Objective To analyze the effect of porcelain veneer tooth restoration plan on periodontal health status in patients undergoing oral aesthetic restoration. Methods A total of 90 patients who received tooth restoration treatment at Wuhua Xinwen Road Dental Clinic, Yunnan Changpeng Dental Hospital Management Co., Ltd. from December 2020 to December 2022 were selected as the research subjects. According to different treatment methods, they were divided into the control group (n =45) and the study group (n =45). The control group was given the all-ceramic crown tooth restoration plan, and the study group was given the porcelain veneer tooth restoration plan. The periodontal health status, restoration effect, pain level, complications and satisfaction were compared between the two groups. Results After restoration, the periodontal pocket depth, attachment loss and sulcus bleeding index in the study group were lower than those in the control group (P <0.05). The excellent and good repair rate in the study group (95.56%) was higher than that in the control group (82.22%) (P <0.05). The VAS score in the study group after restoration was lower than that in the control group (P <0.05). The incidence of complications in the study group (2.22%) was lower than that in the control group (15.56%) (P <0.05). The satisfaction rate in the study group (95.56%) was higher than that in the control group (80.00%) (P <0.05). Conclusion The effect of the porcelain veneer tooth restoration plan in patients undergoing oral aesthetic restoration is better than that of the all-ceramic crown tooth restoration plan. It can effectively improve the periodontal health status of patients, increase the excellent and good repair rate, help to reduce the pain level, lower the incidence of complications, and play a positive role in enhancing patient satisfaction.