Prospects and Expediency of Implementing the Use of Vertical Preparation of Hard Tissues of Teeth in Orthopedic Dentistry (Literature Review)
DOI:
https://doi.org/10.33295/1992-576X-2024-6-58Keywords:
biologically oriented preparation technique (BOPT), periodontium, orthopedic restorations, mplants, gum recessionAbstract
Introduction. In 2013, modified vertical preparation, also known as biologically oriented preparation technique (BOPT), was proposed to benefit both short- and long-term soft tissue stability. BOPT is a procedure to eliminate the anatomical appearance of the crown at the cemento-enamel ju ction (CEJ) and create a new connection with a fixed prosthesis during prosthesis placement and is a consolidated concept of pericoronal soft tissue modeling and preservation. The purpose of BOPT is to stabilize the gingival tissue in the medium and long term and to preserve the biological width through controlled penetration into the sulcus during tooth preparation. This avoids the complications associated with conventional horizontal subgingival preparation, where restorations are placed below the gingival margin, which is associated with periodontal inflammation and possible gingival displacement
Goal. Based on the analysis of literary sources, the prospects and expediency of implementing the vertical preparation of hard tooth tissues in orthopedic dentistry are determined.
Materials and methods. Information search and analysis of scientific sources was done using scientometric databases Web of Science, PubMed, and Google Scholar over the last 10 years.
Conclusion. The analysis of literature sources allowed us to conclude that although the BOPT technique has shown significant advantages in stabilizing soft tissues and improving the aesthetics of prostheses, further research is needed to better understand its long-term results and possible complications. Studies comparing BOPT with other methods regarding periodontal effects, tissue adaptation, and predicting outcomes in patients with different gingival types are particularly important. Additional clinical trials will help improve the technique and establish clear protocols for its use in various clinical cases.
Downloads
References
Kotb Salem, Shereen & Asaad, Rasha. (2024). Marginal Integrity of Different CAD/CAM Monolithic Ceramic Crowns with Vertical and Horizontal Finish Line Preparations. Egyptian Dental Journal. 70. 1761:1769. DOI: https://doi.org/10.21608/EDJ.2024.269678.2936.
Nóbrega, Catarina, Maria Conceição Manso, Mariano Herrero-Climent, Javier Gil, and Paulo Ribeiro. (2024). Impact of Magnifying Loupes on the Finish Lines of Fixed Prosthesis Preparations. Prosthesis 6, 3: 631–642. DOI: https://doi.org/10.3390/prosthesis6030044.
Blanca Serra-Pastor, Ignazio Loi, Antonio Fons-Font, M. Fernanda Solá-Ruíz, Rubén Agustín-Panadero (2019). Periodontal and prosthetic outcomes on teeth prepared with biologically oriented preparation technique: a 4-year follow-up prospective clinical study. Journal of Prosthodontic Research, 63 (4), 415–420, ISSN 1883-1958, DOI: https://doi.org/10.1016/j.jpor.2019.03.006.
Avetisyan, Anna, Marina Markaryan, Dinesh Rokaya, Marcos Roberto Tovani-Palone, Muhammad Sohail Zafar, Zohaib Khurshid, Anna Vardanyan, and Artak Heboyan. (2021). Characteristics of Periodontal Tissues in Prosthetic Treatment with Fixed Dental Prostheses. Molecules 26, 5, 1331. DOI: https://doi.org/10.3390/molecules26051331.
Hao, Y., Huang, X., Zhou, X., Li, M., Ren, B., Peng, X., & Cheng, L. (2018). Influence of dental prosthesis and restorative materials interface on oral biofilms. International journal of molecular sciences, 19(10), 3157. DOI: https://doi.org/10.3390/ijms19103157.
Yin XJ, Wei BY, Ke XP, Zhang T, Jiang MY, Luo XY, Sun HQ. (2020).Correlation between clinical parameters of crown and gingival morphology of anterior teeth and periodontal biotypes. BMC Oral Health., 20 (1), 59. DOI: https://doi.org/10.1186/s12903-020-1040-x. PMID: 32075626; PMCID: PMC7031990.
