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UPTOWN/GALLERIA: 713-322-8442 | MIDTOWN: 281-783-3227
UPTOWN/GALLERIA: 713-322-8442
MIDTOWN: 281-783-3227

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AS FEATURED ON:

Before/Afters voyagel Houston

The Huffington Post

abc 13 Houston

FOX 26 KNPN

cafemom

zocdoc

Biologic width

Biologic width is a distance found between connective tissue attachment and junctional epithelium on the roof of a surface of a tooth.

Biologic width

Biologic width is known as the specific distance found between connective tissue attachment and junctional epithelium. In other words it is the height found between deepest points for the gingival sulcus with the alveolar bone crest. The distance is good to consider when it comes to the fabrication of a dental restoration since they have to respect natural architecture of gingival attachment so that the harmful consequences may be avoided. Biologic width is specific to the patient and it may vary starting from 0.75 up to 4.3mm. According to the research, the mean biologic width had been determined to be 2.04 mm and for this, the 1.07mm is being occupied by connective tissue attachment which is approximate to be 0.97mm.  Since it is not possible to restore the tooth to precise coronal edge for the junctional epithelium, it is recommended to get rid of the bone in order to reach to 3mm between the alveolar bone and restorative margin.  If the restoration fails to take such consideration in its account, then it will violate biologic width and there are three things that can take place, there may be unpredictable loss of the alveolar bone, chronic inflammation for the gingival or chronic pain.

Biologic width

ARE YOU READY TO STRAIGHTEN YOUR TEETH?

Ferrule effect

Besides the crown lengthening that establishes the right biologic width, 2mm height of a tooth structure has to be available in order to allow the ferrule effects. Ferrule effects for the teeth, it is the band which exists on the residual tooth structure and not the metal band found on the barrel. Enough vertical tooth structure is needed for the crown to ensure ferrule effect. This had been shown in order to reduce significantly fracture incidence in the tooth treated endodontically. Since the beveled tooth structure is not the same as the vertical axis of a tooth, it will not contribute to a ferrule height in the right way. The need of beveling a crown margin with 1mm, it will mean the additional 1mm of the bone removal in a crown lengthening procedure. However, the restoration is performed without the need to use the bevel.

The studies now had found out that even if the ferrule is needed, it does not have to be given at the expense of a remaining tooth or root structure. At the other hand, it had also shown a difference between effective long term restorations or its failure may be just 1mm for additional tooth structure if it is encased in the ferrule to offer better protection. When the functional and long lasting restoration may not be achieved, it is better to consider the tooth extraction.

Crown to the root ratio

With the human body, the ectodermal tissue works to offer the protection against the invasion of the bacteria with foreign materials. However, the dental and teeth implants have to penetrate within such defensive barrier. This natural seal which is found on these two and which protect the alveolar bone against disease and infection is what it is called biologic width. Biological width is said to be dimension of a soft tissue and it is attached to a portion of a tooth coronal to the alveolar bone.

Biologic width is important in preserving the periodontal health and to remove irritation which can damage periodontium or prosthetic restoration. A millimeter found on a junctional epithelium and at the tip of an alveolar bone, is responsible to keep the inflammation down with the bone resorption or periodontitis development.

Crown to the root ratio

ARE YOU READY TO STRAIGHTEN YOUR TEETH?

Biologic width and margin placement

A dentist is given three different options to the margin placement; they are subgingival, equigingival and suprangingival.

Supragingival margin

This causes less impact at the periodontium. The margin location is considered to be a non aesthetic area because of a marked difference in the opacity and color of the restorative materials on the tooth. In the beginning of using of a translucent restorative material like resin cement and adhesive dentistry, now it is possible to put the supragingival margins in the aesthetic areas.

 

Equigingival margin

The use of the equigingival margin was not something that many people looked out for since it was believed to increase the plaque accumulation compared to subgingival or supragingival margins. This resulted in the gingival inflammation. Even a little gingival recession can create the unsightly display.  However, such concern is no longer a question, since the restoration margin may be blended with a tooth since the restoration may be finished faster and it provides a polished and smooth interface on gingival margin.

