Prospective Clinical Evaluation of Periodontal Response to Different Prosthetic Margin Design
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 58
- 试验地点
- 2
- 主要终点
- Periodontal Probing Depth (PPD)
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The patient inclusion criteria were as follows:
- •dentate patients treatment planned for single unit restorations in the esthetic zone (from 1st premolar forward)
- •periodontal probing depth prior to tooth preparation ≤4mm, with no bleeding on probing and no plaque
- •>30 years of age
- •full mouth plaque score (FMPS) and full mouth bleeding scores (FMBS) <20% at study baseline
- •eventual loss of attachment limited only to areas different from the sites included in the study.
- •The patient
排除标准
- •were as follows:
- •patient with medical history in which any dental intervention would be contraindicated
- •any local or systemic disease, condition or medication that might compromise healing and affect the periodontium
- •dental caries or periodontal disease in the remaining teeth
- •inability or unwillingness to return for follow-up visit.
- •Exlusion Criteria:
- •patients with systemic diseases (such as heart, coagulation, and leukocyte diseases or metabolic disorders)
- •history of radiation therapy in the head and neck region within 12 months prior to surgical phase
- •current treatment with steroids
- •neurological or psychiatric condition that could interfere with good oral hygiene
- •immunocompromised status, including infection with human immunodeficiency virus
- •smoking habit (more than 10 cigarettes/day)
- •drug or alcohol abuse
- •inadequate compliance
- •patients who received bone regeneration procedure
结局指标
主要结局
Periodontal Probing Depth (PPD)
时间窗: Change from Baseline Periodontal Probing Depth (PPD) at 12 months post intervention
Periodontal Probing Depth (PPD) measured at three different facial sites (mesial, facial, distal), with the utilization of a periodontal probe (UNC periodontal probe, Hu-Friedy, Chicago, IL) recording the measurements to the nearest millimeter.
Plaque Index (PI)
时间窗: Change from Baseline Plaque Index at 12 months post intervention
Plaque Index (PI), according to Silness \& Loe
Gingival Index (GI)
时间窗: Change from Baseline Gingival Index (GI) at 12 months post intervention
Gingival Index (GI), according to Silness \& Loe
Bleeding on Probing (BOP)
时间窗: Change from Baseline Bleeding on Probing (BOP) at 12 months post intervention
Bleeding on Probing (BOP), according to Ainamo \& Bay (presence or absence)
Gingival recession (GR)
时间窗: Change from Baseline Gingival recession (GR) at 12 months post intervention
Gingival margin position related to the crown margin
次要结局
未报告次要终点
研究者
Eriberto Bressan
Chairman, Department of Periodontology
University of Padova, School of Dental Medicine