Int J Stomatol ›› 2022, Vol. 49 ›› Issue (1): 1-11.doi: 10.7518/gjkq.2022001

• Orginal Article •     Next Articles

Periodontal considerations in prosthetic dentistry

Cao Zhengguo()   

  1. Dept. of Periodontics, Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2021-08-23 Revised:2021-10-18 Online:2022-01-01 Published:2022-01-07

Abstract:

The interrelationship between periodontics and prosthetics has been widely discussed by dentists. A healthy and stable periodontal condition is a necessary prerequisite for the success and long-term stability of prosthetic therapy and should be paid close attention to before, during, and after prosthetic therapy. At the same time, soft and hard tissue defects, aesthetic problems, and tooth loss related to periodontal issue need to be solved by prosthetic therapy. Periodontal considerations in prosthetic dentistry are of great clinical significance. Therefore, this paper will discuss the periodontal preparation and health maintenance before, during, and after prosthetic treatment, the influence of prosthetic treatment on periodontal health, and the relationship between periodontics and implantology to provide basis for clinical work of dentists.

Key words: periodontal health, prosthetic therapy, crown lengthening procedure, periodontal soft and hard tissue defects, periodontics and implantology, peri-implantitis


TrendMD: 

Fig 1

Altered passive eruption"

Fig 2

The ratio of maxillary anterior width (from the front view)"

Fig 3

Decision-making tree of alveolar ridge preservation in aesthetic anterior region"

Fig 4

Classification of alveolar ridge defect (degree 0-5) and the corresponding GBR techniques"

Fig 5

Decision-making tree of soft and hard tissue augmentation related to implant therapy in aesthetic anterior region"

Fig 6

CIST treatment procedure of peri-implantitis"

Fig 7

Classification of alveolar bone defect around implant"

Fig 8

Decision-making tree of alveolar bone defect around impant"

