Journal article

Publication year: 2014

Pages: 515-522

Journal: Journal of Oral Rehabilitation

Volume number: 41

Issue number: 7

ISSN: 0305-182X

eISSN: 1365-2842

DOI Link: https://doi.org/10.1111/joor.12160

Publisher: Wiley

Abstract: 
In a multicentre randomised trial (German Research Association, grants DFG WA 831/2-1 to 2-6, WO 677/2-1.1 to 2-2.1.; controlled-trials.com ISRCTN97265367), patients with complete molar loss in one jaw received either a partial removable dental prosthesis (PRDP) with precision attachments or treatment according to the SDA concept aiming at pre-molar occlusion. The objective of this current analysis was to evaluate the influence of different treatments on periodontal health. Linear mixed regression models were fitted to quantify the differences between the treatment groups. The assessment at 5years encompassed 59 patients (PRDP group) and 46 patients (SDA group). For the distal measuring sites of the posterior-most teeth of the study jaw, significant differences were found for the plaque index according to Silness and Loe, vertical clinical attachment loss (CAL-V), probing pocket depth (PPD) and bleeding on probing. These differences were small and showed a slightly more unfavourable course in the PRDP group. With CAL-V and PPD, significant differences were also found for the study jaw as a whole. For CAL-V, the estimated group differences over 5years amounted to 0 center dot 27mm (95% CI 0 center dot 05; 0 center dot 48; P=0 center dot 016) for the study jaw and 0 center dot 25mm (95% CI 0 center dot 05; 0 center dot 45; P=0 center dot 014) for the distal sites of the posterior-most teeth. The respective values for PPD were 0 center dot 22mm (95% CI 0 center dot 03; 0 center dot 41; P=0 center dot 023) and 0 center dot 32mm (95% CI 0 center dot 13; 0 center dot 5; P=0 center dot 001). It can be concluded that even in a well-maintained patient group statistically significant although minor detrimental effects of PRDPs on periodontal health are measurable.

Harvard Citation style: Walter, M., Marre, B., Vach, K., Strub, J., Mundt, T., Stark, H., et al. (2014) Management of shortened dental arches and periodontal health: 5-year results of a randomised trial, Journal of Oral Rehabilitation, 41(7), pp. 515-522. https://doi.org/10.1111/joor.12160

APA Citation style: Walter, M., Marre, B., Vach, K., Strub, J., Mundt, T., Stark, H., Pospiech, P., Woestmann, B., Heydecke, G., Kern, M., Hartmann, S., Luthardt, R., Huppertz, J., Wolfart, S., & Hannak, W. (2014). Management of shortened dental arches and periodontal health: 5-year results of a randomised trial. Journal of Oral Rehabilitation. 41(7), 515-522. https://doi.org/10.1111/joor.12160