Proximal restoration increases the risk of clinical attachment loss

Demarco, Flávio Fernando; Horta, Bernardo Lessa; Corrêa, Marcos Britto

doi:10.1111/jcpe.12919

Cited by 11 publications

(13 citation statements)

References 31 publications

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“…9,14,16,17,19–21 BOP, a measure of gingivitis, indicates gingival inflammation activity, while CAL, another gold-standard measure of periodontitis, represents the cumulative effect of periodontal tissue destruction. 34,35 Unlike the previous meta-analysis, our data suggest that these two indicators of periodontal status were significantly worse in patients with SLE, indicating that individuals with SLE may be more likely to suffer from serious periodontal disease. Therefore, more attention should be payed to oral health care in patients with SLE.…”

Section: Discussioncontrasting

confidence: 89%

Association between periodontitis and systemic lupus erythematosus: a meta-analysis

Zhong

Xie

Luo

et al. 2020

Lupus

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Objective The objective of this study was to explore the association between periodontitis and systemic lupus erythematosus (SLE). Methods To identify eligible studies, the PubMed, EMBASE and Web of Science databases were searched from inception to 19 September 2019. Associations of periodontitis, and other periodontal parameters, with SLE were assessed. Results Ten studies involving 80,633 subjects were included in this meta-analysis. Pooled data showed a significant association between periodontitis and SLE (odds ratio=5.32, 95% confidence interval (CI) 1.69–16.78, p = 0.004). In addition, SLE patients had a higher prevalence of bleeding on probing (mean difference = 0.03, 95% CI 0.00–0.06, p = 0.02) and higher mean clinical attachment loss (mean difference = 0.69, 95% CI 0.39–1.00, p < 0.001). However, there were no significant differences between SLE and reference subjects in mean plaque index, gingival index, pocket depth or decayed, missing or filled teeth. Conclusions This study demonstrates a significant association between periodontitis and SLE, which indicates that avoidance of periodontitis by maintaining oral health may be a simple and economical way to prevent SLE.

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Section: Discussioncontrasting

confidence: 89%

Association between periodontitis and systemic lupus erythematosus: a meta-analysis

Zhong

Xie

Luo

et al. 2020

Lupus

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“…From a clinical standpoint, a study examining 28,796 proximal restorations, found that CAL and PD ≥4 mm were present in 1.5% and 4.8% of the sites, respectively. However, compared to sound tooth surfaces, only amalgam restorations were associated with increased PD and CAL, while composite materials were not 38 . This finding is further supported by a clinical and histologic study that clearly showed that intracrevicular composite restorations are compatible with gingival health, provided that epithelial and connective tissue attachments 1,4 are respected and periodontal supportive therapy is implemented 39 .…”

Section: Resultsmentioning

confidence: 70%

“…Different materials are also used for a variety of prosthetic procedures. It appears evident, for example, that while some provisional materials 40 and amalgam intracrevicular margins are associated with plaque and inflamed marginal periodontal tissues, adhesive materials, such as composite and RMGI, behave similarly to natural tooth structure when placed in the gingival sulcus 38,39,73 . It is therefore not appropriate to generalize findings across material types as different materials appears to elicit differential periodontal responses.…”

Section: Discussionmentioning

confidence: 99%

The Relationships Between Tooth‐Supported Fixed Dental Prostheses and Restorations and the Periodontium

