Periotest values of abutment teeth during prosthetic treatment with removable partial dentures

A. Yu. Kovalyshyn; T. M. Dmytryshyn

doi:10.33295/1992-576X-2023-5-28

Authors

A. Yu. Kovalyshyn Educational and Scientific Institute of Postgraduate Education of Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine https://orcid.org/0000-0003-0945-9312
T. M. Dmytryshyn Educational and Scientific Institute of Postgraduate Education of Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine https://orcid.org/0000-0002-0698-3656

DOI:

https://doi.org/10.33295/1992-576X-2023-5-28

Keywords:

abutment teeth, tooth mobility, partial removable prostheses, fixed prostheses, Periotest

Abstract

Actuality. Periotest (PT) is a diagnostic method, which allows for detection of the initial changes in the pathological mobility of teeth or dental prostheses. This method also allows for observation of the dynamics of changes in the periodontium after carrying out dental treatments.
The purpose of this study is to monitor Periotest values (PTV) in patients who use fixed and removable partial denture therapy (FPD, RPD) during different periods, and analyze this data depended on tooth type and load from FPD and RPD.
Materials and methods. 50 patients were examined, performed PT and assessed tooth mobility according to the Miller mobility index (MMI) in the Center of Dentistry of the University Clinic of IFNMU: 39 persons were treated partial edentulous with FPD and RPD – research group; 11 people with healthy dentition - the control group. PTV and MMI were carried out before prosthetics and 1, 2 and 3 years after. The examined teeth were divided depending on the load that fell on them from the fixing elements (I-III groups) and according to their morpho- functional type (incisors, canines, premolars and molars).
Results. The average PTV before treatment was 13.09±2.82 c.u. for incisors, 8.79±3.02 c.u. (canines), 13.15±3.12 c.u. and 9.08±2.36 c.u. (premolars and molars). A significant increase in PTV was observed in the I group after two and three years of prostheses use compared to data before prosthetic treatment by 47.1% and 92.96% for incisors, 22.07% and 30.94% for canines and by 42.35% and 82.67% for premolars (р≤0.05). PTV of premolars of II group increased by 31.42% after 3 years. PTV of all teeth of the III group were significantly decreased compared with data before treatment. Determination of teeth mobility according to MMI was not informative in most cases, except a mobility decrease of incisors of the III group after prosthetic treatment, and an increase of mobility of incisors, canines and premolars of the I group after 3 years of RPD use, compared to pretreatment data, (р≤0.05).

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Author Biographies

A. Yu. Kovalyshyn, Educational and Scientific Institute of Postgraduate Education of Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine

Department of Dentistry, Educational and Scientific Institute of Postgraduate Education, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine

T. M. Dmytryshyn, Educational and Scientific Institute of Postgraduate Education of Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine

Doctor of Medical Sciences, Professor of the Department of Dentistry, Educational and Scientific Institute of Postgraduate Education, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine.

E-mail: andkovalyshyn@gmail.com
+38 (050) 980 94 40

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