A retrospective study of the fit of jacket crowns placed around gold posts and cores, and the associated gingival health.
A retrospective study has been carried out of the marginal fit and associated gingival health of jacket crowns placed around gold posts 5 years previously. Crown fit was classified as either visibly or palpably satisfactory, overhanging or deficient. 67.2% of crowns showed one or more discrepancies of marginal fit, and this varied with the position around the tooth. Palatal margins of maxillary porcelain jacket crowns fitted poorly and there was frequent caries at this site. Periodontal pocketing developed mesially and distally, and little gingival recession. In contrast gingival recession, exposing the crown margins, occurred frequently labially and palatally, but the mean periodontal pocket depth remained within normal limits.