title: Management of shortened dental arches and periodontal health: 5-year results of a randomised trial.
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 5 years 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 Löe, 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 5 years amounted to 0.27 mm (95% CI 0.05; 0.48; P = 0.016) for the study jaw and 0.25 mm (95% CI 0.05; 0.45; P = 0.014) for the distal sites of the posterior-most teeth. The respective values for PPD were 0.22 mm (95% CI 0.03; 0.41; P = 0.023) and 0.32 mm (95% CI 0.13; 0.5; P = 0.001). 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.
authors.affiliation: Department of Prosthetic Dentistry, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
authors.forename: M H
authors.initials: MH
authors.lastname: Walter
authors.forename: B
authors.initials: B
authors.lastname: Marré
authors.forename: K
authors.initials: K
authors.lastname: Vach
authors.forename: J
authors.initials: J
authors.lastname: Strub
authors.forename: T
authors.initials: T
authors.lastname: Mundt
authors.forename: H
authors.initials: H
authors.lastname: Stark
authors.forename: P
authors.initials: P
authors.lastname: Pospiech
authors.forename: B
authors.initials: B
authors.lastname: Wöstmann
authors.forename: G
authors.initials: G
authors.lastname: Heydecke
authors.forename: M
authors.initials: M
authors.lastname: Kern
authors.forename: S
authors.initials: S
authors.lastname: Hartmann
authors.forename: R
authors.initials: R
authors.lastname: Luthardt
authors.forename: J
authors.initials: J
authors.lastname: Huppertz
authors.forename: S
authors.initials: S
authors.lastname: Wolfart
authors.forename: W
authors.initials: W
authors.lastname: Hannak
mesh_terms: D000368:Aged; D003724:Dental Arch / Q000033:anatomy & histology / Q000503:physiopathology*; D003832:Denture, Partial, Removable / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D008963:Molar; D010512:Periodontal Index; D016388:Tooth Loss / Q000534:rehabilitation*; D016896:Treatment Outcome
keywords: dental plaque index; dental prosthesis; gingival bleeding on probing; periodontal attachment loss; periodontal diseases; periodontal pocket