 

Subgingival margin

Any restorative consideration may dictate placement of the restoration margin under gingival tissue on its crest if there is tooth deficiency or caries. It can also be used to hide dental restoration or tooth interface.  Invasion to the biologic periodontal area which allows additional retention, it may lead iatrogenic periodontal problem and early loss of the restorative material. The restorative margin is put far below under the tissue crest, which can impinge on attachment apparatus on gingival tissue with constant inflammation which may be created or may get worse when the patient is not able to clean that area. The body will attempt to make a room between the margin and an alveolar bone which allow the space to use in tissue reattachment.  It can take place if an alveolar bone that surrounds the teeth is too thin in its width. Thin gingival is prone to the recession compared to the flat periodontium and fibrous tissues which are thicker. The studies for the placement in deep margin had found out that the level in bone does appear to look unchanged.  However, the gingival restoration had shown qualitative and quantitative changes within micro flora which increases the plaque index, recession of the pocket depth, gingival fluid and plaque index.

Biologic width categories with margin placement guidelines to follow in order to prevent the width violation

Normal crest person: this is when the patient has the measurement of mid-face of 3.00 mm while proximal measurement may be 3.0 mm up to 4.5 mm.  In such situation, gingival tissue will look stable for most of the time.

High crest person: this is rare and it takes time in less than 2 percent. With these patients, the measurement in mid-face does not reach to 3.0mm and proximal measurement would not be over 3.0mm.  In such cases, it will not be possible to use intracrevicular margin since the margin can be closer to alveolar bone which result into chronic inflammation with impingement of biologic width

Low crest person:  for these patients, measurement on the mid-face is over to 3.0mm while proximal measurement should be over 4.5mm. Low crest takes place in 13 percent people. Low crest people may be described as patient who is susceptible to the secondary recession during the use of crown margin especially installed intracrevicular.

