A comparison between the effect of All-Ceramic and metal-ceramic restorations on the plaque accumulation

Tooth crowning often leads to changes in periodontal index through changes in emergence profile zone. The purpose of this study was to compare the effect of metal-ceramic with that ofAll-Ceramic restorations on the plaque a accumulation. In this clinical trial, we used 102 teeth covered with metal-ceramic and all-ceramic restorations. Before and after crowning, plaque index (PI) and gingival indexes (MGl) were measured. Data were analyzed using covariance (ANCOVA) test. Measured PI and MGI (Mean±SD) in PFM Group prior to crowning were (1.96±0.38) and (1.45±0.48), respectively. In metal-ceramic restorations group, six months after crowning, measured PI and MGI (Mean±SD) were (1.22±0.49) and (1.82±0.61), respectively. Measured PI and MGI (Mean±SD) in All-Ceramic Group prior to crowning were (1.22±0.52) and (1.25±0.29), respectively. In All-Ceramic, six months after crowning, measured PI and MGI (Mean±SD) were (0.88±0.51) and (1.43±0.50), respectively. ANOVA test showed statistical significance difference between metal-ceramic and All-Ceramic Groups in Indexes (P<0.001). Metal-ceramic and All-Ceramic crowns were associated with inflammatory changes in gingival. Metal-ceramic restorations were associated with higher inflammatory indexes compared with All-Ceramic crowns.