BACKGROUND: The replacement of missing teeth with fixed partial dentures is largely dependent upon the health and stability of the surrounding periodontal structures. FPDs are often prepared on vital teeth as abutments. Esthetic materials have become popular in fixed prosthodontics today.
AIM: The present study aimed to assess the long term effect and tissue responses of various types of fixed partial prosthesis placed on vital abutment teeth on the periodontal parameters both clinically and radiographically.
MATERIALS AND METHOD: Following ethical committee approval, the study group comprised of 87 abutment teeth in 41 systemically healthy patients (24 males and 17 females) aged between 18 – 45 years who had received 3 unit fixed prosthesis(IPS empress, PFM or zirconia), having equigingival margins using vital teeth as abutments. The following parameters were assessed at the time of bridge placement and 1 year follow up – CAL, Probing depth, Distance between CEJ/ cervical crown margin and alveolar crest of the abutment teeth(radiograph).
RESULTS: Statistical analysis carried out by SPSSV22 software revealed significant changes in clinical parameters with IPS empress and radiographic parameters with PFM and Zirconia from time of bridge placement till the 1 year follow up.(P<0.05).
CONCLUSION: There seemed to be favorable responses of the periodontal tissues to the various esthetic materials used on vital abutments of FPDs.
Aljoharah Al-Sinaidi, Reghunathan S. Preethanath.The effect of fixed partial dentures on periodontal status of abutment teeth. The Saudi Journal for Dental Research 2014;5:104–8.
Shenoy KK, Anas B. Post-Cementation Sensitivity in Vital Abutments of Fixed Partial Denture: A Review. Sch J App Med Sci. 2017;5(3D):1009-13.
Goga R, Purton DG.The use of endodontically treated teeth as abutments for crowns, fixed partial dentures, or removable partial dentures: a literature review. Quintessence Int. 2007;38(2):e106-11.
Cheung GSP, Lai SCN, Ng RPY. Fate of vital pulps beneath a metal‐ceramic crown or a bridge retainer. International Endodontic Journal 2005;38:521-30. 10.1111/j.1365-2591.2005.00982.x.
De Backer H, Van Maele G, De Moor N, Van den Berghe L. Survival of complete crowns and periodontal health: 18-year retrospective study. Int J Prosthodont. 2007;20:151-8.
Chansoria S, Chansoria H. Abutment Selection In Fixed Partial Denture. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) 2018: 17( 3):4-12.
Almotairy M, Almaghrabi F, Alharthy A, Alrashaid H, Diab H, Shibatalhamad Y. Effect of Full Ceramic Crown Versus Ceramic Fused to Metal Crown on Periodontal Tissues Health. EC Dental Science 2018;17(7):1041-6.
Pezron I, Kugel G, Laurent-Maquin D, Gangloff S, Egles C. Biocompatibility study of lithium disilicate and zirconium oxide ceramics for esthetic dental abutments. J Periodontal Implant Sci. 2016;46(6):362-1. https://doi.org/10.5051/jpis.2016.46.6.362
Valenti M, Valenti A. Retrospective survival analysis of 261 lithium disilicate crowns in a private general practice. Quintessence Int 2009;40:573-9.
Abidi Y A, Jameel A, Hasan A , Rashid S. An Evaluation of Association between Crown Margins & Materials with the Periodontal Health. JPDA 2011; 20:148-153.
Al-Wahadni AM, Mansour Y, Khader Y.Periodontal response to all-ceramic crowns (IPS Empress) in general practice. Int J Dent Hyg. 2006;4(1):41-6.
Shetty S, Shetty K, Wali O, Almarshoud L et al. Comparative Evaluation of Esthetic Materials Used For Fixed Partial Prosthesis on the Periodontal Status – A One Year Retrospective Follow-UP. International Journal of Medical Science and Advanced Clinical Research (IJMACR) 2019;2(2):84-92.
Shankar YR, Srinivas K, Surapaneni HC, Reddy HVS. Prosthodontic Treatment Using Vital and Non-Vital Submerged Teeth: Two Case Reports. Journal of Clinical and Diagnostic Research. 2013;7(10): 2396-9.
Josset Y, Oum’Hamed Z, Zarrinpour A, Lorenzato M, Adnet JJ, Laurent-Maquin D. In vitro reactions of human osteoblasts in culture with zirconia and alumina ceramics. J Biomed Mater Res 1999;47:481-93.
Covacci V, Bruzzese N, Maccauro G, Andreassi C, Ricci GA, Piconi C, et al. In vitro evaluation of the mutagenic and carcinogenic power of high purity zirconia ceramic. Biomaterials 1999;20:371-6.
Warashina H, Sakano S, Kitamura S, Yamauchi KI, Yamaguchi J, Ishiguro N, et al. Biological reaction to alumina, zirconia, titanium and polyethylene particles implanted onto murine calvaria. Biomaterials 2003;24:3655-61.
Van Brakel R, Meijer GJ, Verhoeven JW, Jansen J, de Putter C, Cune MS. Soft tissue response to zirconia and titanium implant abutments: an in vivo within-subject comparison. J Clin Periodontol 2012;39:995-1001.
Weishaupt P, Bernimoulin JP, Lange KP, Rothe S, Na umann M, Hagewald S. Cli nica l and inflammatory effects of galvano-ceramic and me t a l - ceramic crowns on periodontal tissues. J Oral Rehabil.2007;34:941-7.
Reitemeier B, Hansel K, Walter MH, Kastner C, Toutenburg H. Effect of posterior crown margin placement on gingival health. J Prosthet Dent. 2002 ;87:167-72.
Christensen GJ. Porcelain-fused-to-metal versus zirconia-based ceramic restorations, 2009. J Am Dent Assoc. 2009;140:1036-9.
Kancyper SG, Koka S. The influence of intracrevicular crown margins on gingival health: preliminary findings. J Prosthet Dent 2001;85:461-5.