Periodontal Conditions of Abutments and Non‐Abutments in Removable Partial Dentures over 7 Years of Use

Carreiro, Adriana da Fonte Porto; Dias, Kássia de Carvalho; Lopes, Ana Lílian Correia; Resende, Camila Maria Bastos Machado de; Martins, Ana Rafaela Luz de Aquino

doi:10.1111/jopr.12449

Cited by 18 publications

(10 citation statements)

References 20 publications

(42 reference statements)

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“…It's interesting to mention that follow-up clinical studies of RPD showed controversial findings regarding the influence of tooth function (direct abutment, indirect abutment or control) on periodontal attachment loss. Contrary to findings showing that tooth function significantly influences gingival recession and probing depth [18,19], Drake and Beck [20] did not find difference in PPD between patients wearing RPDs and not wearing RPDs. In accordance with this, Schmitt et al [13] even identified improvement in periodontal parameters for abutments of unilateral denture compared to the baseline values suggesting that restoration is reliable treatment modality for periodontal health.…”

Section: Discussioncontrasting

confidence: 60%

“…Interesantno je pomenuti da su kliničke studije koje su pratile klasičnu PSP pokazale oprečne nalaze u vezi sa uticajem funkcije zuba (direktni nosač, indirektni, kontrolni zub) na gubitak parodontalnog pripoja. Nasuprot nalazima koji su ukazali na značajan uticaj funkcije zuba na gingivalnu recesiju i dubinu džepova [18,19], rezultati Drake i Beck [20] nisu pokazali razliku u parodontološkom statusu zuba u odnosu na to da li je nošena PSP ili ne. Schmitt i sar.…”

Section: Protetski Postupciunclassified

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Unilateral complex partial denture performance evaluation: 5 years follow up clinical study

Radović¹,

Živković²,

Pfićer³

et al. 2018

Stomatoloski Glasnik Srbije

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Introduction Removable partial denture (RPD) is common treatment option for unilateral partially edentulous patients not indicated for implant therapy. Unilateral complex partial denture (UCPD) could be an alternative approach to RPD treatment, but there is lack of evidence about UCPD treatment outcomes during the long-term clinical performance. The aim of this this study was to use periodontal, prosthodontic and participant satisfaction measures to evaluate the long-term clinical performance of UCPD. Material and methodsThis 5 year follow-up clinical study evaluated pocket probing depth (PPD) and vertical clinical attachment loss (CAL-V) of direct abutment (DA), indirect abutment (IA) and control teeth (CT). Also complications and failures of UCPD were analysed using questionnaire of participant satisfaction with UCPD (stability, comfort and manipulation). Results Evaluation of data showed that CAL-V and PPD significantly increased over time for DA, IA and CT (p<0.0001), but the tooth function (DA, IA and CT) did not significantly influence changes in PPD and CAL-V. The fracture of one abutment tooth and increase of the number of artificial teeth deformations (p=0.039) were observed after 5 years. Participant satisfaction with denture after 1 year and 5 years vs. 7 days was significantly improved. Conclusion Despite limitations of this clinical study and assuming regular oral maintenance with proper indication, UCPD might be considered as good treatment option for Kennedy II rehabilitation in patients not indicated for implant therapy or who cannot tolerate extensive RPD design.

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Section: Discussioncontrasting

confidence: 60%

Section: Protetski Postupciunclassified

Unilateral complex partial denture performance evaluation: 5 years follow up clinical study

Radović¹,

Živković²,

Pfićer³

et al. 2018

Stomatoloski Glasnik Srbije

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“…In cross‐sectional studies, where no information is present on the level of self‐performed plaque control and periodontal maintenance or where clearly heterogeneous baseline periodontal conditions are present, partial removable dental prostheses (RDPs) have been associated with increased prevalence of caries, gingivitis, and periodontitis . A study has shown no changes in PD, but increases in plaque levels and gingival inflammation in patients wearing RDPs .…”

