A Retrospective Periodontal Assessment of 137 Teeth After Featheredge Preparation and Gingittage

Scutellà, Fabio; Weinstein, Tommaso; Zucchelli, Giovanni; Testori, Tiziano; Fabbro, Massimo Del

doi:10.11607/prd.3274

Cited by 9 publications

(24 citation statements)

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“…In summary, as previously discussed, periodontal health appears compatible with a range of values for EP 151 and when a featheredge finish line design is adopted 93,197,203,205–208 …”

Section: Resultsmentioning

confidence: 55%

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The Relationships Between Tooth‐Supported Fixed Dental Prostheses and Restorations and the Periodontium

Ercoli

Tarnow

Poggio

et al. 2020

Journal of Prosthodontics

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Purpose To search the literature and to critically evaluate the findings on the periodontal outcomes of restorations and tooth‐supported fixed prostheses. Materials and Methods PubMed was searched according to a systematic methodology, previously reported, but updated to include a larger database. Filters applied were: Case reports, clinical trial, review, guideline, randomized controlled trial, meta‐analysis, systematic reviews, and English. A narrative review was then synthesized to discuss periodontal outcomes related to restorations and tooth‐supported 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. Results 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‐establishment. 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. Conclusions Contemporary procedures and materials used for the placement and fabrication of tooth‐supported restorations and fixed prostheses are compatible with periodontal health when adequate patient education and motivation in self‐performed oral hygiene are present. Periodontal diagnostic criteria should be thoroughly reviewed before fixed restorative treatments are planned and executed.

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“…In summary, as previously discussed, periodontal health appears compatible with a range of values for EP 151 and when a featheredge finish line design is adopted 93,197,203,205–208 …”

Section: Resultsmentioning

confidence: 55%

“…Gingival margin changes have been associated with fixed prosthodontic procedures 80,81,83–90 . They can be linked to a variety of factors, including crown preparation and margin position, 80,91–93 gingival displacement and impressions, 81,84,94 provisional prostheses, 95 and luting agents 96…”

Section: Resultsmentioning

confidence: 99%

The Relationships Between Tooth‐Supported Fixed Dental Prostheses and Restorations and the Periodontium

Ercoli

Tarnow

Poggio

et al. 2020

Journal of Prosthodontics

View full text Add to dashboard Cite

show abstract

“…These are important findings as, according to the literature, the risk of gingivitis is always slightly greater around prosthetic crowns on horizontal dental finish lines, where GI values are usually seen to increase [35][36][37][38]. It should be noted that several previous studies have reported bleeding on probing [6,28,39], a parameter that the present study omitted since periodontal conditions were evaluated by means of the GI.…”

Section: Discussionmentioning

confidence: 59%

“…Gingival thickness has not been a parameter that is commonly reported in previous articles. Nevertheless, some studies record the patient's gingival biotype, although changes over time have not been reported [6,16]. In the work by Paniz, neither preparation protocols nor provisionalization were described correctly, and changes in several variables were not monitored over time.…”

Section: Discussionmentioning

confidence: 99%

“…In this sense, an ideal prosthodontic treatment must achieve a healthy relationship between the prosthesis and the surrounding periodontal tissues [1][2][3][4][5]. Many factors in the design of a fixed prosthesis influence periodontal health: the prosthesis's cervical emergence profile, the materials used in fabrication, the finish line created in dental preparation, and especially the location of the prosthetic margin [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

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Periodontal Behavior and Patient Satisfaction of Anterior Teeth Restored with Single Zirconia Crowns Using a Biologically Oriented Preparation Technique: A 6-Year Prospective Clinical Study

Serra-Pastor

Bustamante-Hernández

Fons-Font

et al. 2021

JCM

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Objectives. The aim of this study was to analyze the behavior of the periodontal tissues around teeth in the anterior region when restored with zirconia single crowns, using a biologically oriented preparation technique (BOPT), over a 6-year follow-up. Methods. The study investigated tooth-supported single crowns in the anterior region that were fabricated with a zirconia core and feldspathic ceramic covering, in 34 patients. Follow-up analysis took place annually for 6 years, assessing periodontal responses by evaluating the following variables: plaque index (PI); probing depth (PD); gingival index (GI); gingival thickness adjacent to the restoration; and stability of the gingival margin (MS). Any (biological and mechanical) complications were also recorded, as well as the patients’ satisfaction with the treatment. Results. After 6 years’ follow-up, a low mean plaque index was obtained, probing depth was stable, and gingival thickness and margin stability had increased. Complications (biological and mechanical) did not present a statistically significant incidence and a crown survival rate of 97.2% was achieved. Patients’ satisfaction obtained a mean VAS score of 9.04 under 10. Conclusion. Teeth that are prepared with BOPT in the anterior region present good periodontal behavior around the restored teeth, particularly in terms of the stability of the gingival margin and increased gingival thickness. Single crowns prepared with BOPT obtain an excellent clinical survival rate, as well as a high score in patients’ satisfaction after 6 years.

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Three-year clinical evaluation of zirconia and zirconia-reinforced lithium silicate crowns with minimally invasive vertical preparation technique

et al. 2022

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Objectives Large part of the tooth is required to be removed during crown preparation. A minimally invasive method for preparing single crowns is required to increase the durability of teeth. The aim of this study was to evaluate the clinical performance of two ceramic systems fabricated with minimally invasive vertical preparation. Materials and methods Forty endodontically treated maxillary premolars were prepared with vertical preparation and received temporary crowns for a period of 21 days. Twenty zirconia-reinforced lithium silicate (Celtra Duo HT, Dentsply Sirona, Germany) and 20 monolithic high translucency zirconia (Katana HT, Kuarary Noritake, Japan) crowns were fabricated by CAD/CAM and cemented with dual-polymerizing luting resin. The crowns were evaluated clinically and radiographically for 36 months following modified FDI criteria. Statistical analysis was conducted with t Student test (Cochran Q). Results Over the follow-up period, there was no need to replace any of the study’s crowns. The overall survival rate of the 40 crowns was 100% according to the Kaplan–Meier survival method. The clinical quality of all crowns and the patient’s satisfaction were high. No caries was detected and no adverse soft tissue reactions around the crowns were observed. Periodontal probing depth was reported to be increased at mesial and distal sites more than the facial one in the 36-month follow-up with no statistically significant difference between both materials (P = 0.186). Conclusions Zirconia and zirconia-reinforced lithium silicate could be used as a material for restoration of teeth prepared with vertical preparation technique. Both ceramic materials achieved good esthetic results, promotes healthy and stable soft tissues with no mechanical complications after 3 years of clinical evaluation. Clinical relevance Monolithic high translucency zirconia and zirconia-reinforced lithium silicate ceramics can be used for the restorations of minimal invasive vertical preparation in premolar area with 0.5 mm margin thickness.

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A Retrospective Periodontal Assessment of 137 Teeth After Featheredge Preparation and Gingittage

Cited by 9 publications

References 0 publications

The Relationships Between Tooth‐Supported Fixed Dental Prostheses and Restorations and the Periodontium

The Relationships Between Tooth‐Supported Fixed Dental Prostheses and Restorations and the Periodontium

Periodontal Behavior and Patient Satisfaction of Anterior Teeth Restored with Single Zirconia Crowns Using a Biologically Oriented Preparation Technique: A 6-Year Prospective Clinical Study

Three-year clinical evaluation of zirconia and zirconia-reinforced lithium silicate crowns with minimally invasive vertical preparation technique

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