Abduo J, Lyons KM. (2017). Interdisciplinary interface between fixed prosthodontics and periodontics. Periodontol 2000, 74 (1), 40–62. DOI: https://doi.org/10.1111/prd.12189. PMID: 28429481.
Łabno, Paweł & Drobnik, Krzysztof. (2020). Comparison of horizontal and vertical methods of tooth preparation for a prosthetic crown. Journal of Pre-Clinical and Clinical Research. 14. DOI: https://doi.org/10.26444/jpccr/116672.
Agingu, C., Zhang, C. Y., Jiang, N. W., Cheng, H., Özcan, M., & Yu, H. (2018). Intraoral repair of chipped or fractured veneered zirconia crowns and fixed dental prosthesis: clinical guidelines based on literature review. Journal of adhesion science and Technology, 32(15), 1711–1723. DOI: https://doi.org/10.1080/01694243.2018.1443639.
Sami, Kareem. (2023). One Year Clinical Evaluation Of Translucent Zirconia Crowns In Dental Esthetic Zone With Biologically Oriented Preparation Technique Versus Conventional Preparation (RCT). Journal of Pharmaceutical Negative Results. 4042–4050. DOI: https://doi.org/10.47750/pnr.2022.13.S08.511.
Carnevale G, di Febo G, Fuzzi M. (1990). A retrospective analysis of the perio-prosthetic aspect of teeth re-prepared during periodontal surgery. J Clin Periodontol., 17 (5), 313–6. DOI: https://doi.org/10.1111/j.1600-051x.1990.tb01095.x. PMID: 2355096.
Loi I, Di Felice A. (2013). Biologically oriented preparation technique (BOPT): a new approach for prosthetic restoration of periodontically healthy teeth. Eur J Esthet Dent., 8(1), 10–23. PMID: 23390618.
Agustín-Panadero R, Solá-Ruíz MF. (2015). Vertical preparation for fixed prosthesis rehabilitation in the anterior sector. J Prosthet Dent, 114(4), 474–8. DOI: https://doi.org/10.1016/j.prosdent.2015.05.010. Epub 2015 Jul 26. PMID: 26213268.
Agustín-Panadero R, Solá-Ruíz MF, Chust C, Ferreiroa A. (2016). Fixed dental prostheses with vertical tooth preparations without finish lines: A report of two patients. J Prosthet Dent, 115(5), 520–6. DOI: https://doi.org/10.1016/j.prosdent.2015.11.011. Epub 2016 Jan 8. PMID: 26774314.
Noè, Gaetano, Andrea Toffoli, Edoardo Foce, Gianfranco Di Febo, Gianfranco Carnevale, Roberto Bonfiglioli, Guido Maria Macaluso, and Edoardo Manfredi. (2023). Vertical Edgeless Preparation: Periodontal Dominance in Prosthetic Crown Preparation. Prosthesis 5, 2, 358–367. DOI: https://doi.org/10.3390/prosthesis5020026.
Peris H, Godoy L, Cogolludo PG, Ferreiroa A. (2019). Ceramic veneers on central incisors without finish line using bopt in a case with gingival asymmetry. J Clin Exp Dent, 11(6), 577–581. DOI: https://doi.org/10.4317/jced.55688. PMID: 31346381; PMCID: PMC6645259.
Arif R, Dennison JB, Garcia D, Yaman P. (2019). Retrospective evaluation of the clinical performance and longevity of porcelain laminate veneers 7 to 14 years after cementation. J Prosthet Dent, 122(1), 31–37. DOI: https://doi.org/10.1016/j.prosdent.2018.09.007. Epub 2019 Mar 15. PMID: 30885576.
Granell-Ruiz M, Rech-Ortega C, Oteiza-Galdón B, Bouazza-Juanes K. (2023). Case report: Vertical preparation protocol for veneers. J Clin Exp Dent., 15(4), 346–350. DOI: https://doi.org/10.4317/jced.60223. PMID: 37152495; PMCID: PMC10155945.