Ercoli

Tarnow

Poggio

et al. 2020

Journal of Prosthodontics

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Purpose To search the literature and to critically evaluate the findings on the periodontal outcomes of restorations and tooth‐supported fixed prostheses. Materials and Methods PubMed was searched according to a systematic methodology, previously reported, but updated to include a larger database. Filters applied were: Case reports, clinical trial, review, guideline, randomized controlled trial, meta‐analysis, systematic reviews, and English. A narrative review was then synthesized to discuss periodontal outcomes related to restorations and tooth‐supported fixed prostheses. Relevant data was organized into four sections: Direct restorations, indirect restorations, biologic width or supracrestal tissue attachment and tooth preparation/finish line design. Results While increased gingival index, bleeding on probing, probing depth and clinical attachment loss have been associated with subgingival restorations, intracrevicular margins do not cause periodontal diseases. Inflammation and bone loss occur, for both direct and indirect restorations, only with large overhangs. Different restorative materials are associated with different clinical responses when placed in the gingival sulcus or within the epithelial and connective tissue attachments. When the connective tissue attachment is removed, histological changes occur causing its apical shift and subsequent re‐establishment. Gingival displacement during impression procedures can cause gingival recession. Emergence profile can have a range of values, not associated with periodontal diseases. Periodontal response appears to be clinically not different when compared among different finish line designs. Conclusions Contemporary procedures and materials used for the placement and fabrication of tooth‐supported restorations and fixed prostheses are compatible with periodontal health when adequate patient education and motivation in self‐performed oral hygiene are present. Periodontal diagnostic criteria should be thoroughly reviewed before fixed restorative treatments are planned and executed.

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“…It is commonly accepted that this prevalence rate is mostly dependent on tooth‐associated factors that increase the CEJ‐ABC distance. Firstly, there is a strong association between the presence and extent of inter‐proximal caries and marginal bone loss (Bimstein & Garcia‐Godoy, 1994; Bimstein, Shapira, Landau, & Sela, 1993b; Bimstein et al, 1994, 1996; Collares, Demarco, Horta, & Correa, 2018; Needleman et al, 1997). Some authors found a similar association with the presence of fillings (Bimstein et al, 1994, 1996; Needleman et al, 1997).…”

Section: Discussionmentioning

confidence: 99%

“…Since the current patient sample included rather recent radiographs, the presence of amalgam fillings is probably less common than in older similar studies, which may have attributed to the lower prevalence rate of alveolar bone loss. However, each restoration is associated with more clinical attachment loss and larger probing pocket depths, independently of the material (Collares et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Alveolar bone level at deciduous molars in Flemish children: A retrospective, radiographic study

Wylleman

Veken

Teughels

et al. 2020

J Clinic Periodontology

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Aim The aim of this retrospective radiographic study in Flemish children was to examine the bone level and bone loss around deciduous molars and factors influencing this. Materials and methods Two thousand eight hundred ninety six digital intra‐oral radiographs of children younger than 18 years old were screened for eligibility. The distance from the cementoenamel junction to the alveolar bone crest was measured, and tooth surfaces were screened for local risk factors that are presumably related to changes in the bone level. A distance >2 mm was defined as bone loss based on previous literature. All measurements were performed by two examiners. Results One thousand four hundred ninety one radiographs of 796 patients (mean age 6.46 ± 2.38 years) were included. The distance between the cementoenamel junction and the alveolar bone crest ranged from 0.07 to 2.88 mm, and the mean distance was 0.93 ± 0.37 mm. This distance was positively correlated with age (p < .001). In 3.5% of patients, bone loss was diagnosed. Caries, fillings and pulp pathology were associated with bone loss and higher cementoenamel junction—alveolar bone crest distances (p < .05). Conclusion This study found a low prevalence of alveolar bone loss in the primary dentition. Both the bone level and bone loss were strongly correlated with local factors.

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Proximal restoration increases the risk of clinical attachment loss

Abstract: The present study partially supports the hypothesis that proximal restorations are associated with the presence of periodontal damage. Although not indicative of disease, a significant increase was observed in CAL and PD at restored sites.

Cited by 11 publications

References 31 publications

Association between periodontitis and systemic lupus erythematosus: a meta-analysis

Association between periodontitis and systemic lupus erythematosus: a meta-analysis

The Relationships Between Tooth‐Supported Fixed Dental Prostheses and Restorations and the Periodontium

Alveolar bone level at deciduous molars in Flemish children: A retrospective, radiographic study

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