Section: Resultsmentioning

confidence: 99%

Dental prostheses and tooth‐related factors

Ercoli

Caton

2018

Journal of Periodontology

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Objectives: This narrative review summarizes the current evidence about the role that the fabrication and presence of dental prostheses and tooth-related factors have on the initiation and progression of gingivitis and periodontitis.Findings: Placement of restoration margins within the junctional epithelium and supracrestal connective tissue attachment can be associated with gingival inflammation and, potentially, recession. The presence of fixed prostheses finish lines within the gingival sulcus or the wearing of partial, removable dental prostheses does not cause gingivitis if patients are compliant with self-performed plaque control and periodic maintenance. However, hypersensitivity reactions to the prosthesis dental material can be present. Procedures adopted for the fabrication of dental restorations and fixed prostheses have the potential to cause traumatic loss of periodontal supporting tissues. Tooth anatomic factors, root abnormalities, and fractures can act as plaque-retentive factors and increase the likelihood of gingivitis and periodontitis. Conclusions:Tooth anatomic factors, such as root abnormalities and fractures, and tooth relationships in the dental arch and with the opposing dentition can enhance plaque retention. Restoration margins located within the gingival sulcus do not cause gingivitis if patients are compliant with self-performed plaque control and periodic maintenance. Tooth-supported and/or tooth-retained restorations and their design, fabrication, delivery, and materials have often been associated with plaque retention and loss of attachment. Hypersensitivity reactions can occur to dental materials. Restoration margins placed within the junctional epithelium and supracrestal connective tissue attachment can be associated with inflammation and, potentially, recession. However, the evidence in several of the reviewed areas, especially related to the biologic mechanisms by which these factors affect the periodontium, is not conclusive. This highlights the need for additional well-controlled animal studies to elucidate biologic mechanisms, as well as longitudinal prospective human trials. Adequate periodontal assessment and treatment, appropriate instructions, and motivation in selfperformed plaque control and compliance to maintenance protocols appear to be the most important factors to limit or avoid potential negative effects on the periodontium caused by fixed and removable prostheses. K E Y W O R D Sanatomy, classification, dental prostheses, dental restorations, gingivitis, periodontitis, tooth The anatomy, position, and relationships of teeth within the dental arches are among the factors that have been associated 1 with plaque retention, gingivitis, and periodontitis. Factors related to the presence, design, fabrication, delivery, and materials of tooth-supported prostheses have been suggested to influence the periodontium, generally related to localized increases in plaque accumulation and, less often, to traumatic and allergic reactions to dental materials. This artic...

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“…[51][52][53][54] However few studies have attributed RPDs with worsening of periodontal indices of abutment teeth as compared to non-abutment teeth. 50,55 The crux of this reported variation of result lies in the difference of oral and denture hygiene by the patient. 52,56,57 It is recommended that Recall visits should be planned to intercept the development of periodontal pockets.…”

Section: Effect Of Removable Partial Dentures On Periodontal Indicesmentioning

confidence: 99%

Perio-Prosthodontics Considerations in Removable Partial Denture: The Role of the Prosthodontist

Malik¹,

Yazdanie²

2021

J Pak Dent Assoc

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OBJECTIVE: To review the periodontal considerations associated with removable partial denture therapy. METHODOLOGY: Using a MEDLINE search, for "removable partial dentures periodontal", a total of 712 papers from peer-reviewed journals came in results. The MEDLINE search was made more specific by applying filters to the key phrase with other key words such as "periodontal evaluation"(140), "direct retainers"(77), "non-surgical periodontal"(8), "surgical periodontal"(180), "plaque"(249), "periodontal indices"(112), "tooth mobility,"(180) "periodontal maintenance,"(60) "splinting,"(198) and "split major connector"(2). Both in vivo and in vitro studies on the Perio-prosthodontic aspects of RPD treatment were included in the study pool whereas case Series and case reports were excluded. RESULT: A total of 1206 studies were collected from the search engine. After applying the exclusion criteria and filtering the duplicates a total of 95 studies were included for the narrative review. CONCLUSIONS: Out of all the factors, recall and oral and denture hygiene have the utmost importance. KEYWORDS: Perio-prosthodontics, removable partial denture, periodontal indices.

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Periodontal Conditions of Abutments and Non‐Abutments in Removable Partial Dentures over 7 Years of Use

Abstract: RPDs generated more periodontal damage to direct abutments, since higher gingival recession probing depth indexes, and presence of caries and fractures were observed in comparison to indirect abutments and non-abutments.

Cited by 18 publications

References 20 publications

Unilateral complex partial denture performance evaluation: 5 years follow up clinical study

Unilateral complex partial denture performance evaluation: 5 years follow up clinical study

Dental prostheses and tooth‐related factors

Perio-Prosthodontics Considerations in Removable Partial Denture: The Role of the Prosthodontist

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