Serra-Pastor B, Loi I, Fons-Font A, Solá-Ruíz MF, Agustín-Panadero R. (2019). Periodontal and prosthetic outcomes on teeth prepared with biologically oriented preparation technique: a 4-year follow-up prospective clinical study. J Prosthodont Res., 63(4), 415–420. DOI: https://doi.org/10.1016/j.jpor.2019.03.006. Epub 2019 Apr 8. PMID: 30975559.
Türktekin F, Buduneli N, Lappin DF, Türk T, Buduneli E. (2018). Diamond burs versus curettes in root planing: a randomized clinical trial. Aust Dent J., 63(2), 242–252. DOI: https://doi.org/10.1111/adj.12602. Epub 2018 Mar 30. PMID: 29432640.
LOI, I., DI FELICE, A. N. T. O. N. E. L. L. O., & Di San Filippo, E. (2019). La influencia de la preparación dental sobre el margen gingival. Manejo del periodonto con técnica biológicamente orientada (BOPT) en un caso de fracturas dentales profundas. Periodoncia Clín, 12, 37–45. URL: https://www.sweden-martina.com/articms/admin/upAllegati/21551/Loi_BOPT_SEPA.pdf
Agustín-Panadero R, Serra-Pastor B, Fons-Font A, Solá-Ruíz MF. (2018). Prospective Clinical Study of Zirconia Full-coverage Restorations on Teeth Prepared With Biologically Oriented Preparation Technique on Gingival Health: Results After Twoyear Follow-up. Oper Dent., 43(5), 482–487. DOI: https://doi.org/10.2341/17-124-C. Epub 2018 Mar 7. PMID: 29513640.
León-Martínez R, Montiel-Company JM, Bellot-Arcís C, Solá-Ruíz MF, Selva-Otaolaurruchi E, Agustín-Panadero R. (2020). Periodontal Behavior Around Teeth Prepared with Finishing Line for Restoration with Fixed Prostheses. A Systematic Review and Meta-Analysis. J Clin Med., 9(1), 249. DOI: https://doi.org/10.3390/jcm9010249. PMID: 31963494; PMCID: PMC7019920.
Rodríguez X, Vela X, Segalà M. Cutting-Edge (2017). Implant Rehabilitation Design and Management: A Tapered Abutment Approach. Compend Contin Educ Dent., 38(7), 482–491. PMID: 28727464.
Cabanes-Gumbau G, Soto-Peñaloza D, Peñarrocha-Diago M, Peñarrocha-Diago M. (2019). Analogical and Digital Workflow in the Design and Preparation of the Emergence Profile of Biologically Oriented Preparation Technique (BOPT) Crowns over Implants in the Working Model. J Clin Med., 8(9), 1452. DOI: https://doi.org/10.3390/jcm8091452. PMID: 31547384; PMCID: PMC6780831.
Fuzzi, M., TRiCARiCo, M. G., Cagidiaco, E. F., Bonadeo, G., Sorrentino, R., & Ferrari, M. (2017). Nanoleakage and internal adaptation of zirconia and lithium disilicate single crowns with feather edge preparation. Journal of Osseointegration, 9(2), 250–262.
Ferrari M, Ferrari Cagidiaco E, Goracci C, Sorrentino R, Zarone F, Grandini S, Joda T. (2019). Posterior partial crowns out of lithium disilicate (LS2) with or without posts: A randomized controlled prospective clinical trial with a 3-year follow up. J Dent, 83, 12–17. DOI: https://doi.org/10.1016/j.jdent.2019.01.004. Epub 2019 Feb 1. PMID: 30716452.
Castelo-Baz P, Freire-Álvarez-Blázquez M, Pereira-Lores P, Álvarez-Nóvoa P, Dablanca-Blanco A, Miguéns-Vila R, Martín-Biedma B. (2023). Vertical preparation: a new technique for analogical and digital impressions. J Clin Exp Dent. 15(7), 590–593. DOI: https://doi.org/10.4317/jced.60169. PMID: 37519324; PMCID: PMC10382158.
