Prosthetic Outcomes in Stage III/IV Periodontitis Patients With 20-29 Years of Supportive Periodontal Care.

IF 6.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Clinical Periodontology Pub Date : 2025-09-15 DOI:10.1111/jcpe.70036

T Eger,F Wörner,N Lingwal,P Eickholz

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引用次数: 0

Abstract

OBJECTIVE To assess (i) tooth loss (TL) in treated periodontitis (stage III/IV) patients undergoing supportive periodontal care without or with partial denture (PD) (removable [RPD], fixed PD [FPD], implant supported FPD [iFPD]) and (ii) 10-year prosthetic outcomes. METHODS From 1993 to 2023, comprehensive periodontal therapy including restorative treatment was rendered at the Bundeswehr Central Hospital periodontology outpatient clinic. RESULTS Two-hundred and thirty-three patients with generalised stage III/IV periodontitis were treated with a mean follow-up of 21.7 ± 2.7 years: 12 with 21 clasp-retained metal-based RPDs (TL/year 0.4 ± 0.39), 12 with 20 double crown-retained metal-based RPDs (0.35 ± 0.42), 50 with 80 ≥ 5-unit FPD (0.23 ± 0.33) and 27 with 218 implants (0.15 ± 0.22). One-hundred and thirty-two patients with < 5-unit FPDs, no RPDs or iFPDs served as control. The control group exhibited the lowest rate of TL (0.05 ± 0.08). Multivariate analyses revealed age (p < 0.001), smoking > 10 cigarettes/day (p < 0.001) and RPD (p = 0.002)/FPD (p < 0.001) but not iFPD (p = 0.134) to be significantly associated with TL. After 10 years, in 75% patients 67% of the metal-based clasp-retained RPDs; in 80% of patients 75% of double crown RPDs; in 90% of patients 93% of FPD; and in 76% of patients 83% of iFPDs were functional. CONCLUSION Stage III/IV periodontitis patients treated with RPD and FPD have a higher long-term TL rate than controls and iFPD.

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接受20-29年牙周支持性治疗的III/IV期牙周炎患者的修复效果

目的评估(i)接受牙周炎治疗（III/IV期）的患者在不使用或使用部分义齿（可摘[RPD]，固定[FPD]，种植支持的FPD [iFPD]）的情况下牙齿脱落（TL）和（ii） 10年义齿的结果。方法1993年至2023年，在德国联邦国防军中心医院牙周病门诊进行包括修复治疗在内的综合牙周治疗。结果133例广泛性III/IV期牙周炎患者接受治疗，平均随访21.7±2.7年，其中12例有21个卡环保留金属基rpd (TL/年0.4±0.39)，12例有20个双冠保留金属基rpd (TL/年0.35±0.42)，50例有80个≥5单元FPD(0.23±0.33)，27例有218个种植体（0.15±0.22）。132名每天吸烟10支的患者（p < 0.001）和RPD (p = 0.002)/FPD (p < 0.001)，但iFPD不（p = 0.134）与TL显著相关。10年后，75%的患者中67%的金属基卡环保留RPD；80%的患者有75%的双冠rpd；90%的患者有93%的FPD；76%的患者中83%的ifpd是功能性的。结论RPD和FPD治疗的III/IV期牙周炎患者的长期TL率高于对照组和iFPD。

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来源期刊

Journal of Clinical Periodontology 医学-牙科与口腔外科

CiteScore

13.30

自引率

10.40%

发文量

175

审稿时长

3-8 weeks

期刊介绍： Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.