• MEDIUM
  • Research
  • Tier 1
  • Peer-Reviewed Research

A split-mouth randomised controlled clinical trial

Source
Journal of Clinical Periodontology
Author
Kitichai Janaphan, Thipphayaphan Sathitthammaphon, Kamon Budsaba, Top Chitkraisorn, Jaruwat Hanroongsri, Hyun‐Chang Lim, Daniel S. Thoma, Thanasak Rakmanee

Summary and scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol. Not the original publisher.

Why it matters for dental

Periodontists and restorative dentists performing aesthetic crown lengthening can consider either piezosurgery or rotary burs for ostectomy, as both techniques produced comparable gingival margin stability over six months.

Key points

  1. 01

    Fifteen patients with altered passive eruption received split-mouth aesthetic crown lengthening from maxillary premolar to premolar.

  2. 02

    Primary outcome measured gingival margin change between 6 weeks and 6 months: 0.16 ± 0.19 mm (piezosurgery) versus 0.12 ± 0.21 mm (rotary burs), with p = 0.170.

  3. 03

    Largest crown height reduction occurred between suturing and 7 days post-surgery (−0.63 ± 0.35 mm).

  4. 04

    Cemento-enamel junction to bone crest remodelling from surgery to 6 months showed no significant difference between techniques (−0.22 ± 0.42 mm piezosurgery vs −0.26 ± 0.44 mm rotary burs).

Who should care

  • Specialist
  • Academia / research

Read the original

Journal of Clinical Periodontology

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