Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Clinical Oral Investigations
Published in: Clinical Oral Investigations 1/2017

01-01-2017 | Review

A systematic review and meta-analysis on the effects of crown lengthening on adjacent and non-adjacent sites

Authors: Cintia Mirela Guimaraes Nobre, Ana Luisa de Barros Pascoal, Emmanuel Albuquerque Souza, Luciana Machion Shaddox, Patricia dos Santos Calderon, Ana Rafaela Luz de Aquino Martins, Bruno César de Vasconcelos Gurgel

Published in: Clinical Oral Investigations | Issue 1/2017

Login to get access

Abstract

Objectives

The objective of the study was to assess the impact of periodontal crown lengthening surgery on clinical parameters at adjacent and non-adjacent sites compared to treated sites.

Material and methods

An electronic search was carried out on MEDLINE-PubMed, The Cochrane Library, and ISI Web of Science databases between 1978 and 2015. Methodological quality assessment was based on Cochrane recommendations. Meta-analyses were assessed with RevMan 5.0 and heterogeneity between studies by the Higgin test (I 2). Clinical attachment level (CAL) and probing depth (PD) were the primary outcome variables. Four case series studies were included and three in the meta-analysis. All studies showed high risk of bias.

Results

The surgery promoted significant changes in treated, adjacent, and non-adjacent sites. There were greater changes in PD (mean difference −0.14, 95 % CI −0.18 to −0.10, p < 0.00001) and CAL (mean difference 0.16, 95 % CI 0.13 to 0.20, p < 0.00001) in treated sites when compared to adjacent and non-adjacent sites for PD (mean difference −0.09, 95 % CI −0.12 to −0.05, p < 0.00001) and CAL (mean difference 0.91, 95 % CI 0.87 to 0.94, p < 0.00001).

Conclusion

Crown lengthening surgery results in changes of clinical parameters in treated, adjacent, and non-adjacent sites.

