Premium
A Longitudinal Study of Combined Periodontal and Prosthetic Treatment of Patients With Advanced Periodontal Disease
Author(s) -
Nyman Sture,
Lindhe Jan
Publication year - 1979
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.1979.50.4.163
Subject(s) - periodontology , periodontal disease , medicine , dentistry , longitudinal study , library science , pathology , computer science
Clinical and laboratory research endeavors have revealed unanimously that most, if not all, forms of periodontal disease are plaque associated disorders. Consequently, treatment of gingivitis and Periodontitis must always involve debridement, elimination of deepened periodontal pockets and other retention factors for plaque and the institution of a careful plaque control program including regularly repeated oral prophylaxis and tooth cleaning instruction. Studies by Lovdal et al.,1 Suomi et al.,2 Ramfjord et al.,3,4 Lindhe and Nyman,0 Rosling et al.,6 Axelsson and Lindhe' have documented that such treatment will eliminate clinical signs of gingivitis and prevent further deterioration of the supporting tissues. Frequently in cases of advanced Periodontitis, the destruction of the attachment apparatus has reached a level which calls for extraction of several teeth. This implies that towards the end of the initial treatment phase0 of such patients only a few teeth may remain, teeth which in addition to having reduced periodontal tissue support often also exhibit pronounced hypermobility or even signs ofprogressive, i.e. gradually increasing, mobility. In such cases there is an obvious need for splinting and additional prosthetic treatment,8 even if prevalent concepts prescribe that in this particular situation prosthetic treatment involving fixed bridgework is hazardous.9"11 It has been demonstrated,12'13 however, that teeth with severely reduced periodontal support and with progressive mobility can serve as reliable abutment teeth for extensive fixed splints/bridges provided periodontal health has been established and can be maintained in the remaining dentition, and provided the bridgework is designed as to preclude undue stress concentrations in the supporting apparatus. The present investigation describes the result of treatment of a group of patients who initially suffered from advanced Periodontitis, in many instances complicated