What Prosthodontic Therapy Should We Select for Periodontall Compromised Patients?-Part 1: A Review of the Literature Focusing on Impact Therapy for Periodontally Compromised Patients-

Abstract

Although there were only a few long-term follow up studies, it was indicated that individuals who had susceptibility to periodontal disease can be treated successfully with the implants. In all reports, treatment for infection was done before implants installation, and the importance of regular maintenance after the installation has been emphasized. From this literature review, it was advocated that periodontally compromised patients could be treated successfully with the implants. However, implant therapy should be reconsidered if oral infection cannot be satisfactorily controlled.

Critical appraisal of systematic reviews on the effect of a history of periodontitis on dental implant loss

“…We thank Taro Arima, DDS, PhD (Department of Oral Rehabilitation, Graduate School of Dental Medicine, Hokkaido University) for his help in translating the Japanese article excluded (Kanno et al. ).…”

Oral Rehabilitation Considerations for Partially Edentulous Periodontal Patients

“…However, these evidence‐based conclusions by Pjetursson and Lang 7 are general in nature, and no such conclusions are available for oral rehabilitation of periodontally compromised partially edentulous patients (with tooth loss due to progressive periodontitis, but who had received thorough periodontal therapy), who present with a unique habitat of periodontal microorganisms and periodontally weakened abutment teeth, which may or may not affect the long‐term survival and success of various prosthodontic treatment options. Recently, a review conducted in two parts by Kanno et al 8,9 on implant and conventional prosthodontic therapy treatment for periodontally compromised partially edentulous patients concluded that such patients could be treated successfully with implants, but it is difficult to evaluate RDP treatment for these patients. From the results of some long‐term follow‐up retrospective studies, FDPs with high‐risk design showed excellent results 8,9 …”

“…Recently, a review conducted in two parts by Kanno et al 8,9 on implant and conventional prosthodontic therapy treatment for periodontally compromised partially edentulous patients concluded that such patients could be treated successfully with implants, but it is difficult to evaluate RDP treatment for these patients. From the results of some long‐term follow‐up retrospective studies, FDPs with high‐risk design showed excellent results 8,9 …”

“…From the results of some long-term follow-up retrospective studies, FDPs with high-risk design showed excellent results. 8,9 Currently, there is no defined evidence-based consensus on the use of various RDP (conventional and implant-supported) and FDP (conventional, cantilever, resin-bonded, implantsupported, and combined tooth-implant-supported) designs, as well as implant-supported SCs in the oral rehabilitation of partially edentulous periodontal patients. Evidence-based dentistry is defined as "an approach to oral health care that requires the judicious integration of systematic assessments of clinically relevant scientific evidence, relating to the patient's oral and medical condition and history, with the dentist's clinical expertise and the patient's treatment needs and preferences."…”