[1] Slots J. Periodontitis: facts, fallacies and the future[J]. Periodontol 2000, 2017,75(1):7-23.
[2] Culshaw S. Periodontal disease: its impact on resto-rative dentistry[J]. Prim Dent J, 2017,6(1):25-31.
[3] Chapple ILC, Mealey BL, Van Dyke TE, et al. Perio-dontal health and gingival diseases and conditions on an intact and a reduced periodontium: consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions[J]. J Periodontol, 2018,89(Suppl 1):S74-S84.
[4] Patel RM, Baker P. Functional crown lengthening surgery in the aesthetic zone; periodontic and pros-thodontic considerations[J]. Dent Update, 2015, 42(1): 36-38, 41-42.
[5] Marzadori M, Stefanini M, Sangiorgi M, et al. Crown lengthening and restorative procedures in the esthetic zone[J]. Periodontol 2000, 2018,77(1):84-92.
[6] Melnick PR. Preparation of the periodontium for restorative dentistry[M] //Newman MG, Takei HH, Klo-kkevold PR, et al. Carranza s clinical periodontology. 12th ed. Philadelphia: WB Saunders Co., 2015: 1332-1210.
[7] Ahmad I. Anterior dental aesthetics: dental perspective[J]. Br Dent J, 2005,199(3):135-141.
[8] Ahmad I. Anterior dental aesthetics: gingival perspective[J]. Br Dent J, 2005,199(4):195-202.
[9] Pilalas I, Tsalikis L, Tatakis DN. Pre-restorative crown lengthening surgery outcomes: a systematic review[J]. J Clin Periodontol, 2016,43(12):1094-1108.
[10] Goldberg PV, Higginbottom FL, Wilson TG Jr. Perio-dontal considerations in restorative and implant therapy[J]. Periodontol 2000, 2001,25(1):100-109.
[11] Needleman I, Tucker R, Giedrys-Leeper E, et al. Guided tissue regeneration for periodontal intrabony defects: a cochrane systematic review[J]. Periodontol 2000, 2005,37:106-123.
[12] Sims TN. Resective osseous surgery[M] //Newman MG, Takei HH, Klokkevold PR, et al. Carranza’s clinical periodontology. 12th ed. Philadelphia: WB Saunders Co., 2015: 1766-1210.
[13] Sanz M, Lorenzo R, Aranda JJ, et al. Clinical evaluation of a new collagen matrix (Mucograft® prototype) to enhance the width of keratinized tissue in patients with fixed prosthetic restorations: a rando-mized prospective clinical trial[J]. J Clin Periodontol, 2009,36(10):868-876.
[14] Kim DM, Neiva R. Periodontal soft tissue non-root coverage procedures: a systematic review from the AAP Regeneration Workshop[J]. J Periodontol, 2015,86(2 Suppl):S56-S72.
[15] Berglundh T, Armitage G, Araujo MG, et al. Peri-implant diseases and conditions: consensus report of workgroup 4 of the 2017 World Workshop on the classification of periodontal and peri-implant disea-ses and conditions[J]. J Clin Periodontol, 2018,45(Suppl 20):S286-S291.
[16] Maynard JG Jr, Wilson RDK. Physiologic dimensions of the periodontium significant to the restora-tive dentist[J]. J Periodontol, 1979,50(4):170-174.
[17] Wennström JL. Mucogingival therapy[J]. Ann Perio-dontol, 1996,1(1):671-701.
[18] Ferencz JL. Maintaining and enhancing gingival architecture in fixed prosthodontics[J]. J Prosthet Dent, 1991,65(5):650-657.
[19] Padbury Jr A, Eber R, Wang HL. Interactions between the gingiva and the margin of restorations[J]. J Clin Periodontol, 2003,30(5):379-385.
[20] Pack AR, Coxhead LJ, McDonald BW. The prevalence of overhanging margins in posterior amalgam restorations and periodontal consequences[J]. J Clin Periodontol, 1990,17(3):145-152.
[21] Valderhaugw J, Birkeland JM. Periodontal conditions in patients 5 years following insertion of fixed prostheses[J]. J Oral Rehabilitation, 1976,3(3):237-243.
[22] Valderhaug J. Periodontal conditions and carious lesions following the insertion of fixed prostheses: a 10-year follow-up study[J]. Int Dent J, 1980,30(4):296-304.
[23] Waerhaug J. Healing of the dento-epithelial junction following subgingival plaque control. Ⅱ: observed on extracted teeth[J]. J Periodontol, 1978,49(3):119-134.
[24] Silness J. Periodontal conditions in patients treated with dental bridges[J]. J Periodontal Res, 1970,5(1):60-68.
[25] Nugala B, Kumar BS, Sahitya S, et al. Biologic width and its importance in periodontal and restora-tive dentistry[J]. J Conserv Dent, 2012,15(1):12-17.
[26] Puri K, Puri N, Dodwad V, et al. Restorative aspects of periodontal disease: an update part 1[J]. Dent Update, 2014, 41(6): 545-548, 551-552.
[27] Becker CM, Kaldahl WB. Current theories of crown contour, margin placement, and pontic design[J]. J Prosthet Dent, 1981,45(3):268-277.
[28] Kois JC. The restorative-periodontal interface: biological parameters[J]. Periodontol 2000, 1996,11(1):29-38.
[29] Chiche G. Improving marginal adaptation of provisional restorations[J]. Quintessence Int, 1990,21(4):325-329.
[30] Sousa V, Mardas N, Farias B, et al. A systematic review of implant outcomes in treated periodontitis patients[J]. Clin Oral Impl Res, 2016,27(7):787-844.
[31] Ramanauskaite A, Baseviciene N, Wang HL, et al. Effect of history of periodontitis on implant success: meta-analysis and systematic review[J]. Implant Dent, 2014,23(6):687-696.
[32] Sgolastra F, Petrucci A, Severino M, et al. Periodontitis, implant loss and peri-implantitis. A meta-analysis[J]. Clin Oral Implants Res, 2015,26(4):e8-e16.
[33] Ferreira SD, Martins CC, Amaral SA, et al. Perio-dontitis as a risk factor for peri-implantitis: syste-matic review and meta-analysis of observational studies[J]. J Dent, 2018,79:1-10.
[34] Chrcanovic BR, Albrektsson T, Wennerberg A. Perio-dontally compromised vs. periodontally healthy patients and dental implants: a systematic review and meta-analysis[J]. J Dent, 2014,42(12):1509-1527.
[35] 孟焕新. 种植体周组织及疾病[M] //孟焕新. 临床牙周病学. 2版. 北京: 北京大学医学出版社, 2014: 403-473.
