Health> Vol.5 No.11, November 2013

Comparing the methods of oral hygiene, over hanged removal and restoration—Changing on periodontal health and alveolar bone height of rest orated mandibular molars with proximal over hanged amalgam

DownloadDownload as PDF (Size:51KB)  HTML    PP. 1905-1908  

ABSTRACT

Objective: Conservative restoration principles that accurately reduce plaque accumulation are the goals of restorative dentistry. Correct and perfect restoration has an important effect on health of periodontious tissues. This study was done to compare the methods of oral hygiene, over hanged removal and restoration changing on periodontal health and alveolar bone height of restored mandible molars with proximal over hanged amalgam. Materials and Methods: All patients with over hanged amalgam restoration were randomly divided into three groups. In order to survey the effect of over hanged removal on gingival and bleeding indices and alveolar bone height adjacent to mandible molar teeth, these indices were determined according to recurrent radio-graphical early signs of alveolar bone loss during three months. Sixty patients, 20 in each group, were studied. In the group I, overhang was removed with ultrasonic scale or bur and oral hygiene methods as usual were continued. In the group II, over-hang was left, but plaque controls as the prophylaxis and flossing were done. In the group III, restoration was changed and oral hygiene was done as usual. Plaque index and bleeding index were measured at the beginning of study and three months later. Findings: Statistical analysis of studied indices at the beginning and three months after treatment using paired test has shown significant

differences in gingival inflammation, in all groups. Statistical analysis of indices using Tukey HSD test has also shown significant differences in decreasing gingival inflammation measure when the over hanged restoration was removed. While there is no difference between the other two groups. Conclusion: The results showed that plaque control causes subsidence of gingival inflammation and increasing of alveolar bone support, and it is more effective when the over hanged restoration is changed.

 

Cite this paper

Bamadi, M. and Salarpour, M. (2013) Comparing the methods of oral hygiene, over hanged removal and restoration—Changing on periodontal health and alveolar bone height of rest orated mandibular molars with proximal over hanged amalgam. Health, 5, 1905-1908. doi: 10.4236/health.2013.511257.

References

[1] Shugars, D.A. and Shugars, D.S. (2002) Patient assessment, examination and diagnosis and treatment planning. In: Roberson, T.M. and Heymann, H., Eds., Sturdevant’s Art and Science of Operative Dentistry, 4th Edition, The CV Mosby Co., Louis, 409.
[2] Parsell, D.E., Streckfus, C.F., Stewart B. and Buchanan, W.T. (1998) The effect of amalgam over hanged on alveolar bone height as a function of patient age and over hanged width. Operative Dentistry, 23, 94-99.
[3] Pack, A.R.C., Coxhead, L.J. and Mcdonald, B.W. (1990) The prevalence of 0ver hanged margins inposterior amalgam restoration and periodontal consequences. Journal of Clinical Periodontology, 17, 145-152.
http://dx.doi.org/10.1111/j.1600-051X.1990.tb01078.x
[4] Brunsvold, M.A.I. and Lane, J.J. (1983) The prevalence of over hanged dental restorations and their relation ship to periodontal disease. Journal of Clinical Periodontology, 10, 563-578.
[5] Lang, N.P. and Kieira, A. (1983) Clinical and microbeological effects of subgingival restorations with over hanged or clinically prefect margins. Journal of Clinical Periodontology, 10, 563-578.
http://dx.doi.org/10.1111/j.1600-051X.1983.tb01295.x
[6] Newman, M.G. and Carranza, F.A. (2006) Clinical periodontology. 10th Edition, Sunders Co., 177.
[7] Highfield, J.E. and Powell, R.N. (1998) Effects of removal of posterior over hanged margins of restorations upon the periodontal tissues. Journal of Clinical Periodontology, 5, 169-181.
http://dx.doi.org/10.1111/j.1600-051X.1978.tb02277.x
[8] Rodriguez-Ferrer, H.J., Strahan, J.D. and Newman, H.N. (2005) Effect on gingival health of removing margins of interproximal subgingival amalgam restorations. Journal of Clinical Periodontology, 7, 457-462.
http://dx.doi.org/10.1111/j.1600-051X.1980.tb02152.x
[9] Roman-Torres, G., Barata, D.A. and Romeiro, A. (2006) A short-term clinical and microbial evaluation of periodontal therapy associated with amalgam over hanged removal. Journal of Clinical Periodontology, 77, 1591-1597. http://dx.doi.org/10.1902/jop.2006.050145

comments powered by Disqus

Copyright © 2014 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.