[What prosthodontic therapy should we select for periodontally compromised patients? Part 2: Review of the literature focusing on conventional prosthodontic therapy for periodontally compromised patients and clinical implication (RPD vs FPD vs implant)].
OBJECTIVE
To review the clinical literature on fixed partial denture (FPD) and removable partial denture (RPD)treatment for periodontally compromised patients with partial dentate. In addition, prosthodontic management in periodontitis-susceptible subjects was evaluated from the results of Part 1 and Part 2.


METHODS
Clinical studies that documented survival rates of FPD in periodontally compromised patients were selected and reviewed.


RESULTS
There was no RPD study that fulfilled the criteria of this review paper. On the other hand, 8 reports that were reviewed in this study showed good survival rate of FPD in long-term clinical results.


CONCLUSIONS
Since the number of reports on RPD is very few, it was difficult to evaluate the RPD treatment for periodontally compromised patients. From the results of some long-term follow-up retrospective studies, however, it was suggested that FPD of high-risk design showed excellent results. Regarding management in periodontits- susceptible subjects, it should be discussed whether positive prosthodontic treatment is necessary. Strict plaque control by both doctors and patients before/after treatment is indispensable for prosthodontic management in periodontally compromised patients.
Kanno
Taro
T
Division of the Fixed Prosthodontics, Department of Restorative Dentistry, Tohoku University Graduate School of Dentistry. tarou@mail.tains.tohoku.ac.jp
Nakamura
Keisuke
K
Hayashi
Eisei
E
Kimura
Kohei
K
Hirooka
Hideaki
H
Kimura
Kohei
K
D015921:Dental Implants; D003773:Dental Plaque / Q000517:prevention & control; D003829:Denture, Partial; D003830:Denture, Partial, Fixed; D020878:Device Removal; D005500:Follow-Up Studies; D006801:Humans; D010510:Periodontal Diseases / Q000628:therapy*; D010518:Periodontitis; D011379:Prognosis; D012189:Retrospective Studies; D012306:Risk
D015921:Dental Implants