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Periodontal Behavior Around Teeth Prepared with Finishing Line for Restoration with Fixed Prostheses. A Systematic Review and Meta-Analysis

Department of Dental Medicine Faculty of Medicine and Dentistry, University of Valencia, C/Gascó Oliag n1, Valencia 46010, Spain
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J. Clin. Med. 2020, 9(1), 249; https://doi.org/10.3390/jcm9010249
Received: 17 December 2019 / Revised: 5 January 2020 / Accepted: 6 January 2020 / Published: 17 January 2020
(This article belongs to the Section Stomatology)
Background: The objective of this systematic review and meta-analysis was to analyze the periodontal behavior around teeth prepared with horizontal finishing crowns supporting fixed metal-ceramic and zirconia full coverage crowns and fixed partial dentures (FDPs). Materials and methods: An electronic search was conducted to locate relevant clinical trials in four databases: PubMed, Embase, Cochrane, and Scopus. A manual search was made in the reference sections of the articles identified for any additional articles. No restrictions were applied regarding year of publication or language. The following variables were considered in quantitative and qualitative analysis: probing pocket depth (PPD); probing attachment level (PAL); plaque control record (PCR); bleeding on probing (BOP); and gingival margin migration. Results: Twenty articles were selected for qualitative synthesis, and of these, nine underwent meta-analysis. Higher PCR was found in control teeth, while BOP, PPD, and PAL were higher around teeth prepared with horizontal finishing lines supporting complete coverage crowns/FDPs Gingival migration results were the clearest manifestation of compromised periodontal health around teeth prepared with horizontal finishing lines. Conclusions: Meta-analysis revealed that teeth prepared with horizontal finishing lines supporting crowns and FDPs present more periodontal disorders than untreated control teeth. View Full-Text
Keywords: periodontal prosthesis; biological factor; dental prosthesis; metal ceramic restorations; zirconium oxide periodontal prosthesis; biological factor; dental prosthesis; metal ceramic restorations; zirconium oxide
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León-Martínez, R.; Montiel-Company, J.M.; Bellot-Arcís, C.; Solá-Ruíz, M.F.; Selva-Otaolaurruchi, E.; Agustín-Panadero, R. Periodontal Behavior Around Teeth Prepared with Finishing Line for Restoration with Fixed Prostheses. A Systematic Review and Meta-Analysis. J. Clin. Med. 2020, 9, 249.

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