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Full crown restorations and gingival inflammation in a controlled population
The Journal of Prosthetic Dentistry
|December 1, 1982
Summary
Full crown restorations can cause gum inflammation, but this is preventable with diligent oral hygiene and regular dental visits. Proper care ensures healthy gums around dental crowns, regardless of margin placement.
Area of Science:
- Dental Restorations
- Periodontal Health
- Gingival Inflammation
Background:
- Full crown restorations are common dental prosthetics.
- Assessing their impact on gingival health is crucial for long-term patient outcomes.
- Gingival inflammation is a key indicator of periodontal health.
Purpose of the Study:
- To compare gingival inflammation between teeth with full crown restorations and non-restored teeth.
- To evaluate the effect of gingival margin placement on inflammation around crowns.
- To identify factors influencing gingival health in patients with full crown restorations.
Main Methods:
- Measurement of crevicular fluid volume using a Periotron instrument.
- Comparison of inflammation in restored versus non-restored teeth within the same patients.
- Evaluation of gingival inflammation based on gingival margin placement of restorations.
Main Results:
- Full crown restorations have the potential to cause gingival inflammation.
- Significant increases in inflammation were not observed in highly motivated patients in a strict recall program.
- Gingival inflammation around crowns can be managed irrespective of margin placement under optimal conditions.
Conclusions:
- Patient motivation and adherence to a strict dental recall program are critical in preventing gingival inflammation around full crown restorations.
- Maintaining healthy gingiva, adequate restorations, and consistent patient follow-up can control inflammation.
- Gingival health around full crowns is achievable with a comprehensive management approach.