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  • Title: Prosthetic rehabilitation of patients with history of moderate to severe periodontitis: a long-term evaluation.
    Author: Graetz C, Schwendicke F, Kahl M, Dörfer CE, Sälzer S, Springer C, Schützhold S, Kocher T, König J, Rühling A.
    Journal: J Clin Periodontol; 2013 Aug; 40(8):799-806. PubMed ID: 23758333.
    Abstract:
    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.
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