question is if the amount of this discrepancy fits the assumed biological optimum.