はたして歯周病患者にはどのような補綴方法が有効か？―Ｐａｒｔ ２：歯周病患者に対するＲＰＤ・ＦＰＤ治療の文献Ｒｅｖｉｅｗと臨床的示唆（ＲＰＤ ｖｓ．ＦＰＤ ｖｓ．Ｉｍｐｌａｎｔ）―

Abstract

To review the clinical literature on fixed partial denture (FPD) and removable partial denture (RPD)treatment for periodontally compromised patients with partial dentate. In addition, prosthodontic management in periodontitis-susceptible subjects was evaluated from the results of Part 1 and Part 2. Clinical studies that documented survival rates of FPD in periodontally compromised patients were selected and reviewed. There was no RPD study that fulfilled the criteria of this review paper. On the other hand, 8 reports that were reviewed in this study showed good survival rate of FPD in long-term clinical results. Since the number of reports on RPD is very few, it was difficult to evaluate the RPD treatment for periodontally compromised patients. From the results of some long-term follow-up retrospective studies, however, it was suggested that FPD of high-risk design showed excellent results. Regarding management in periodontits- susceptible subjects, it should be discussed whether positive prosthodontic treatment is necessary. Strict plaque control by both doctors and patients before/after treatment is indispensable for prosthodontic management in periodontally compromised patients.