Effect of Class II Amalgam and Composite Restorations on Periodontal Health of Posterior Teeth : An in Vivo Study

Abstract

Background Periodontal health at the restorative gingival interface continues to represent one of the most difficult challenges. Unfortunately, they only mimic the physical and morphological aspects of teeth, as they are limited by the absence of the 'ideal material' that would provide characteristics similar to the normal tooth structure. Aims To determine the influence of class II amalgam and composite restorative materials on plaque accumulation, gingivitis and periodontal pocket depth. Materials and Methods One hundred patients were included in the study. The age ranged between (21-24) years old. The sample was composed of two groups (50 patients each), with an equal ratio of males and females. The tested restoration types were: amalgam class II (MO) and composite class II (MO) of 2-3 years. The following periodontal parameters: plaque index (PI), gingival index (GI) and pocket depth (PD) in mm were recorded for each restored tooth compared with non-restored tooth on the other side of the mouth as a control. Results The results showed that amalgam induce the higher means of plaque, gingivitis and pocket depth compared with composite. The mean of the three parameters, as compared to control group, were statistically higher in the restored amalgam surfaces (p<0.05). For composite restoration the means of the three parameters were also higher but not in significant levels for both plaque index and gingival Index, except for pocket depth of the restored surfaces were significantly higher than the controlled surfaces. However, there were no significant differences in the ranks of the three mesial indices of patients having amalgam in comparison with those having composite. Conclusion This study suggests that composite restorations did not have a significant advantage on periodontal health over amalgam restorations for Class II posterior teeth.

Periodontal Health among Type 2 Diabetes Patients Treated with Different Dental Restorations

“…The scores of various periodontal indices among patients treated with different dental restorations have been reported. Al-Sanjray et al [30] The outcomes of the periodontal parameters reported in the present study of all groups, namely, the PI and GI scores, were higher than all those of previous reports found in the literature. One explanation for such differences might be the different clinical conditions.…”

Alveolar Bone Loss, Plaque Index, and Gingival Index among Non-Diabetics Treated with Class II Amalgam Restorations for Different Service Lives

“…These studies showed variation in the degree of plaque accumulation among patients treated with different restorative materials. Alsanjary et al [28] stated that class II amalgam restorations were associated with A recent cross-sectional study by the current investigator [37] evaluated the effect of service life of class II amalgam restorations on periodontal health of a sample of patients with diabetes. The outcomes of the periodontal parameters reported, namely, the ABL, PI, and GI scores, were remarkably higher than those of the current study.…”

“…Many research studies were found in the literature that evaluates the effect of different restorative dental materials on periodontal health [20,[26][27][28][29][30]. However, no studies were found that appraise the effect of different service life (age) of class II amalgam restoration on periodontal health.…”

Untitled

“…Datele relevate de prezentul studiu sunt în contradicție cu un studiu clinic, realizat de AL-Sanjary SA și Gasgoos SS, care au evaluat indicii de placă și indicii de sângerare ai unui grup de restaurări compozite și ai unui grup de restaurări din amalgam comparate cu dinții omologi din cavitatea orală nerestaurați, deoarece autorii au raportat o creștere a indicilor de placă și de sângerare la grupul de restaurări compozite comparativ cu grupul control [15].…”