PERIODONTAL CONSIDERATIONS IN FIXED PROSTHESES

Restorative dentistry is by far the most important factor for plaque accumulation. Purpose The study aimed at assessing the periodontal condition relating to the existence of iatrogenic fixed prosthetic therapy. Material and methods. The studied sample consisted of 47 patients, including 23 men and 24 women aged between 18 and 65 years. We assessed the existence of periodontal damage related to local restorative iatrogenic factors. Results and discussion. In the examined patients were noted numerous discrepancies both in terms of margins placement relative to the gingival sulcus related to abutment teeth preparation. Vertical and horizontal discrepancies, occurring in marginal adaptation of restorations may be the reasons for periodontal irritation. Therefore, it is necessary to avoid the apical extension of the margins by unnecessary sinking of the margins of the preparation, which will lead to alteration of the epithelial insertion of at the level of the cemento-enamel junction Important in this respect is the thickness of the crowns margins. Conclusions. The restorative treatment objective is long-term maintenance of the masticatory system in good health condition. Dental restorations and periodontal health are closely linked-periodontal health is necessary for proper operation of all restorations, while functional stimulation provided by dental restorations is essential in periodontal health