Inadequate Fixed Prosthesis Design Affecting the Periodontal Health: Inadequate Fixed Prosthesis Design Affecting the Periodontal Health

Mahirah  Iqbal; Shamim  Akhtar; Farid Ullah  Shah; Nuzhat  Ayub; Mohammad  Sartaj Khan; Javed  Akhtar Qazi

doi:10.54393/pjhs.v3i07.334

Authors

Mahirah Iqbal Department of Periodontology, Peshawar Dental College, Peshawar, Pakistan
Shamim Akhtar Department of Periodontology, Peshawar Dental College, Peshawar, Pakistan
Farid Ullah Shah Department of Periodontology, Bacha Khan Dental College, Mardan, Pakistan
Nuzhat Ayub Department of Prosthodontics, Peshawar Dental College, Peshawar, Pakistan
Mohammad Sartaj Khan Department of Prosthodontics, Peshawar Dental College, Peshawar, Pakistan
Javed Akhtar Qazi Peshawar Dental College, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v3i07.334

Keywords:

Periodontal Tissue, Biological Width, Plaque Retentive Factors, Gingivitis, Periodontitis

Abstract

A prerequisite for any type of restoration or replacement prosthesis is to be in harmony with the adjacent periodontal tissue and have no harmful effect on its health. Objective: To assess the effect of fixed prosthesis design on health of periodontal tissue. Methods: By using a pre-structured proforma for this observational descriptive study, during the period from September to December 2021, data were collected from sample subjects at Peshawar Dental College and Hospital, Peshawar. A total of 175 (93 females, 82 males) subjects of different ages, were selected with a pre-determined inclusion and exclusion criteria. Different variables, such as gingival index, probing pocket depth, margin location of crown / bridge and proximal contact between crown/bridge with adjacent teeth were assessed via William’s Probe. The data were analyzed with SPSS version 22. Results: All of the 175 subjects had fixed Prosthesis for 10 years or less, among these, 95 received Crown and 80 received Bridge as Fixed Prosthesis. Among these 58 % had Sub-gingivally placed crown margin, 38 % had equi-gingival, while 3 % had Supra-gingival, whereas, 57% of this prosthesis had a tight proximal contact while 42% had an open proximal contact with the adjacent tooth. 55% showed high level of severity for developing Localized periodontal issue at the site of abutment after the insertion of prosthesis, where as 44% developed localized gingivitis at the site of abutment. Conclusion: It was concluded that high score of gingival index and probing depth were recorded for subgingival finish line location and discrepancies in proximal contact points.

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