About this trial
This study aims to evaluate the periodontal response of teeth prepared with a biologically oriented preparation technique (BOPT) compared to conventional preparation for all-ceramic crowns.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients older than 18.
Two teeth at least needed to be restored with full crowns (each patient needs at least two single crowns).
Stable occlusion.
Good oral hygiene.
Disqualifiers
Patients younger than 18.
Parafunctional habits.
Active periodontal disease.
Poor oral hygiene.
Trial design
Parallel
Treatments tested in this trial
Biologically-oriented preparation technique
Procedure/SurgeryThe preparation will be made according to the new principles of biologically oriented technique to receive monolithic and bi-layered all-ceramic crowns.
Conventional method of preparation
Procedure/SurgeryTeeth prepared with shoulder margins to receive monolithic and bi-layered all-ceramic crowns
Treatment groups
Trial outcomes
Primary outcomes
Change in the Plaque index
The plaque index will be measured at the buccal, lingual, mesial, and distal sites of each included tooth, according to Löe and Silness, 1963
Change in the gingival index
The gingival index will be measured at the buccal, lingual, mesial, and distal sites of each included tooth according to Silness and Löe, 1964
Change in the probing depth
A UNC periodontal probe will be used to measure the probing depth at the buccal, lingual, mesial, and distal sites of each included tooth.
Change in bleeding on probing
This variable will be measured at the buccal, lingual, mesial, and distal sites of each included tooth, recorded simultaneously with probing depth, according to Ainamo and Bay, 1975
Secondary outcomes
Change in the internal and marginal adaptation
The internal and marginal adaptation will be dong using the replica technique. It will be carried out after clinical assessment and cementation of all crowns. An in vitro study utilizing an optical microscope with a micron-graded ruler will be implemented.
Change in the functional and mechanical complications
The functional and mechanical complications will be appraised. The existence of cracks, chipping, and/ or fracture of crowns and their size if exist according to FDI criteria (Hickel et al., 2010) will be evaluated.
Change in the secondary caries status
The secondary caries status will be assessed according to Cvar and Ryge, 2005. The presence or absence of caries at the cervical margins of the abutments will be recorded. Other biological complications, such as abutment fracture, root fracture, and/ or pulpitis will be reported, too
Change in the marginal adaptation after crown cementation
The marginal adaptation after crown cementation will be clinically evaluated using a sharp dental probe, according to Cvar and Ryge, 2005, at each follow-up appointment.
Sponsors and contacts
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