EFFECT OF DENTAL PROXIMAL RESTORATIONS ON PERIODONTAL HEALTH IN PATIENTS
DOI:
https://doi.org/10.55519/JAMC-04-S4-10454Abstract
Background: The oral cavity is colonized by more than 700 species of bacteria and hundreds of those can be present within oral biofilms. Objective was to determine the frequency of periodontal attachment loss in patients with dental proximal restorations. Methods: This cross-sectional study included 100 patients with Class II (mesial /distal or mesio-occluso-distal composite and amalgam restorations. The minimum duration of pre-existing restoration for which periodontal attachment loss was assessed was more than 3 months. Patients wearing orthodontic appliances, pregnant women, patients having systemic health problems with well-established links to periodontal diseases such as diabetes mellitus and patients who had received periodontal treatment within the last 3 months were excluded. Periodontal Pocket depth and bleeding on probing was recorded using WHO periodontal probe. Pocket depth greater than 3 mm was considered pathologic. The data were analyzed using the SPSS, version 20. Descriptive statistics were computed. Chi square test was applied to compare the effects of duration of restoration and type of teeth on periodontal attachment loss. Results: Of total 100 participants 65 (65%) were males and 35 (35%) were females. The mean age was 30.74±9.21 years. In 14% cases having class II or Mesio occluso distal restorations normal pocket depth was recorded while 86% had pathologic pockets. Teeth where proximal restorations were present for more than one year were most commonly associated (29%) with pathologic pockets followed by proximal restorations which were present for three months (25%). As the duration of proximal restoration increased, the frequency of periodontal pathologic pockets increased (p<0.001) The prevalence of periodontal pocket was more in molars than premolars (p<0.001). Conclusion: Proximal restoration can be a significant risk factor for periodontal disease. Strict oral hygiene, proper design of restoration margin and supportive periodontal therapy is the utmost responsibility of the clinician.References
Gao L, Kang M, Zhang MJ, Sailani MR, Kuraji R, Martinez A, et al Polymicrobial periodontal disease triggers a wide radius of effect and unique virome. NPJ Biofilms Microbiomes 2020;6(1):10.
Lamont RJ, Jenkinson HF. Life below the gum line: pathogenic mechanisms of Porphyromonas gingivalis. Microbiol Mol Biol Rev 1998;62(4):1244–63.
Almeida A, Esper L, Sbrana M, Cunha M, Greghi S, Carrilho G, et al. Relationship between periodontics and restorative procedures: surgical treatment of the restorative alveolar interface (rai)––case series. J Indian Prosthodont Soc 2013;13(4):607–11.
Novaes AB Jr, Novaes AB, De Oliveira PT. Preprosthetic periodontal surgery in the interproximal area with modification of the COL area: Anatomic and histologic study in dogs. J Periodontol 2001;72(12):1734–41.
Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol 2013;62(1):59–94.
Quadir F, Abidi SYA, Ahmed S. Overhanging amalgam restorations by undergraduate students. J Coll Physicians Surg Pak 2014;24(7):485–8.
Tavangar M, Darabi F, Tayefeh DR, Vadiati SB, Jahandideh Y, Kazemnejad LE, et al. The prevalence of restoration overhang in patients referred to the dental clinic of Guilan University of Medical Sciences. J Dentomaxillofac Radiol Pathol Surg 2016;5(1):18–23.
Rajan K, Ramamurthy J. Effect of restorations on periodontal health. J Dent Med Sci 2014;13(7):2279–861.
Yasar F, Yesilova E, Akgünlü F. Alveolar bone changes under overhanging restorations. Clin Oral Invest 2010;14(5):543–9.
Hickel R, Roulet JF, Bayne S, Heintze SD, Mjör IA, Peters M, et al. Recommendations for conducting controlled clinical studies of dental restorative materials. Clin Oral Invest 2007;11(1):5–33.
Halperin-Sternfeld M, Saminsky M, Machtei EE, Horwitz J. The association between dental proximal restorations and periodontal disease: A retrospective 10-18 years longitudinal study. Quintessence Int 2016;47(3):249–59.
Gasgoos SS, AL-Sanjary SA. Effect of Class II Amalgam and Composite Restorations on Periodontal Health of Posterior Teeth: An in vivo study. J Oral Dent Res 2017;4(2):82–92.
Juloski J, Köken S, Ferrari M. Cervical margin relocation in indirect adhesive restorations: A literature review. J Prosthodtol Res 2018;62(3):273–80.
Broadbent JM, Williams KB, Thomson WM, Williams SM. Dental restorations: a risk factor for periodontal attachment loss? J Clin Periodontol 2006;33(11):803–10.
Paolantonio M, D'ercole S, Perinetti G, Tripodi D, Catamo G, Serra E, et al. Clinical and microbiological effects of different restorative materials on the periodontal tissues adjacent to subgingival class V restorations: 1‐year results. J Clin Periodontol 2004;31(3):200–7.
Black GV. A work on operative dentistry. Chicago: Medico-Dental, 1980.
Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza's clinical periodontology: Elsevier health sciences: 2011;p.33–9.
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