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Volume 26 , Issue 1
January/February 2013

Pages 4550

Clinical and Microbiologic Effects of Lingual Cervical Coverage by Removable Partial Dentures

Aiichiro Ao, DDS/Noriyuki Wakabayashi, DDS, PhD/Hiroshi Nitta, DDS, PhD/Yoshimasa Igarashi, DDS, PhD

DOI: 10.11607/ijp.3061

Purpose: The effect of gingival coverage by removable partial dentures (RPDs) on bacterial accumulation has not been sufficiently established. The aim of this study was to evaluate the periodontal and microbiologic reactions to mandibular major connectors. It was hypothesized that the use of a lingual plate increases the risk of periodontal disease. Materials and Methods: Fourteen subjects (mean age: 69.0 years) received oral hygiene instructions and ultrasonic debridement prior to examination. Each subject received an experimental RPD incorporating either a lingual bar or lingual plate for the first 8 weeks and was then switched to the other option for the next 8 weeks. Clinical parameters (Plaque Index, Gingival Index, probing depth, and tooth mobility) were recorded. Subgingival plaque samples were collected from the periodontal pocket in the test site to measure the colonization of periodontal pathogens after the use of each denture. Results: The mean probing depth was significantly greater after use of the lingual plate compared to the lingual bar (P < .05), whereas the type of connector did not affect the levels of any of the microbial species. All subjects that exhibited at least one bacterial species showed smaller numbers of microorganisms at the second examination than at the first. Conclusions: The lingual cervical coverage did not precipitate the accumulation of anaerobic microorganisms, although it could potentially induce gingival inflammation. The results suggest that a lingual plate can be used as safely as a lingual bar if oral and denture hygiene are carefully monitored. Int J Prosthodont 2013;26:4550. doi: 10.11607/ijp.3061

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