PMID- 26926189
OWN - NLM
STAT- MEDLINE
DCOM- 20160706
LR  - 20181202
IS  - 1002-0098 (Print)
IS  - 1002-0098 (Linking)
VI  - 51
IP  - 2
DP  - 2016 Feb
TI  - [Technical complications rates and plaque control of fixed dental prostheses in 
      patients treated for periodontal disease].
PG  - 69-75
LID - 10.3760/cma.j.issn.1002-0098.2016.02.002 [doi]
AB  - OBJECTIVE: To compare the incidence of technical complications of 
      implant-supported fixed dental prostheses in Chinese patients with a history of 
      moderate or severe periodontitis and periodontally healthy patients(PHP) and 
      analyze the effects of interproximal papillae patterns on food impaction and 
      efficacy of plaque control. METHODS: A total of 103 partially edentulous patients 
      treated with implant-supported fixed dental prostheses between December 2009 and 
      December 2012 for a minimum 1-year follow-up period were recruited from 
      Department of Periodontology, Peking University, School and Hospital of 
      Stomatology. Based on the initial periodontal examination, the participants were 
      divided into three groups: 30 PHP, 36 moderate periodontally compromised 
      patients(mPCP) and 37 severe periodontally compromised patients(sPCP). Implant 
      survival/loss, technical complications, plaque index, papilla index, food 
      impaction and degree of proximal contact tightness of each patient were assessed 
      around the implants at follow-up. According to the implant papilla index, the 
      implants were divided into two groups: the "filling" group with the mesial and 
      distal aspects with papilla index=3 and the "no filling" group with at least one 
      aspect with papilla index<3. Data on implant survival, technical complications 
      were analyzed. Comparisons of the incidence of technical complications were 
      performed between the patients with different periodontal conditions with 
      chi-square or Fisher's exact test. The influences of the interproximal papillae 
      loss on food impaction and efficacy of plaque control were estimated with 
      chi-square and Mann-Whitney U tests. RESULTS: The total implant survival rate was 
      100%(162/162) for all three groups. Technical complications were as following: 
      veneer fractures(1.9%, 3/162), abutment screw loosening(1.9%, 3/162), prosthetic 
      screw loosening(3.1%, 5/162) and decementation(3.1%, 5/162) in all subjects. No 
      implant/screw fracture was noted. The incidence of technical complications in 
      sPCP, mPCP and PHP did not yield statistically significant differences(P>0.05). 
      The proportion of the implant with the mesial and distal papilla index=3 in the 
      sPCP was less than that in the PHP and mPCP. The interproximal papillae loss did 
      not appear to affect the food impaction and the plaque index in all three 
      groups(P>0.05). However, for the PHP, the accumulation of plaque at buccal aspect 
      was more in the "no filling" group compared with the "filling" group (implant 
      plaque index[M(Q)]: 1[1] vs 0[0]), and for the sPCP, the accumulation of plaque 
      at lingual aspect was more in the "filling" group compared with the "no filling" 
      group(implant plaque index[M(Q)]: 1[1] vs 0[1], (P<0.05). CONCLUSIONS: The 
      patients with a history of severe periodontitis did not exhibit more technical 
      problems compared with the periodontally healthy patients. The interproximal 
      papillae loss did not show a negative impact on the plaque control and food 
      impaction. However, for the sPCP, changing the morphology and the position of the 
      interproximal contact point to reduce the interdental black triangle may lead to 
      accumulation of plaque at lingual aspect. More attention should be placed on the 
      morphology design of prosthesis, but not the papillae filling up the 
      interproximal space.
FAU - Xie, Yesi
AU  - Xie Y
AD  - Department of Periodontology, Peking University School & Hospital of Stomatology, 
      Beijing 100081, China.
FAU - Meng, Huanxin
AU  - Meng H
AD  - Department of Periodontology, Peking University School & Hospital of Stomatology, 
      Beijing 100081, China.
FAU - Han, Jie
AU  - Han J
AD  - Department of Periodontology, Peking University School & Hospital of Stomatology, 
      Beijing 100081, China.
FAU - Pan, Shaoxia
AU  - Pan S
AD  - Department of Prosthodontics, Peking University School & Hospital of Stomatology, 
      Beijing 100081, China.
FAU - Zhang, Li
AU  - Zhang L
AD  - Department of Periodontology, Peking University School & Hospital of Stomatology, 
      Beijing 100081, China.
FAU - Shi, Dong
AU  - Shi D
AD  - Department of Periodontology, Peking University School & Hospital of Stomatology, 
      Beijing 100081, China.
LA  - chi
PT  - Journal Article
PL  - China
TA  - Zhonghua Kou Qiang Yi Xue Za Zhi
JT  - Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese 
      journal of stomatology
JID - 8711066
RN  - 0 (Dental Implants)
SB  - IM
MH  - Beijing
MH  - Dental Abutments
MH  - Dental Implants
MH  - Dental Plaque/diagnosis/etiology/*prevention & control
MH  - Dental Plaque Index
MH  - Dental Prosthesis, Implant-Supported/*adverse effects/classification/statistics & 
      numerical data
MH  - Dental Restoration Failure/statistics & numerical data
MH  - Follow-Up Studies
MH  - Food
MH  - Gingiva
MH  - Humans
MH  - Jaw, Edentulous, Partially/*rehabilitation
MH  - Periodontal Diseases/classification/*therapy
EDAT- 2016/03/02 06:00
MHDA- 2016/07/07 06:00
CRDT- 2016/03/02 06:00
PHST- 2016/03/02 06:00 [entrez]
PHST- 2016/03/02 06:00 [pubmed]
PHST- 2016/07/07 06:00 [medline]
AID - 10.3760/cma.j.issn.1002-0098.2016.02.002 [doi]
PST - ppublish
SO  - Zhonghua Kou Qiang Yi Xue Za Zhi. 2016 Feb;51(2):69-75. doi: 
      10.3760/cma.j.issn.1002-0098.2016.02.002.