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Prosthetic rehabilitation of patients with history of moderate to severe periodontitis: a long‐term evaluation
Author(s) -
Graetz Christian,
Schwendicke Falk,
Kahl Maren,
Dörfer Christof E.,
Sälzer Sonja,
Springer Claudia,
Schützhold Svenja,
Kocher Thomas,
König Jörgen,
Rühling Andreas
Publication year - 2013
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12124
Subject(s) - medicine , periodontitis , dentistry , tooth loss , rehabilitation , orthodontics , physical therapy , oral health
Objectives Long‐term outcomes of conservative periodontal and prosthetic treatment of patients with moderate to severe periodontitis were to be evaluated. Groups of younger ( YG ) and middle‐aged patients ( MG ) were to be compared regarding survival of fixed and removable dental prostheses ( FDP , RDP ) inserted after active periodontal therapy ( APT ). In addition, functional‐occlusal status over more than 10 years of supportive periodontal therapy ( SPT ) was analysed. Methods The present multi‐case‐series retrospectively analysed data of 68 patients (34 YG and 34 MG ) who had received APT and regular SPT ≥10 years. Tooth loss, occlusal status and survival and complications of prosthetics were evaluated descriptively and comparatively ( t ‐test). Results There was no statistical difference between YG and MG concerning tooth loss/year ( p > 0.05). Functional‐occlusal status was retained during SPT in 75% and 69% of YG and MG . Restorations inserted after APT showed high survival for both age groups (100%). Mean survival time until the last SPT visit was 15.2 and 11.6 years for FDP and RDP in YG , and 12.5 and 13.1 years in MG . Conclusions Prosthetic restorations in both younger and middle‐aged patients with severe periodontitis showed high survival, if pre‐prosthetic APT and regular SPT had been performed.