Meng HX. Periimplant tissue and diseases[M] //Meng HX. Clinical periodontology. 2nd ed. Beijing: Pek-ing University Medical Press, 2014: 403-473.
[36] 章锦才. 重度牙周炎患牙行种植修复时的治疗选择[J]. 中华口腔医学杂志, 2014,49(6):324-327.
Zhang JC. Treatment choice of dental implant repair in patients with severe periodontitis[J]. Chin J Stomatol, 2014,49(6):324-327.
[37] Esposito M, Ekestubbe A, Gröndahl K. Radiological evaluation of marginal bone loss at tooth surfaces facing single Brånemark implants[J]. Clin Oral Implant Res, 1993,4(3):151-157.
[38] Tarnow DP, Cho SC, Wallace SS. The effect of inter-implant distance on the height of inter-implant bone crest[J]. J Periodontol, 2000,71(4):546-549.
[39] Berglundh T, Lindhe J. Dimension of the periimplant mucosa[J]. J Clin Periodontol, 1996,23(10):971-973.
[40] Tan WL, Wong TL, Wong MC, et al. A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans[J]. Clin Oral Impl Res, 2012,23:1-21.
[41] Mardas N, Trullenque-Eriksson A, MacBeth N, et al. Does ridge preservation following tooth extraction improve implant treatment outcomes: a syste-matic review[J]. Clin Oral Impl Res, 2015,26:180-201.
[42] Jung RE, Ioannidis A, Hämmerle CH, et al. Alveolar ridge preservation in the esthetic zone[J]. Perio-dontol 2000, 2018,77(1):165-175.
[43] Vignoletti F, Matesanz P, Rodrigo D, et al. Surgical protocols for ridge preservation after tooth extraction. A systematic review[J]. Clin Oral Impl Res, 2012,23:22-38.
[44] Chen ST, Wilson TG Jr, Hämmerle CH. Immediate or early placement of implants following tooth extraction: review of biologic basis, clinical procedures, and outcomes[J]. Int J Oral Maxillofac Implants, 2004,19(Suppl):12-25.
[45] Tolstunov L, Hamrick JFE, Broumand V, et al. Bone augmentation techniques for horizontal and vertical alveolar ridge deficiency in oral implantology[J]. Oral Maxillofac Surg Clin N Am, 2019,31(2):163-191.
[46] Benic GI, Hämmerle CH. Horizontal bone augmentation by means of guided bone regeneration[J]. Periodontol 2000, 2014,66(1):13-40.
[47] Araújo MG, Sukekava F, Wennström JL, et al. Ri-dge alterations following implant placement in fresh extraction sockets: an experimental study in the dog[J]. J Clin Periodontol, 2005,32(6):645-652.
[48] Covani U, Bortolaia C, Barone A, et al. Bucco-lingual crestal bone changes after immediate and delayed implant placement[J]. J Periodontol, 2004,75(12):1605-1612.
[49] Pandolfi A. A modified approach to horizontal augmention of soft tissue around the implant: omega roll envelope flap. Description of surgical technique[J]. Clin Ter, 2018,169(4):e165-e169.
[50] Zucchelli G, Tavelli L, McGuire MK, et al. Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction[J]. J Periodontol, 2020,91(1):9-16.
[51] Thoma DS, Naenni N, Figuero E, et al. Effects of soft tissue augmentation procedures on peri-implant health or disease: a systematic review and meta-analysis[J]. Clin Oral Implants Res, 2018,29(Suppl 15):32-49.
[52] Esposito M, Maghaireh H, Grusovin MG, et al. Soft tissue management for dental implants: what are the most effective techniques? A Cochrane systematic review[J]. Eur J Oral Implantol, 2012,5(3):221-238.
[53] Ioannou AL, Kotsakis GA, McHale MG, et al. Soft tissue surgical procedures for optimizing anterior implant esthetics[J]. Int J Dent, 2015,2015:740764.
[54] Berglundh T, Jepsen S, Stadlinger B, et al. Peri-implantitis and its prevention[J]. Clin Oral Implants Res, 2019,30(2):150-155.
[55] Renvert S, Polyzois I. Treatment of pathologic peri-implant pockets[J]. Periodontol 2000, 2018,76(1):180-190.
[56] Smeets R, Henningsen A, Jung O, et al. Definition, etiology, prevention and treatment of peri-implantitis-a review[J]. Head Face Med, 2014,10:34.
[57] Lang NP, Berglundh T, Heitz-Mayfield LJ, et al. Consensus statements and recommended clinical procedures regarding implant survival and complications[J]. Int J Oral Maxillofac Implants, 2004,19(Suppl):150-154.
[58] Schwarz F, Herten M, Sager M, et al. Comparison of naturally occurring and ligature-induced peri-implantitis bone defects in humans and dogs[J]. Clin Oral Implants Res, 2007,18(2):161-170.
[59] Aljateeli M, Fu JH, Wang HL. Managing peri-implant bone loss: current understanding[J]. Clin Implant Dent Relat Res, 2012,14(Suppl 1):e109-e118.
[60] Roccuzzo M, Layton DM, Roccuzzo A, et al. Clinical outcomes of peri-implantitis treatment and supportive care: a systematic review[J]. Clin Oral Implants Res, 2018,29(S16):331-350.
[61] Carcuac O, Derks J, Abrahamsson I, et al. Surgical treatment of peri-implantitis: 3-year results from a randomized controlled clinical trial[J]. J Clin Perio-dontol, 2017,44(12):1294-1303.
[62] Schwarz F, John G, Schmucker A, et al. Combined surgical therapy of advanced peri-implantitis evalua-ting two methods of surface decontamination: a 7-year follow-up observation[J]. J Clin Periodontol, 2017,44(3):337-342.
[63] Heitz-Mayfield LJA, Salvi GE, Mombelli A, et al. Supportive peri-implant therapy following anti-infective surgical peri-implantitis treatment: 5-year survival and success[J]. Clin Oral Implants Res, 2018,29(1):1-6.
[64] Roccuzzo M, Pittoni D, Roccuzzo A, et al. Surgical treatment of peri-implantitis intrabony lesions by means of deproteinized bovine bone mineral with 10% collagen: 7-year-results[J]. Clin Oral Impl Res, 2017,28(12):1577-1583.
[65] Carcuac O, Derks J, Charalampakis G, et al. Adjunctive systemic and local antimicrobial therapy in the surgical treatment of peri-implantitis: a randomized controlled clinical trial[J]. J Dent Res, 2016,95(1):50-57.
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