固定和活动义齿对基牙牙周健康的影响：一项回顾性前瞻性比较研究

IF 2.3 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Saudi Dental Journal Pub Date : 2024-12-01 DOI:10.1016/j.sdentj.2024.11.010

Arwa U. Alsaggaf , Ahlam Almuwallad , Lina Mirza , Layan Alhemayed , Halema Zamzami , Ehab Azab , Hesham Alhazmi , Amin Marghalani

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引用次数: 0

摘要

牙周病是世界上最常见的口腔疾病，是由牙菌斑积聚引起的长期炎症反应引起的。许多研究已经得出结论，牙周健康和牙齿修复之间有很强的联系，因为牙周组织必须健康才能持续修复。目的探讨固定修复体和活动修复体对基牙牙周健康的影响。方法回顾性前瞻性队列研究收集了34例患者的112个基牙，这些患者在过去两年中接受了47个固定（81个基牙）和14个可移动（31个基牙）的义齿治疗。患者被召回进行临床和影像学检查，评估基牙的牙周参数，包括牙袋深度（PD）、临床附着丧失（CAL）、牙菌斑的存在和探诊出血（BOP），并评估固定和可移动假体。结果固定义齿最多（72.32%），位于口腔前区的桥义齿最多（60.71%）（58.56%）。研究结果显示，植入假体后临床附着损失显著增加（平均= 0.46 mm） (p <；0.01)，而袋深差异无统计学意义（p = 0.062）。此外，与基线随访相比，随访时斑块显著增加(p <；0.01)。固定修复体与活动修复体对基牙牙周健康的影响无显著差异。结论义齿修复后基牙临床附着丧失增加，需要定期维护和患者教育，以保持牙周健康。

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The impact of fixed and removable dental prostheses on the periodontal health of abutment teeth: A Retro-Prospective Comparative Study

Introduction

Periodontal disease is the most prevalent oral condition worldwide, resulting from a prolonged inflammatory reaction triggered by the buildup of dental plaque. Many studies have concluded that there is a strong association between periodontal health and tooth restorations, as the periodontium must be healthy for the restoration to last.

Aim

to evaluate the impact of fixed and removable dental prostheses on the periodontal health of abutment teeth.

Methodology

This was a retro-prospective cohort study of 112 abutment teeth collected from 34 patients who received a total of 47 fixed (81 abutments) and 14 removable (31 abutments) dental prostheses treated by senior dental students under supervision during the past two years. Patients were recalled for clinical and radiographic examinations to assess periodontal parameters of abutments, including pocket depth (PD), clinical attachment loss (CAL), presence of plaque, and bleeding on probing (BOP), and to evaluate fixed and removable prostheses.

Results

Most of the prostheses were fixed (72.32 %), and most of them were bridges (60.71 %) located in the anterior region of the mouth (58.56 %). The study findings showed a significant increase (mean = 0.46 mm) in clinical attachment loss after prosthesis placement (p < 0.01), while no significant difference was observed in pocket depth (p = 0.062). Furthermore, there was a significant increase in plaque at the follow-up visit compared to the baseline visit (p < 0.01) for only the fixed dental prostheses. There was no significant difference between fixed and removable prostheses regarding their impact on the periodontal health of abutments.

Conclusion

The study found that abutment teeth had increased clinical attachment loss after receiving dental prostheses, highlighting the need for regular maintenance and patient education to maintain periodontal health.

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来源期刊

Saudi Dental Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.60

自引率

0.00%

发文量

审稿时长

22 weeks

期刊介绍： Saudi Dental Journal is an English language, peer-reviewed scholarly publication in the area of dentistry. Saudi Dental Journal publishes original research and reviews on, but not limited to: • dental disease • clinical trials • dental equipment • new and experimental techniques • epidemiology and oral health • restorative dentistry • periodontology • endodontology • prosthodontics • paediatric dentistry • orthodontics and dental education Saudi Dental Journal is the official publication of the Saudi Dental Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.