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Filters applied were: Case reports, clinical trial, review, guideline, randomized controlled trial, meta\u2010analysis, systematic reviews, and English. A narrative review was then synthesized to discuss periodontal outcomes related to restorations and tooth\u2010supported fixed prostheses. Relevant data was organized into four sections: Direct restorations, indirect restorations, biologic width or supracrestal tissue attachment and tooth preparation\/finish line design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>While increased gingival index, bleeding on probing, probing depth and clinical attachment loss have been associated with subgingival restorations, intracrevicular margins do not cause periodontal diseases. Inflammation and bone loss occur, for both direct and indirect restorations, only with large overhangs. Different restorative materials are associated with different clinical responses when placed in the gingival sulcus or within the epithelial and connective tissue attachments. When the connective tissue attachment is removed, histological changes occur causing its apical shift and subsequent re\u2010establishment. Gingival displacement during impression procedures can cause gingival recession. Emergence profile can have a range of values, not associated with periodontal diseases. Periodontal response appears to be clinically not different when compared among different finish line designs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Contemporary procedures and materials used for the placement and fabrication of tooth\u2010supported restorations and fixed prostheses are compatible with periodontal health when adequate patient education and motivation in self\u2010performed oral hygiene are present. Periodontal diagnostic criteria should be thoroughly reviewed before fixed restorative treatments are planned and executed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jopr.13292","type":"journal-article","created":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T15:59:36Z","timestamp":1605801576000},"page":"305-317","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["The Relationships Between Tooth\u2010Supported Fixed Dental Prostheses and Restorations and the Periodontium"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9720-8411","authenticated-orcid":false,"given":"Carlo","family":"Ercoli","sequence":"first","affiliation":[{"name":"Departments of Prosthodontics and Periodontics, Eastman Institute for Oral Health University of Rochester  Rochester 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