Clinical relevance

Clinical and esthetic alterations on the adjacent/non-adjacent teeth can lead to clinical and esthetic alterations, which must be considered in surgical planning.
Literature
1.
Lanning SK, Waldrop TC, Gunsolley JC, Maynard JG (2003) Surgical crown lengthening: evaluation of the biological width. J Periodontol 74(4):468–474CrossRefPubMed
2.
Bader JD, Rozier RG, McFall WT, Ramsey DL (1991) Effect of crown margins on periodontal conditions in regularly attending patients. J Prosthet Dent 65:75–79CrossRefPubMed
3.
Ganji KK, Patil VA, John J (2012) A comparative evaluation for biologic width following surgical crown lengthening using gingivectomy and ostectomy procedure. Int J Dent 2012:479241CrossRefPubMedPubMedCentral
4.
Gargiulo A, Wentz F, Orban B (1961) Dimensions and relations of the dentogingival junction in humans. J Periodontol 32:261–267CrossRef
5.
Inger JS, Rose LF, Coslet JG (1997) The “biological width”, a concept in periodontics and restorative dentistry. Alpha Omegan 70:62–65
6.
Majzoub ZAK, Romanos A, Cordioli G (2014) Crown lengthening procedures: a literature review. Semin Orthod 20:188–207CrossRef
7.
American Academy of Periodontology (2003) Periodontal maintenance (position paper). J Periodontol 74:1395–1401CrossRef
8.
Deas DE, Moritz AJ, McDonnell HT, Powell CA, Mealey BL (2004) Osseous surgery for crown lengthening: a 6-month clinical study. J Periodontol 75(9):1288–1294CrossRefPubMed
9.
Inger JS (1976) Forced eruption. Part it. A method of treating nonrestorable teeth—periodontal and restorative considerations. J Perindontol 47(4):203–216CrossRef
10.
Sivers JE, Johnson GK (1985) Periodontal and restorative considerations for crown lengthening. Quintessence Int 16(12):833–836PubMed
11.
Shobha KS, Mahantesha, Seshan H, Mani R, Kranti K (2010) Clinical evaluation of the biological width following surgical crown-lengthening procedure: a prospective study. J Indian Soc Periodontol 14(3):160–167CrossRefPubMedPubMedCentral
12.
Higgins J, Green S (2011) Cochrane handbook for systematic reviews of interventions version 5.1.0. England: The Cochrane Collaboration, Oxford
13.
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 62(10):1006–1012CrossRefPubMed
14.
Miller AS, Forrest JL (2001) Enhancing your practice through evidence-based decision making: PICO, learning how to ask good questions. J Evid Based Dent Pract 1(2):136–141CrossRef
15.
Moher D, Schulz KF, Altman DG (2001) The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials. Ann Intern Med 134:657–662CrossRefPubMed
16.
17.
Lau J, Ioannidis JP, Schmid CH (1997) Quantitative synthesis in systematic reviews. Ann Intern Med 127:820–826CrossRefPubMed
18.
Higgins JP, Thompson SG (2002) Quantifying heterogeneity in a meta-analysis. Stat Med 21:1539–1558CrossRefPubMed
19.
Gegauff AG (2000) Effect of crown lengthening and ferrule placement on static load failure of cemented cast post-cores and crowns. J Prosthet Dent 84(2):169–79
20.
Papalexiou V, Novaes AB Jr, Macedo GO, Luczyszyn SM, Muglia VA (2006) Preprosthetic periodontal surgery in the proximal area with modification of the col area: results following the reestablishment of the contact point. J Periodontol 77(11):1856–62
21.
Dibart S, Capri D, Kachouh I, Van Dyke T, Nunn ME (2003) Crown lengthening in mandibular molars: a 5-year retrospective radiographic analysis. J Periodontol 74(6):815–21.
22.
Perez JR, Smukler H, Nunn ME (2007) Clinical evaluation of the supraosseous gingivae before and after crown lengthening. J Periodontol 78(6):1023–30
23.
Deas DE, Mackey SA, Sagun RS Jr, Hancock RH, Gruwell SF, Campbell CM (2014) Crown lengthening in the maxillary anterior region: a 6-month prospective clinical study. Int J Periodontics Restorative Dent 34(3):365–73
24.
Membreño JIA, Lagos A, Mendez J, Torres HM (2014) Clinical evaluation of periodontal tissue after crown lengthening surgery. Rev Clin Periodoncia Implantol Rehabil Oral 7(2):59–64
25.
Arora R, Narula SC, Sharma RK, Tewari S (2013) Evaluation of supracrestal gingival tissue after surgical crown lengthening: a 6-month clinical study. J Periodontol 84:934–940CrossRefPubMed
26.
Smukler H, Chaibi M (1997) Periodontal and dental considerations in clinical crown extension: a rational basis for treatment. Int J Periodontics Restorative Dent 17:464–477PubMed
27.
Michalowicz BS, Hodges JS, Pihlstrom BL (2013) Is change in probing depth a reliable predictor of change in clinical attachment loss? J Am Dent Assoc 144(2):171–178CrossRefPubMed
28.
Eke PI (2013) Probing depth is not a reliable predictor for changes in periodontitis. J Evid Based Dent Pract 13(3):107–108CrossRefPubMed
29.
Mdala I, Olsen I, Haffajee AD, Socransky SS, Thoresen M, de Blasio BF (2014) Comparing clinical attachment level and pocket depth for predicting periodontal disease progression in healthy sites of patients with chronic periodontitis using multi-state Markov models. J Clin Periodontol 41(9):837–845CrossRefPubMedPubMedCentral
30.
31.
32.
Xie GY, Chen JH, Wang H, Wang YJ (2007) Morphological measurement of biologic width in Chinese people. J Oral Sci 49(3):197–200CrossRefPubMed
33.
Maynard JG Jr, Wilson RD (1979) Physiologic dimensions of the periodontium significant to the restorative dentist. J Periodontol 50(4):170–174CrossRefPubMed
34.
Pontoriero R, Carnevale G (2001) Surgical crown lengthening: a 12-month clinical wound healing study. J Periodontol 72(7):841–848CrossRefPubMed
Metadata
Title
A systematic review and meta-analysis on the effects of crown lengthening on adjacent and non-adjacent sites
Authors
Cintia Mirela Guimaraes Nobre
Ana Luisa de Barros Pascoal
Emmanuel Albuquerque Souza
Luciana Machion Shaddox
Patricia dos Santos Calderon
Ana Rafaela Luz de Aquino Martins
Bruno César de Vasconcelos Gurgel
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 1/2017
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-016-1921-1

Other articles of this Issue 1/2017

Clinical Oral Investigations 1/2017 Go to the issue

Original Article

Prevalence and imaging characteristics of palatine tonsilloliths evaluated on 2244 pairs of panoramic radiographs and CT images

Original Article

Anatomical relationship between mental foramen, mandibular teeth and risk of nerve injury with endodontic treatment

Original Article

A novel flapless approach versus minimally invasive surgery in periodontal regeneration with enamel matrix derivative proteins: a 24-month randomized controlled clinical trial

Original Article

Evaluation of secondary alveolar bone grafting outcomes performed after canine eruption in complete unilateral cleft lip and palate

Original Article

Microbial contamination in intraoral phosphor storage plates: the dilemma

Review

Serum antibody levels against Porphyromonas gingivalis in patients with and without rheumatoid arthritis – a systematic review and meta-analysis