M. Peumans et al., THE INFLUENCE OF DIRECT COMPOSITE ADDITIONS FOR THE CORRECTION OF TOOTH FORM AND OR POSITION ON PERIODONTAL HEALTH - A RETROSPECTIVE STUDY/, Journal of periodontology, 69(4), 1998, pp. 422-427
THE AIM OF THIS IN VIVO STUDY was to evaluate the influence of 5- to 6
-year-old direct composite additions on the marginal periodontal tissu
es. Composite additions were directly placed on 79 intact maxillary an
terior teeth in 19 patients (12 to 19 years) by one operator using an
ultrafine midway-filled densified resin composite. All patients were r
ecalled 5 to 6 years later for a periodontal evaluation. Plaque index,
gingivitis index, and probing depth were measured at the buccal-appro
ximal sites of all unilaterally restored teeth (n = 51). An intra-indi
vidual comparison was made between the periodontal health of the treat
ed versus the intact sites. The plaque index (P = 0.029) and gingiviti
s index (P = 0.008) were significantly higher for the treated sites co
mpared to the intact sites. The difference in probing depth nearly rea
ched the level of significance (P = 0.059). In conclusion, 5- to 6-yea
r-old direct composite additions have a negative influence on marginal
periodontal health, which consisted of increased plaque retention, gi
ngival inflammation, and periodontal destruction.