Daniela Garza
Daniela Garza
19:33 09 Jul 19
Loved the service and the in-depth personalized advice they give you! The staff is great and very knowledgeable. The location and atmosphere is modern and state of the art! Loved it 👍
Elva Koehn
Elva Koehn
22:11 17 Jun 19
I went in after having procrastinated for years because of my dental phobia. From the moment I walked in to their office, I felt at ease. The dental assistant, hygienist and Dr. Bridget made me feel so at ease and explained everything they were doing, every step of the way. I’ve never had such a great dental experience, as I did today. Highly recommend.
Nijah Watson
Nijah Watson
21:52 31 May 19
Best dentist office visit ever! Not only are the staff charismatic, they are very knowledgeable too. They took the time to go over my X-rays with me and made sure I understood what everything was, down to the payment options. They did not rush my exam at all. There was no wait time from the moment I walked in the door to the moment my exam was completed. The office itself lives up to its name with the urban decor. It is also very clean. I would recommend anyone to come here if you're looking for competent, patient, and kind dentist and staff!
Eduardo Mora
Eduardo Mora
19:53 22 May 19
I went in today and they really made me feel comfortable. The staff was extremely friendly and you can tell they make customer service a priority. They made sure the music playing was to my liking and made sure I was comfortable in my chair. The dentist was very knowledgeable and explained the whole process to me in a way that I can understand. I don't like going to the dentist, I don't know anyone that does, but I am glad I went to URBN Dental and wold recommend it to anyone looking for a dentist.
Hilary Rochelle
Hilary Rochelle
20:52 08 May 19
I’m so impressed with Urban Dental. Went having sever pain. New patient! The staff and dentist were amazing . So warm and caring. I will continue coming here for all dental needs. Completely satisfied in every way .
Ryan Zhen
Ryan Zhen
22:28 07 May 19
Just a few days after a visit with Dr. Bridget and I already feel the positive effects on my dental hygiene. She gave helpful and practical tips to brushing and flossing to make my routine more enjoyable. Everyone at URBN Dental Uptown was attentive and courteous to my needs from handling the insurance/financials to ensuring a pain/mess-free cleaning and filling. Looking forward to returning with improved dental health!
Lemond Deleo
Lemond Deleo
20:08 29 Apr 19
The staff here is extremely friendly and professional. From the very beginning, the staff greeted me with kindness and respect. My paperwork was filled out within 15 minutes and afterwards, the dentist called me back almost immediately.So the wait time for my first appointment was basically non-existent. I’m not sure if it’s normally like this or if it’s just a coincidence. Regardless, it was very nice to see the staff and dentists in perfect sync with servicing the customers as quickly and efficiently as possible.My first appointment here was primarily because I had a painful sensation on the bottom right of my tooth. It turned out to be a cavity as I expected. The dentist explained the procedure for a filling and I agreed to go through with it on my next appointment. Thank you for an honest experience that resulted in me learning what the problem with my tooth was.
Jennifer Bell
Jennifer Bell
19:59 29 Apr 19
Very satisfied with my recent experience at this dentist. As a first time customer, I walked in with low expectations, since I find this mentality to be effective for softening the blow if it turns out to be a disappointing service.Well, it turned out to be above average service from the staff at the front desk and the dentists themselves. They are all very professional and the dentists working here are patient when it comes to answering questions. I felt fully fulfilled after leaving the dental office. I’ll definireky be back.
Julia Bleck
Julia Bleck
14:21 05 Apr 19
I've never been to a more thorough and comprehensive dental appointment as the one at URBN Dental! They went over all of the photos and x-rays with me in detail to help explain all of the issues I had, and it's the first time I fully feel like I understand why I need to floss more consistently. They taught me how to properly floss and brush, and I even got a new electric toothbrush with my appointment. Would definitely recommend.
Rachel Richardson
Rachel Richardson
17:30 26 Mar 19
I was immediately greeted by friendly faces when i came in! Online scheduling and patient paperwork made it so easy to get an appointment with no waiting to go back to the room. Every person of staff from front desk, hygienist to dentist introduced themselves to me and took the time to explain everything they were doing. I’ve never had a dentist actually sit down and explain the biology behind flossing, bone health, nerve health etc. it was great to feel like I was being taken care of by true professionals. They were also very explanatory of exactly what my insurance covered and the cost breakout of all of my services. I would recommend this office to any of my friends and family.
Margarita Muro
Margarita Muro
01:28 21 Feb 19
The URBN Dental office is very beautiful! It is modern with natural wood and emerald green elements. I went in for my regular cleaning and exam after looking up 5+ dental offices in the area. I recently moved to uptown and am extremely happy to have found URBN Dental. The Hygienist, Angela, did not only give my advice in regards to my dental hygiene techniques, she educated me which made me more eager to go home and carry out my new routine. Dr. Bridget was very kind, answered all my questions, and gave me a great referral for my wisdom teeth extractions. I will be returning for all of my preventative and general dental needs!
Trisha Hinojosa
Trisha Hinojosa
18:30 07 Oct 18
Very friendly staff who put up with my inane sense of humor. The entire team team spoke with me 1:1, including:Dental assistants, hygienist, dentist, and insurance admin (explained everything to me in detail including how my insurance works).They explained my x-rays to me, the effects of flossing correctly / incorrectly. I feel like they gave me the education I didn't get as a child on how to care for my mouth, and why it's important. I was doing good stuff for my oral health-- just not correctly or with a positive attitude.GREAT aftercare package.
Ji H Oh
Ji H Oh
15:19 22 Sep 18
I am usually scared of going to the dentist for my annual cleaning but I was completely blown away by the amazing customer service from the staff. Julia was extremely helpful and explained my dental coverage and out of pocket costs. Angela did an exceptional job explaining to me about the importance of dental hygiene and actually taught me how to floss properly. The office was extremely clean and upscale. Dr. Bridget was very sweet and great bedside manners. She explained everything about the treatment plan in a very thorough and concise manner. I was extremely impressed by everyone on the office and I cant wait to come back for my next appointment.
Joshua Parra
Joshua Parra
02:17 14 Sep 18
From start to finish great experience. Impeccably clean office, high tech tools, & friendly staff. Went to get my top teeth contoured/shaped. They did a Hollywood star job! I now, have a flawless smile. I even went back the next day for a touch-up on one tooth & they took care of it, graciously. If you want quality cosmetic dentistry inside the loop; look no further. These folks are the best in class.
Death Morgulis
Death Morgulis
16:23 12 Sep 18
Great place for all your dental needs. Very inviting and friendly staff. They are very knowledgeable and passionate about the work they do. I've been looking for a good dentist for awhile while neglecting my oral health, but now I think I've found my place. 10/10 would come back for a follow-up appointment.
Bianca Anderson
Bianca Anderson
17:05 05 Sep 18
Very friendly staff. The hygienist's were so knowledgeable and really took the time to teach you about your teeth, they gave my husband and I "homework" to improve our oral health. Love it! Angela was great, great sense of humor (made me laugh a lot) and very professional. Awesome job Nicole, very friendly and took the time to answer all the questions we had (love she was recommending eateries for hubby to take me :). Julia was great at the front counter very lively and knowledgeable as well. They all really took the time and customized everything for us. Able to get free electric toothbrushes but didn't have any in stock.
Michelle Campbell
Michelle Campbell
19:53 20 Jun 18
Excellent service. Great first impression! Best cleaning I've had in several years, my mouth feels amazing. They even took the time to show me how to brush more effectively. My teeth are back to being pearly white. They were very knowledgeable in regards to my insurance and I've had no issues. The service there is impeccable!
Allie Hackett
Allie Hackett
18:47 19 Jun 18
I am not the biggest fan of the dentist, however this was the BEST dentist experience I have ever had! Everyone was so kind and I got everything I needed done in one visit! They provided super helpful insight about what was going on with my teeth and took care of everything I needed quickly. I will absolutely be returning! 🙂
Andrea Andrea
Andrea Andrea
17:15 20 May 18
Love the location, the dentist AND the staff. Everyone there is awesome. It's rare that I leave a dentist office feeling just as good as when I arrive. I was sad I didn't get to see Snickers, but all in all I had a great experience my first time here. Glad to finally have a new "home" dentist since moving to Texas.
Andrew Nguyen
Andrew Nguyen
14:17 10 May 18
Beautiful location and office. Very friendly and welcoming staff! I had a great time conversing with them about movies and music. Dr. Nguyen and his staff were very knowledgeable and stressed the importance of making sure the patient knew what their game plan was. The office is very high tech as well so it was super cool to know that I was getting the latest tech being use on me.
Nonna Beetge
Nonna Beetge
14:21 24 Apr 18
The staff is wonderful, very friendly and informative. I love how they not only take X-rays, but also photos of all your teeth and put them on the big screen. They spent as much time as I needed to go over each area and explain specifics of each tooth. I definitely have a greater understanding of what is going on in there and what I need to do. I also love their space, it has a calming vibe with all kinds of artwork on display. You almost feel like you’re not at the dentist! Thank you all so much, I look forward to seeing you all again! (Said no one to their dentist 😉 )
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PATIENT TESTIMONIALS

