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VOLUME 10 , ISSUE 4 ( July-August, 2019 ) > List of Articles


Gingival Health in Patients Treated with Full Veneer Crown Restorations in Al-Riyadh Province, Kingdom of Saudi Arabia

Fawaz I Alqahtani, Ahmed Algohar, Abdulrahman Alhazzaa, Amir Dimashkieh

Keywords : Crowns, Fabrication place, Full veneer crown, Gingival health, Gingival index, Gingival margins

Citation Information : Alqahtani FI, Algohar A, Alhazzaa A, Dimashkieh A. Gingival Health in Patients Treated with Full Veneer Crown Restorations in Al-Riyadh Province, Kingdom of Saudi Arabia. World J Dent 2019; 10 (4):280-284.

DOI: 10.5005/jp-journals-10015-1643

License: CC BY-NC 4.0

Published Online: 01-04-2014

Copyright Statement:  Copyright © 2019; The Author(s).


Aim: The aim of this study was to assess the effect of different marginal locations and fabrication places on the gingival health of patients treated with full veneer crown restorations, at Al-Riyadh province, Kingdom of Saudi Arabia. Materials and methods: A cross-sectional study was performed to assess the gingival health of patients with full veneer crown restorations. Thirty-nine patients with 45 full veneer crowns have been examined in two places: College of Dentistry (Prince Sattam Bin Abdulaziz University) and East Riyadh Specialist Dental Center; both places are in Al-Riyadh province, Kingdom of Saudi Arabia. The gingival index by Loe and Sillness has been used to assess gingival health. Patients have been examined from December 2016 to March 2017. Results: A tooth restored with full veneer crowns showed a high gingival index (1.10) than the contralateral unrestored tooth in the same patients. There were significant differences between subgingival margin (1.14), supragingival (0.69), and equigingival (0.73) margin on gingival health. There were significant differences between full veneer crowns fabricated at government clinics (0.81) and full veneer crowns fabricated at private clinics (1.10) on gingival health. There were no significant differences on gingival health between patients with different educational levels. Conclusion: Subgingival margin of full veneer crowns has a higher gingival index than the equigingival and supragingival margin. Full veneer crowns fabricated at governmental clinics have a lower gingival index compared with full veneer crowns fabricated at private clinics, with no positive relationship between the educational level and gingival health around the crown. Clinical significance: The location of the finish line as well as the fabrication place will significantly impact the gingival health of the final full veneer restorations.

