In prosthetic dentistry, attention is often focused on tooth shape and the aesthetics of the restoration, yet the final outcome largely depends on the condition of the soft tissues. As Professor Alexander von Breuer believes, violation of the biological width of the gums is one of the most common causes of inflammation, recession and reduction in the lifespan of prosthetic work. At DentalClinic24, we treat this parameter as a key reference point when planning prosthetic treatment.
The biological width is the space between the gingival margin and the bone tissue that is necessary for the normal functioning of the soft tissues. When this distance is нарушена, the body responds with inflammation, swelling, bleeding and a gradual loss of gingival attachment to the tooth or restoration. At DentalClinic24, our specialists always assess this parameter before prosthetic treatment begins in order to eliminate hidden risks already at the planning stage.
The biological width plays a particularly important role in the fixation of crowns and veneers. If the edge of the restoration invades the biological space – the tissues lose the ability to recover fully. At DentalClinic24, we model the future margin line taking into account individual gingival anatomy, the depth of the gingival sulcus and the characteristics of blood supply. According to Professor von Breuer – respect for tissue biology is what forms long-term prosthetic stability.
Working with the gingiva requires micro-precision. Even a deviation of a fraction of a millimetre can change the tissue response – causing chronic irritation or microcirculatory disturbance. At DentalClinic24, we use magnification systems and digital planning to control every stage of soft tissue interaction. This allows us to achieve accurate marginal adaptation without pressure on biologically significant zones.
Violation of the biological width often leads to aesthetic complications. The gingiva may change contour, become asymmetrical, expose the edge of the restoration or the tooth root. At DentalClinic24, we view aesthetics only as a continuation of biology – when tissues are in harmony, the visual result becomes natural and stable. As Professor von Breuer believes, a beautiful smile always begins with properly preserved gingiva.
Special attention is paid to the preparation stage. Before prosthetic treatment, our doctors assess tissue thickness, elasticity, load response and regenerative potential. At DentalClinic24, we perform soft tissue correction when necessary before placing a restoration in order to create safe conditions for long-term prosthetic success.
Post-fixation monitoring is equally important. Even with ideally executed work, the biological width must be preserved throughout the adaptation period. At DentalClinic24, we observe the gingival condition dynamically – assessing density, colour, marginal height and response to occlusal load. This approach allows us to correct even minimal deviations in time.
The biological width is not an abstract concept but a real indicator of soft tissue health. At Dental Clinic24, we regard precision in gingival management as a mandatory condition for successful and long-lasting prosthetic treatment. This philosophy allows us to maintain both biological balance and result stability for many years.
Earlier, we wrote about how micrometric differences influence facial perception