Our patients love being treated at our locations, with consistent 5-star ratings across the board.
See what they have to say about our dentists and dental team.

I can honestly say I had the best experience at URBN Dental. I am new in town and had a emergency. The staff was able to get me in asap and took very good care of me. Everyone worked as a team to ensure that all my needs were meet. I felt important! I was treated as if I was the only patient in the office. I found my Dental home!

The staff here is extremely friendly and professional. From the very beginning, the staff greeted me with kindness and respect. My paperwork was filled out within 15 minutes and afterwards, the dentist called me back almost immediately.

Very knowledgeable and informative, explaining all your x-ray and imagery and in creating a course of treatment. The staff is friendly and definitely concerned with their patients. Comfortable environment.

I am not the biggest fan of the dentist, however this was the BEST dentist experience I have ever had! Everyone was so kind and I got everything I needed done in one visit!

Excellent service. Great first impression! Best cleaning I’ve had in several years, my mouth feels amazing. They even took the time to show me how to brush more effectively. My teeth are back to being pearly white.

They were very prompt and professional. I felt very comfortable in the visit. They have good exam specials without any hidden fees. I have found me a permanent dentist office. Thanks URBN staff.

URBN Dental provided great service and they were all so nice. They did a great job communicating with me and i would recommend to all.

I had a root canal and a crown done here, the entire process took about an hour. Will be back in 2 weeks for my final crown! Great doctor, great staff.

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