A visual method of determining marginal placement of crowns: Part I. Marginal placement of anterior crowns. 1995

M A Fayyad, and M I al-Obaida, and K D Jamani
University of Jordan, Faculty of Dentistry, Amman, Jordan.

The cervical margins of crowns are often placed subgingivally to satisfy patients' demands for esthetics, even though subgingival margins can adversely affect gingival health. Photographs of 527 Saudi citizens (285 men and 242 women) with natural and exaggerated smiles were recorded to determine if subgingival margins are always necessary. The photographs indicated that a substantial percentage of the participants did not display the gingival tissue of their anterior teeth during a natural smile. (Percentages ranged from 43.5% to 69.8% of maxillary teeth and from 93.7% to 97.9% of mandibular teeth). The percentage of subjects who did not reveal the gingival tissue of their maxillary anterior teeth during an exaggerated smile ranged from 22.7% to 39.3%; the percentage of mandibular anterior teeth ranged from 54.1% to 72.7%. There was no statistically significant difference between men and women regarding visibility of anterior teeth. Thus, a substantial number of these subjects could receive anterior crowns with supragingival margins without sacrificing esthetics.

UI MeSH Term Description Entries
D007180 Incisor Any of the eight frontal teeth (four maxillary and four mandibular) having a sharp incisal edge for cutting food and a single root, which occurs in man both as a deciduous and a permanent tooth. (Jablonski, Dictionary of Dentistry, 1992, p820) Incisors
D008297 Male Males
D010347 Patient Care Planning Usually a written medical and nursing care program designed for a particular patient. Nursing Care Plans,Goals of Care,Plans, Nursing Care,Care Goal,Care Goals,Care Plan, Nursing,Care Planning, Patient,Care Plans, Nursing,Nursing Care Plan,Plan, Nursing Care,Planning, Patient Care
D003442 Crowns A prosthetic restoration that reproduces the entire surface anatomy of the visible natural crown of a tooth. It may be partial (covering three or more surfaces of a tooth) or complete (covering all surfaces). It is made of gold or other metal, porcelain, or resin. Dental Crowns,Crown, Dental,Crowns, Dental,Dental Crown,Crown
D003481 Cuspid The third tooth to the left and to the right of the midline of either jaw, situated between the second INCISOR and the premolar teeth (BICUSPID). (Jablonski, Dictionary of Dentistry, 1992, p817) Canine Tooth,Canine Teeth,Cuspids,Teeth, Canine,Tooth, Canine
D004955 Esthetics, Dental Skills, techniques, standards, and principles used to improve the art and symmetry of the teeth and face to improve the appearance as well as the function of the teeth, mouth, and face. (From Boucher's Clinical Dental Terminology, 4th ed, p108) Cosmetic Dentistry,Aesthetics, Dental,Dental Esthetic,Dental Esthetics,Esthetic, Dental,Cosmetic Dentistries,Dentistries, Cosmetic,Dentistry, Cosmetic
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012904 Smiling A facial expression which may denote feelings of pleasure, affection, amusement, etc. Smilings
D017267 Dental Prosthesis Design The plan and delineation of dental prostheses in general or a specific dental prosthesis. It does not include DENTURE DESIGN. The framework usually consists of metal. Dental Prosthesis Designs,Design, Dental Prosthesis,Designs, Dental Prosthesis,Prosthesis Design, Dental,Prosthesis Designs, Dental

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