head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2017, vol. 23, issue 4
Subject Area: Dental Medicine
DOI: 10.5272/jimab.2017234.1854
Published online: 21 December 2017

Review article

J of IMAB 2017 Oct-Dec;23(4):1854-1858
Stoyan Yankov1ORCID logo Corresponding Autoremail, Bozhana Chuchulska1ORCID logo, Diyan Slavchev1ORCID logo, Ilian Hristov1ORCID logo, Rangel Todorov2ORCID logo,
1) Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University - Plovdiv, Bulgaria
2) Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria.

Gingival displacement is performed to create sufficient space between the finishing line and the gingival tissue, to allow the injection of the adequate bulk of the impression material into the expanded crevice. Control of moisture in the sulcus is also necessary. The variety of methods for tissue management can be broadly classified into surgical and non-surgical. Objective: To analyse the properties of tissue displacement methods, described in the literature for the last 4 years and display the prefered choices of the practitioners.
Material and method: A time range from the last 4 years was set. Using the keywords “retraction cord” and “survey,” we found 64 from 115 articles in total, relevant to our topic. Patents, citations and books weren’t included in this review. Results from the overview of the properties of the different tissue management methods indicate that retraction cords take a significant place among them and can be recognised as a classical and well known method.
Conclusions: The studies from the articles show adequate sulcal width right after retraction with most methods, sufficient haemostasis can also be obtained. Every each method, however, is accompanied by several drawbacks. Concidering all the quallities of the different tissue dispalcent methods, there is no specific evidence to promote the use of a single technique over any other. The selection of the method for gingival retraction primarily depends on each clinical case. However, the retraction cord technique remains to be the prefered method for gingival management due to its many advantages.

Keywords: retraction cord, survey, gingival displacement,

pdf - Download FULL TEXT /PDF 1222 KB/
Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Yankov S, Chuchulska B, Slavchev D, Hristov I, Todorov R. The place of retraction cords among the tissue displacement methods. J of IMAB. 2017 Oct-Dec;23(4):1854-1858.
DOI: 10.5272/jimab.2017234.1854

Corresponding AutorCorrespondence to: Dr Stoyan Yankov, Department of Prosthetic Dentistry, Faculty of Dental Medicine – Plovdiv; 15A, Vasil Aprilov str., Plovdiv, Bulgaria; E-mail: yankov.dent@gmail.com

1. The Glossary of Prosthodontic terms. J Prosthet Dent. 2005 Jul;94(1):10-92. [PubMed]
2. Thomas MS, Joseph RM, Parolia A. Nonsurgical gingival displacement in restorative dentistry. Compend Contin Educ Dent. 2011 Jun;32(5):26-34. [PubMed]
3. Shujaulla S, Tabasum ST, Kumar S. Gingival tissue retraction: a review. J Integr Dent. 2012 Oct;1(1):16-23.
4. Shetty, K. Gingival tissue management: A necessity or a liability? Triv Dent J. 2011 Jul-Dec;2(2):112-9.
5. Ghai KS, Saluja BS, Mittal D. Gingival tissue management in fixed prosthodontics. Baba Farid University Dental Journal. 2013; 4(3):70-4.
6. Khajuria RR, Sharma V, Vadavadgi S, Singh R. Advancements in tissue displacement–A review. Ann Dent Spec. 2014 Jul-Sep;2(3):100-3.
7. Chandra S, Singh A, Gupta KK, Chandra C, Arora V. Effect of gingival displacement cord and cordless systems on the closure, displacement, and inflammation of the gingival crevice. J Prosthet Dent. 2016 Feb 29;115(2):177-82. [PubMed] [CrossRef]
8. Rajambigai MA, Raja SR, Soundar SJ, Kandasamy M. Quick, painless, and atraumatic gingival retraction: An overview of advanced materials. J Pharm Bioall Sci. 2016 Oct;8(Suppl 1):5-7.
9. Ahmed SN, Donovan TE. Gingival displacement: Survey results of dentists' practice procedures. J Prosthet Dent. 2015 Jul;114(1):81-5.e1-2. [PubMed] [CrossRef]
10. McCracken MS, Louis DR, Litaker MS, Minye HM, Oates T, Gordan VV, et al. Impression Techniques Used for Single-Unit Crowns: Findings from the National Dental Practice-Based Research Network. J Prosthodont. 2017 Jan 11. [Epub ahead of print] [PubMed] [CrossRef]
11. Prasad KD, Hegde C, Agrawal G, Shetty M. Gingival displacement in prosthodontics: A critical review of existing methods. J Interdiscip Dentistry. 2011 Jul 1;1(2):80-6. [CrossRef]
12. Madhok S, Rajput G, Singh G. Non-surgical gingival retraction past and current trends. Guident. 2014 Oct 1;7(11):26-30.
13. Shrivastava KJ, Bhoyar A, Agarwal S, Shrivastava S, Parlani S, Murthy V. Comparative clinical efficacy evaluation of three gingival displacement systems.J Nat Sc Biol Med. 2015; 6, Suppl S1:53-7. [CrossRef]
14. Huang C, Somar M, Li K, Mohadeb JV. Efficiency of cordless versus cord techniques of gingival retraction: A systematic review. J Prosthodont. 2017 Apr;26(3):177-85. [CrossRef]
15. Anupam P, Namratha N, Vibha S, Anandakrishna GN, Shally K, Singh A. Efficacy of two gingival retraction systems on lateral gingival displacement: A prospective clinical study.J Oral Biol Craniofac Res. 2013 May-Aug;3(2):68-72. [PubMed] [CrossRef]
16. Albaker AM. Gingival retraction–techniques and materials: a review. Pak Oral Dental J. 2010 Dec;30(2):545-51.
17. Donaldson M, Goodchild JH. Local and systemic effects of mechanico-chemical retraction. Compend Contin Educ Dent. 2013 Sep;34 Spec No 6:1-7; quiz p8. [PubMed]
18. Stuffken M, Vahidi F. Preimpression troughing with the diode laser: A preliminary study. J Prosthet Dent. 2016 Apr;115(4):441-6. [PubMed] [CrossRef].

Received: 03 August 2017
Published online: 21 December 2017

back to Online Journal