The effect of biologically oriented and subgingival horizontal preparation techniques on periodontal health: A double-blind randomized controlled clinical trial

PURPOSE: The aim of this study was to investigate and compare the influence of subgingival horizontal preparation technique (SHPT) and biological oriented preparation technique (BOPT) on periodontal health at a split-mouth model. METHODS: The sample of 100 patients was divided into two groups using a spilt-mouth study design; each patient had received two crowns with SHPT and BOPT respectively. The teeth were randomly allocated for the preparation techniques. All prepared teeth were restored with fabricated zirconium cores and ceramic layering. Temporary crowns were delivered after taking an impression and patients were recalled for the final cementation of the crowns. After that, follow-up recalls were set at one month, 3 months, 6 months, one year, and two years to record the following clinical parameters; plaque index, probing depth, bleeding on probing, clinical attachment level and patients’ satisfaction with treatment. RESULTS: SHPT had significantly lower plaque and inflammation index at baseline, which increased significantly at 3 months and 2 years’ follow-up compared to BOPT. Patients’ satisfaction was significantly higher with SHPT at baseline, and it is reduced significantly at 6 months and two years follow- up (P < 0.001). The probing depth was significantly higher in BOPT at baseline and 3 months and decreased significantly at 6 months, 1 year, and 2 years’ follow-up. CONCLUSION: BOPT is a favorable technique with a full crown or veneer, presenting good marginal stability and periodontal behavior.