Is Periodontal and Peri- Implant Disease Associated with Fixed Partial Denture Use? A 25-year Prospective Case Series.

IF 1.1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

European Journal of Prosthodontics and Restorative Dentistry Pub Date : 2024-02-29 DOI:10.1922/EJPRD_2542Cambiaghi09

L Cambiaghi, L J de Azevedo-Silva, M S Campos Costa, S M da Silva Costa, A L P F de Almeida

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引用次数: 0

Abstract

Introduction: The association of the periodontium with the fixed prosthesis is the basis of prosthetic rehabilitation. This prospective case series aimed to evaluate periodontal health through the relation between periodontal/peri-implant disease progression and the use of fixed partial dentures (FPDs).

Methods: Probing depth (PD), clinical attachment level (CAL), gingival index (GI), and plaque index (PI) on either teeth or implants were evaluated at up to 25-year follow-up and compared with the baseline. Statistical analysis was performed using the Kaplan-Meier test (p⟨0.05).

Results: The prospective evaluation showed that the patients maintained adequate periodontal health. Failure (severe periodontal stages) occurred in 12.5% of patients. The survival rate for 107 teeth/implants was 80.48%. The comparisons for clinical parameters revealed no statistically significant difference (p⟩ 0.05). At T1, the measurements for anterior and posterior regions, respectively, were PD =2.7mm and 3.1mm; CAL= 3.3mm and 3.6mm; GI=0.5 (both regions); and PI=0.79 and 0.62. Periodontal/peri-implant disease progression did not relate to the use of prostheses.

Conclusions: Patients with more frequent follow-up appointments and lower GI and PI showed periodontal health for longer periods. Patients with different oral hygiene levels present different periodontal disease progression. Periodic hygiene control and motivation are vital factors for extensive oral rehabilitation success.

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牙周病和种植体周围疾病与固定局部义齿的使用有关吗？25 年前瞻性病例系列。

简介牙周与固定义齿的结合是义齿修复的基础。本前瞻性病例系列旨在通过牙周/种植体周围疾病进展与使用固定局部义齿（FPD）之间的关系来评估牙周健康状况：方法：在长达 25 年的随访中评估牙齿或种植体的探诊深度 (PD)、临床附着水平 (CAL)、牙龈指数 (GI) 和牙菌斑指数 (PI)，并与基线进行比较。统计分析采用 Kaplan-Meier 检验（P⟨0.05）：结果：前瞻性评估显示，患者保持了适当的牙周健康。12.5%的患者出现失败（严重牙周阶段）。107 颗牙齿/种植体的存活率为 80.48%。临床参数的比较结果显示，差异无统计学意义（p⟩ 0.05）。T1时，前牙区和后牙区的测量值分别为：PD=2.7毫米和3.1毫米；CAL=3.3毫米和3.6毫米；GI=0.5（两个区域）；PI=0.79和0.62。牙周/种植体周围疾病的进展与修复体的使用无关：结论：复诊次数较多、GI和PI较低的患者牙周健康时间较长。口腔卫生水平不同的患者牙周疾病的进展情况也不同。定期的卫生控制和积极性是口腔康复取得广泛成功的关键因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Prosthodontics and Restorative Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： The European Journal of Prosthodontics and Restorative Dentistry is published quarterly and includes clinical and research articles in subjects such as prosthodontics, operative dentistry, implantology, endodontics, periodontics and dental materials.