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  1. Blair FM, Wassell RW, et al. Crowns and other extra-coronal restorations: Preparations for full veneer crowns. Br Dent J 2002 May 25;192(10):561–571. DOI: 10.1038/sj.bdj.4801428.
  2. Valderhaug J, Birkeland JM. Periodontal conditions in patients 5 years following insertion of fixed prostheses. Pocket depth and loss of attachment. J Oral Rehabil 1976 Jul;3(3):237–243. DOI: 10.1111/j.1365-2842.1976.tb00949.x.
  3. Kinane DF. Causation and pathogenesis of periodontal disease. Periodontol 2000 2001;25:8–20. DOI: 10.1034/j.1600-0757.2001.22250102.x.
  4. Gracis S, Fradeani M, et al. Biological integration of aesthetic restorations: factors influencing appearance and long-term success. Periodontol 2000 2001 Oct 1;27(1):29–44. DOI: 10.1034/j.1600-0757.2001.027001029.x.
  5. Herbert TS. Preservation of the periodontium, Fundamentals of Fixed Prosthodontics. 3rd ed. Quintessence Publishing Co; 1997.
  6. Karlsen K. Gingival Reactions to Dental Restorations. Acta Odontol Scand 1970 Jan 1;28(6):895–904. DOI: 10.3109/00016357009028253.
  7. Al-Sinaidi A, Preethanath RS. The effect of fixed partial dentures on periodontal status of abutment teeth. Saudi J Dent Res 2014;5(2): 104–108. DOI: 10.1016/j.ksujds.2013.11.001.
  8. Aboelsaad N, Rayyan MM, et al. An Update on the Effect of Crown Margin Locations and Materials on Periodontal Health. Egypt Dent J 2010 Oct;58(4):91–96.
  9. Orkin DA, Reddy J, et al. The relationship of the position of crown margins to gingival health. J Prosthet Dent 1987;57(4):421–424. DOI: 10.1016/0022-3913(87)90006-0.
  10. Silness J. Periodontal conditions in patients treated with dental bridges. J Periodontal Res 1970 Feb 1;5(1):60–68. DOI: 10.1111/j.1600-0765.1970.tb01839.x.
  11. Valderhaug J, Ellingsen JE, et al. Oral hygiene, periodontal conditions and carious lesions in patients treated with dental bridges. J Clin Periodontol 1993 Aug 1;20(7):482–489. DOI: 10.1111/j.1600-051X.1993.tb00395.x.
  12. Reitemeier B, Hänsel K, et al. Effect of posterior crown margin placement on gingival health. J Prosthet Dent 2002 Feb 1;87(2): 167–172. DOI: 10.1067/mpr.2002.121585.
  13. Ortolan SM, Viskić J, et al. Oral hygiene and gingival health in patients with fixed prosthodontic appliances–a 12-month follow-up. Coll Antropol 2012 Mar;36(1):213–220.
  14. Sorensen JA, Doherty FM, et al. Gingival enhancement in fixed prosthodontics. Part I: Clinical findings. J Prosthet Dent 1991 Jan;65(1):100–107. DOI: 10.1016/0022-3913(91)90059-6.
  15. Reeves W. Restorative margin placement and periodontal health. J Prosthet Dent 1991; 733–736. DOI: 10.1016/0022-3913(91) 90405-L.
  16. Löe H. The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol 1967 Nov 1;38(6 Part II):610–606. DOI: 10.1902/jop.1967.38.6_part2.610.
  17. Brijendra S, Ritu S. Gingivitis – A silent disease. Gingivitis – Silent Dis 2013;6(5):30–33.
  18. Löe H. Reactions to marginal periodontal tissues to restorative procedures. Int Dent J 1968 Dec;18(4):759–778.
  19. Sackett BP, Gildenhuys RR. The Effect of Axial Crown Overcontour on Adolescents. J Periodontol 1976;47(6):320–323. DOI: 10.1902/jop.1976.47.6.320.
  20. Sirajuddin S. Iatrogenic Damage to Periodontium by Restorative Treatment Procedures: An Overview. Dep Periodontol Rajarajeswari Dent Coll Hosp Bangalore-560074 Karnataka India 9:217–222.
  21. Silness J. Periodontal conditions in patients treated with dental bridges. 3. The relationship between the location of the crown margin and the periodontal condition. J Periodontal Res 1970;5(3):225–229. DOI: 10.1111/j.1600-0765.1970.tb00721.x.
  22. Günay H, Seeger A, et al. Placement of the preparation line and periodontal health–a prospective 2-year clinical study. Int J Periodontics Restorative Dent 2000 Apr;20(2):171–181.
  23. Koth DL. Full crown restorations and gingival inflammation in a controlled population. J Prosthet Dent 1982;48(6):681–685. DOI: 10.1016/S0022-3913(82)80028-0.
  24. Richter WA, Ueno H. Relationship of crown margin placement to gingival inflammation. J Prosthet Dent 1973;30(2):156–161. DOI: 10.1016/0022-3913(73)90050-4.
  25. Rajendran M. Biologic Width-Critical Zone for a Healthy Restoration. IOSR J Dent Med Sci IOSR-JDMS 2014;1(13):93–98. DOI: 10.9790/0853-13249398.
  26. Sood S, Gupta S. Periodontal-Restorative Interactions: A Review. [Internet]. 2013 Apr [cited 2017 Mar 29]; Available from:
  27. Claire Higgins I of PH in I. Health Impacts of Education: a review [Internet]. 2008 [cited 2017 Mar 25]. Available from:
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