THE INFLUENCE OF DIRECT COMPOSITE ADDITIONS FOR THE CORRECTION OF TOOTH FORM AND OR POSITION ON PERIODONTAL HEALTH - A RETROSPECTIVE STUDY/

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.