Literature Resources

Extensive professional literature exists on both supra-gingival dentistry and minimally-invasive dentistry. The following articles are part of the foundation to the statements in this website. Use the following link to search for them on PubMed.

Principles of supra-gingival dentistry:

• Ruiz, Jose-Luis, “Supra-gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations,” published by Wiley Blackwell; Contributing Editor, Dr. Ray Bertolotti.
• Ruiz JL, Christensen GJ., “Myths vs. realities, State of the art indirect posterior restorations.” Journal of Cosmetic Dentistry, 2011; 27(3): 63-72
• Bertolotti, RL., “Total etch–the rational dentin bonding protocol.” International Journal of Esthetic Dentistry, Jan – Feb 1991; 3(1): 1-6. Review.
• Christensen GJ., “Are tooth colored onlays viable alternatives to crowns?” Clinicians Report, January 2012; 5(1): 1,3.
• Ruiz JL., “Simplifying the cementation of porcelain onlays.” Dentistry Today, 2004; 23(3): 76-79.
• Ruiz JL., “Supragingival Dentistry using metal-free restorations.” Dentistry Today, 2008; 27: 104-109.
• Ruiz JL., “Anterior and posterior partial-coverage indirect restorations using supragingival dentistry techniques.” Journal of the Massachusetts Dental Society, Summer 2012 ;61(2): 16-9.
• Ruiz JL, Kurtz R., “Are full crowns over utilized. Supra-gingival partial coverage designs as a first option.” Dentistry Today, May 2014; 122-125.

Subgingival restoration margins cause inflammation:

• Reitemeier B, Hänsel K, Walter MH, Kastner C, Toutenburg H., “Effect of posterior crown margin placement on gingival health.” Journal of Prosthetic Dentistry, Feb 2002; 87(2): 167-72.
• Sorensen,SE, Larsen IB, “Gingival and alveolar bone reaction to marginal fit of subgingival crown margins.” European Journal of Oral Sciences, 1986; 94 (2): 109–114.
• Lareto D., “Effects of cervical margins on gingival.” Journal of the California Dental Association, 1969; 45: 19.
• Feng J, Aboyoussef H, Weiner S, Singh S, Jandinski J., “The effect of gingival retraction procedures on periodontal indices and crevicular fluid cytokine levels: a pilot study.” Journal of Prosthodontics. Mar-Apr 2006; 15(2): 108-12.

Cutting teeth for crowns causes damage to the dental pulp (nerve):

• Zollner A and Gaengler P., “Pulp reactions to different preparation techniques on teeth exhibiting periodontal disease.” Journal of Oral Rehabilitation. Feb 2000; 27(2): 93-102.
• Thomas MS, Kundabala M., “Pulp hyperthermia during tooth preparation:the effect of rotatory instruments, laser, ultrasonic devices and airborn particle abrasion.” Journal of the California Dental Association. 2012; 40(9): 721-731.
• Davis GR, Tayeb RA, Seymour KG, et al., “Quantification of residual dentine thickness following crown preparation.” Journal of Dentistry. 2012; 40( 7): 571–576.
• Dahl BL. J, “Dentine/pulp reactions to full crown preparation procedures.” Journal of Oral Rehabilitation. Jul 1977; 4(3): 247-254.
• Langeland K, Langeland LK., “Pulp reactions to cavity and crown preparation.” Australian Dental Journal. August 1970; 5(4): 261–276.

An interview with Dr Ruiz and Dental Town explaining the benefits of Supra-gingival dentistry such as less pain, less negative side effects and healthier results for patients as well as increased predictability and simplicity for the dentist. Link to view interview:Dental Town