CPITN Index and Subjective Complaints after Treatment with Fixed Dental Prostheses

It is not uncommon in dental practice to observe inflammatory destructive periodontal disease after treatment with fixed prosthetic constructions. The aim of the present study was to determine the role of pre-prosthetic periodontal treatment in view of patients increasing subjective complaints and the need for periodontal treatment. Material for the study were 116 patients. Among documented subjective symptoms were sensitivity to cold food/drinks, spontaneous periodontal bleeding and fetor oris. The objective periodontal changes were assessed with the CPITN index. The results revealed that 1 year after prosthetic treatment 26.67 % of patients in Group 2, who had undergone only initial therapy, reported sensitivity to cold, and by the third year the affected patients increased to 46.67 %. There was a statistically significant correlation (Pless than0.0001) between the periodontal status and the pre-prosthetic periodontal treatment. Conclusions The lack of pre-prosthetic periodontal treatment can be evaluated as a risk factor in the restoration with fixed dental prostheses.