Gingival Recession Clinical Trial
Official title:
Prospective Clinical Evaluation of Periodontal Response to Different Prosthetic Margin Design
Background: The actual literature is consistent in considering potential negative effects of
sub-gingival prosthetic margins on the periodontal health, but no research has focused the
attention on the type of prosthetic margin designs. Hence, the aim of the present study is
to evaluate if a horizontal finishing line (deep chamfer preparation) may have a different
influence on periodontal soft tissue in comparison with a vertical finishing line (feather
edge preparation).
Methods: A prospective randomized controlled double blind clinical trial with one single
operator and three experienced examiners was performed. One hundred and six crowns were
prepared with horizontal tooth preparation while ninety-four with vertical tooth
preparation. All the margins were positioned within the periodontal sulcus, at 0.5mm
sub-gingivally and all the all-ceramic restorations were cemented with resin cement.
Periodontal Probing Depth (PPD), Plaque Index (PI), Gingival Index (GI) and Gingival
Bleeding on Probing (BOP) were recorded prior to tooth preparation and twelve month after
crown cementation. Also, at 12 months follow-up, the gingival margin position was related to
the crown margin position.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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