The art of tissue management

Abstract

One of the most important tasks in fixed rehabilitation procedure is to keep long-term health of the surrounding gingival tissues. This is the aim sine qua non! Mechanical manipulation of the delicate gingival tissues during high-speed tooth preparation, retraction and final impression is drastic act, which can damage the complex dento-gingival attachment region. We must admit, that this entire zone histologically is miniscule compared with the size of the trauma with which we attack the area. Due to the mentioned facts, the brief comments about the art of tissue management are of the great importance for the doctrine practice.

Očuvanje zdravlja mekih tkiva u rehabilitaciji krezubih pacijenata fiksnim nadoknadama, smatra se ciljem sine qua non. Postupci preparacije zuba, otvaranja gingivalnog sulkusa i finalnog otiskivanja su drastični zahvati, koji mogu ugroziti kompleksnu dento-gingivalnu vezu. Pored toga, mora se priznati da je ovaj 'meki region' histološki i prostorno minoran u poređenju sa veličinom mehaničke traume koja mu se nanosi. Stoga je, kratko podsećanje na načine i metode pripreme regiona gingivalnog sulkusa, vrste i svojstva medikamenata kao i potrebnog instrumentarija koji se koristi u te svrhe, od značaja za doktrinarnu stomatološku praksu.