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| Effect of IPS e.max Press Heat-Pressed Cast Porcelain Full Crowns and Zirconia All-Ceramic Crowns on Gingival Health and Aesthetics in Anterior Tooth Restoration Patients |
| LIU Xiaoyu, CHEN Xiwen, ZHUANG Mengyao, et al |
| The Third People' s Hospital of Chengdu, Sichuan Chengdu 610031, China |
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Abstract Objective: To compare the effects of IPS e.max press heat-pressed cast porcelain full crowns and zirconia all-ceramic crowns on gingival health and aesthetics in anterior tooth restoration patients, and to provide clinical reference for the selection of materials for anterior tooth aesthetic restoration. Methods: A total of 104 patients who underwent anterior tooth restoration in our hospital from May 2021 to May 2022 were selected as the study subjects and were randomly divided into two groups of 52 patients each using a random number table. The observation group was restored with IPS e.max press cast porcelain full crowns, and the control group was restored with zirconia all-ceramic crowns. The clinical restoration effects and post-restoration gingival index, plaque index, gingival sulcus bleeding index, and gingival sulcus inflammatory factor levels of the two groups were compared. Results: The marginal adaptation and secondary caries of the observation group were superior to those of the control group (P<0.05); after restoration, the gingival index, plaque index, etc. of the observation group were significantly lower than those of the control group, and the levels of IL-6, IL-8, and TNF-α in the gingival sulcus fluid were significantly lower than those of the control group (P<0.05); 12 months after restoration, the PES score of the observation group was higher than that of the control group (P<0.05). Conclusion: Compared with zirconia all-ceramic crowns, IPS e.max press cast porcelain full crowns have good anterior tooth aesthetic restoration effect, can reduce the level of inflammatory factors in the gingival sulcus, improve gingival health, and can also improve the aesthetics of anterior teeth.
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2024, Vol. 30 
