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Biologic width and its relation to periodontal biotypes

F Sanavi¹, A S Weisgold, L F Rose

¹School of Dental Medicine, University of Pennsylvania, Philadelphia, USA.

Journal of Esthetic Dentistry

|October 6, 1998

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The biologic width is crucial for dental implant success, influencing clinical decisions and preventing inflammation. Understanding this biologic attachment helps manage peri-implant issues around implants and natural teeth.

Area of Science:

Dentistry
Periodontology
Biomaterials Science

Background:

The concept of biologic width is supported by clinical observations, autopsy studies, and animal research.
Biologic width is essential for maintaining healthy periodontal tissues around natural teeth and dental implants.
Impingement on biologic width can lead to adverse tissue reactions like inflammation and bone loss.

Purpose of the Study:

To emphasize the clinical significance of biologic width in restorative dentistry and implantology.
To correlate the concept of biologic width with peri-implant health and disease.
To highlight the importance of respecting biologic width during surgical procedures and prosthetic restorations.

Main Methods:

Review of existing literature and clinical evidence supporting the biologic width concept.

Related Experiment Videos

Analysis of clinical impressions and findings from human autopsy material and animal studies.

Comparison of biologic width principles between natural teeth and dental implants.

Main Results:

Average biologic width measurements provide a basis for clinical decision-making.
Impingement on biologic width around implants can cause peri-implant inflammation, similar to natural teeth.
Understanding biologic width is critical for determining the extent of osseous surgery and prosthetic design.

Conclusions:

The biologic width is a critical factor in preventing peri-implant inflammatory disease.
Clinical management of dental implants must consider the principles of biologic width to ensure long-term success.
Gingival reactions to compromised biologic width around implants mirror those around natural teeth.