Serra-Pastor B, Bustamante-Hernández N, Fons-Font A, Solá-Ruíz MF, Revilla-León M, Agustín-Panadero R. (2023). Periodontal outcomes of anterior fixed partial dentures on teeth treated with the biologically oriented preparation technique: A 6-yearprospective clinical trial. J Prosthet Dent., 129(5), 703–709. DOI: https://doi.org/10.1016/j.prosdent.2021.07.009. Epub 2021 Oct 23. PMID: 34702586.
Agustín-Panadero R, Serra-Pastor B, Loi I, Suárez MJ, Pelaez J, Solá-Ruíz F. (2021). Clinical behavior of posterior fixed partial dentures with a biologically oriented preparation technique: A 5-year randomized controlled clinical trial. J Prosthet Dent., 125(6), 870–876. DOI: https://doi.org/10.1016/j.prosdent.2020.03.031. Epub 2020 Jun 21. PMID: 32580920.
Kaur, Harsimran & Singhtomar, Shivam & Dhawan, Pankaj. (2022). Vertical Preparation: Biologically Oriented Preparation Technique (BOPT). Journal of Pierre Fauchard Academy (India Section). DOI: https://doi.org/10.18311/jpfa/2022/28626.
Abad-Coronel C, Villacís Manosalvas J, Palacio Sarmiento C, Esquivel J, Loi I, Pradíes G. (2022). Clinical outcomes of the biologically oriented preparation technique (BOPT) in fixed dental prostheses: A systematic review. J Prosthet Dent., 30, 0022-3913(22)00488-7. DOI: https://doi.org/10.1016/j.prosdent.2022.07.010. Epub ahead of print. PMID: 36192194.
Elsherbini M, Sakrana AA, Amin RA, Diaa M, Özcan M, Al-Zordk W. (2023). A micro-computed tomography analysis of internal and marginal fits of fixed partial dentures: Effect of preparation finish line designs on monolithic zirconia and heat-pressed zirconia-reinforced lithium disilicate. J Prosthodont., 32(5), 90–99. DOI: https://doi.org/10.1111/jopr.13656. Epub 2023 Feb 25. PMID: 36718906.
Rizonaki M, Jacquet W, Bottenberg P, Depla L, Boone M, De Coster PJ. (2022). Evaluation of marginal and internal fit of lithium disilicate CAD-CAM crowns with different finish lines by using a micro-CT technique. J Prosthet Dent., 127(6), 890–898. DOI: https://doi.org/10.1016/j.prosdent.2020.11.027. Epub 2021 Feb 2. PMID: 33541816.
Agustín-Panadero R, Serra-Pastor B, Loi I, Suárez MJ, Pelaez J, Solá-Ruíz F. (2021). Clinical behavior of posterior fixed partial dentures with a biologically oriented preparation technique: A 5-year randomized controlled clinical trial. J Prosthet Dent., 125(6), 870–876. DOI: https://doi.org/10.1016/j.prosdent.2020.03.031. Epub 2020 Jun 21. PMID: 32580920.
Cagidiaco EF, Discepoli N, Goracci C, Carboncini F, Vigolo P, Ferrari M. (2019). Randomized Clinical Trial on Single Zirconia Crowns with Feather-Edge vs Chamfer Finish Lines: Four-Year Results. Int J Periodontics Restorative Dent., 39(6), 817-826. doi: 10.11607/prd.4270. PMID: 31613942.
Paniz G, Nart J, Gobbato L, Chierico A, Lops D, Michalakis K. (2015). Periodontal response to two different subgingival restorative margin designs: a 12-month randomized clinical trial. Clin Oral Investig., 20(6), 1243–52. DOI: https://doi.org/10.1007/s00784-015-1616-z. Epub Oct 8. PMID: 26445857.
Serra-Pastor B, Bustamante-Hernández N, Fons-Font A, Solá-Ruíz MF, Revilla-León M, Agustín-Panadero R. (2023). Periodontal outcomes of anterior fixed partial dentures on teeth treated with the biologically oriented preparation technique: A 6-year prospective clinical trial. J Prosthet Dent., 129(5), 703–709. DOI: https://doi.org/10.1016/j.prosdent.2021.07.009. Epub 2021 Oct 23. PMID: 34702586.
