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- Title
Clinical and Microbiological Evaluation of Marginal Gingiva Around Direct Composite Veneers.
- Authors
Tiwari, Ila; Mannava, Padmakanth; Shetty, Sujan; Singh, Ashima; Shrivastava, Leher; Verma, Shisham
- Abstract
Background: Fluorosis is one of the causes for intrinsic stains, which also influences gingival and periodontal health. The study of dental esthetics is a relatively new area of interest in dentistry. Direct composite veneers are one of the treatment modalities for intrinsic stains; it would be of interest to check its effect on gingival health. The present study was aimed to evaluate clinically and microbiologically the gingival margins around direct composite veneers. Materials and Methods: A total number of 30 patients were recruited in the study. All subjects with mild to moderate fluorosis rendered initial Phase I therapy, oral hygiene were given. Patients were recalled after 15 days for recording baseline gingival crevicular fluid (GCF) samples, clinical parameters, and collecting plaque from the tooth where direct composite veneers were indicated. Afterward placement of direct composite veneers following a standard protocol where all the margin of restoration was placed supragingivally and proper polishing was done. After 8 weeks of placement of direct composite veneers, GCF was collected and a sample of plaque from gingival margin around the direct composite veneers. Volumetric analysis of GCF was done using Periotron 8000,™ and plaque samples were analyzed by real-time polymerase chain reaction-analysis. Results: After 8 weeks veneer placement there was a significant reduction in clinical parameter was seen. At the baseline, the plaque index was recorded (0.58 ± 0.20) compared to post-veneer placement (0.35 ± 0.15) with a mean difference of 0.23, which was statically significant. Similarly, at the baseline, higher mean gingival index (GI) was recorded (0.50 ± 0.19) compared to post-veneer placement after 8 weeks (0.33 ± 0.0.12), with the mean difference of 0.16, the difference was statically significant. The gingival bleeding index (GBI) at the baseline, higher mean GBI was recorded (54.53 ± 4.26) compared to post-veneer placement after 8 weeks (32.72 ± 16.84018) with a mean difference of 21.80. The volumetric analysis of GCF at the baseline showed lower mean GCF (39.43 ± 29.23) compared to post-veneer placement after 8 weeks (70.46 ± 29.23), which was statically significant. Microbiologically, there was no statically significant difference was seen at the baseline and 8 weeks after veneers placement. There was a slight decrease in the number of An was observed after 8 weeks of veneer placement. Conclusion: Therefore, in the present study, there was a significant difference in the clinical outcome after placement of direct composite veneers was seen. There was no significant difference in microbiological parameters. Therefore, direct composite veneers can be used as a treatment modality for mild to moderate fluorosis cases.
- Subjects
FLUOROSIS; DENTAL veneers; GUM care &; hygiene; PERIODONTIUM; DENTAL discoloration
- Publication
Journal of International Oral Health, 2016, Vol 8, Issue 3, p367
- ISSN
0976-7428
- Publication type
Article
- DOI
10.4103/0976-7428.199193