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May 29, 2026Current Oral Health ReportsOpen Access

The Influence of Full-Crown Preparation Margin Position on Periodontal Outcomes: A Systematic Review and Meta-Analysis

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Authors

MCMaría Valentina Cortés-SánchezEVEliana Isabel Villa-BedoyaMVMauricio Villegas-Vélez

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Overview

Systematic review evaluates subgingival versus supragingival margins on periodontal health, suggesting preferred approach.

Key Points

  • This review assesses how different crown margin positions affect periodontal outcomes such as inflammation and probing depth.
  • Conducted a systematic review and meta-analysis of 23 studies with 1,725 participants and 5,615 teeth/surfaces.
  • Searched electronic and grey literature for studies comparing periodontal outcomes between subgingival and supragingival margins.
  • Applied the GRADE approach for evidence quality assessment and used a random-effects model for data pooling.
  • Subgingival margins showed significantly greater probing depth, mean difference of 0.57 mm (95% CI: 0.44–0.70).
  • Gingival index scores were higher with subgingival margins, mean difference of 0.44 (95% CI: 0.16–0.71).
  • No significant differences were found in plaque index scores.

Cite This Study

Cortés-Sánchez et al. (2026) studied this question.

synapsesocial.com/papers/6a192e79fab5b468c4417985https://doi.org/10.1007/s40496-026-00429-7
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