Agustín-Panadero R, Ausina-Escrihuela D, Fernández-Estevan L, Román-Rodríguez JL, Faus-López J, Solá-Ruíz MF. (2017). Dental-gingival remodeling with BOPT no-prep veneers. J Clin Exp Dent., 9(12), 1496–1500. DOI: https://doi.org/10.4317/jced.54463. PMID: 29410769; PMCID: PMC5794131.
Cabanes-Gumbau G, Soto-Peñaloza D, Peñarrocha-Diago M, Peñarrocha-Diago M. (2019). Analogical and Digital Workflow in the Design and Preparation of the Emergence Profile of Biologically Oriented Preparation Technique (BOPT) Crowns over Implants in the Working Model. J Clin Med., 8(9), 1452. DOI: https://doi.org/10.3390/jcm8091452. PMID: 31547384; PMCID: PMC6780831.
Díaz-Sánchez M, Soto-Peñaloza D, Peñarrocha-Oltra D, Peñarrocha-Diago M. (2019). Influence of supracrestal tissue attachment thickness on radiographic bone level around dental implants: A systematic review and meta-analysis. J Periodontal Res., 54(6), 573–588. DOI: https://doi.org/10.1111/jre.12663. Epub 2019 Jun 23. PMID: 31231802.
Rodriguez, X. A. V. I. E. R., Vela, X. A. V. I. E. R., SEGALÀ, M., PÉREZ, J., PONS, L., & LOI, I. (2019). Examen histológico humano de la respuesta de los tejidos al tallado vertical y provisionalización inmediata (BOPT) — fundamento biológico. Revista científica de la Sociedad de Periodoncia, 5(12), 47–58. Testori T, Weinstein T, Scutellà F, Wang HL, Zucchelli G. Implant placement in the esthetic area: criteria for positioning single and multiple implants. Periodontol 2000. 2018 Jun; 77(1):176–196. DOI: https://doi.org/10.1111/prd.12211. Epub 2018 Feb 27. PMID: 29484714.
Wang, Y., Zhang, Y., & Miron, R. J. (2016). Health, maintenance, and recovery of soft tissues around implants. Clinical implant dentistry and related research, 18(3), 618–634.
Cocchetto R, Canullo L. (2015). The “hybrid abutment”: a new design for implant cemented restorations in the esthetic zones. Int J Esthet Dent., 10(2), 186–208. PMID: 25874269.
Canullo, L., Menini, M., Covani, U., & Pesce, P. (2020). Clinical outcomes of using a prosthetic protocol to rehabilitate tissue-level implants with a convergent collar in the esthetic zone: A 3-year prospective study. The Journal of Prosthetic Dentistry, 123(2), 246–251.
Solá-Ruiz MF, Del Rio Highsmith J, Labaig-Rueda C, Agustín-Panadero R. (2017). Biologically oriented preparation technique (BOPT) for implant-supported fixed prostheses. J Clin Exp Dent., 9(4), 603–607. DOI: https://doi.org/10.4317/jced.53703. PMID: 28469832; PMCID: PMC5410687.47. Mailoa, J., Arnett, M., Chan, H. L., George, F. M., Kaigler, D., & Wang, H. L. (2018). The association between buccal mucosa thickness and periimplant bone loss and attachment loss: a cross-sectional study. Implant dentistry, 27(5), 575–581.
Agustín-Panadero R, Bustamante-Hernández N, Labaig-Rueda C, Fons-Font A, Fernández-Estevan L, Solá-Ruíz MF. (2019). Influence of Biologically Oriented Preparation Technique on Peri-Implant Tissues; Prospective Randomized Clinical Trial with Three-Year Follow-Up. Part II: Soft Tissues. J Clin Med. Dec, 8(12), 2223. DOI: https://doi.org/10.3390/jcm8122223. PMID: 31888207; PMCID: PMC6947358.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 “VYDAVNYCHYY BUDYNOK EXPERT” LLC
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
