Full crown restorations and gingival inflammation in a controlled population.
The volume of crevicular fluid around full crown restorations was measured with a Periotron instrument to compare the gingival inflammation between restored and nonrestored teeth in the same patient. Thirty-eight full crown restorations were compared to nonrestored teeth used as controls in 26 patients. Forty-six full crown restorations in 28 patients were also evaluated according to gingival margin placement to determine if there was a difference in inflammation in gingival tissues. The highly motivated patients were selected from a private practice because of their interest and investment in long-term dental health. The results revealed the following findings. 1. Full crown restorations have the potential for causing gingival inflammation. However, they need not be associated with a significant increase in gingival inflammation when placed in the oral environment of a highly motivated patient in a rigid dental recall program. 2. Gingival inflammation surrounding full crown restorations may be controlled regardless of gingival margin placement when the gingiva is healthy, the restorations are adequate, and the patient is in a strict recall program.
D000328:Adult; D000368:Aged; D003442:Crowns / Q000009:adverse effects*; D003777:Dental Prophylaxis; D005883:Gingival Crevicular Fluid / Q000502:physiology; D005891:Gingivitis / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D009910:Oral Hygiene