T. Yamaga et T. Nokubi, CLINICAL OBSERVATIONS OF NONCOPING OVERDENTURE ABUTMENTS PROTECTED BYTANNIN-FLUORIDE PREPARATION, The Journal of prosthetic dentistry, 78(3), 1997, pp. 315-319
Statement of problem. The exposed dentin of overdenture abutments can
lead to caries. Therefore chemical protection is needed to prevent car
ies. Considering that dentin contains both organic and inorganic compo
nents, reinforcement of both components should give reasonable results
. Tannin-fluoride preparation strengthens both the organic and inorgan
ic components of teeth. Purpose. This study examined whether the tanni
n-fluoride preparation protects noncoping abutments. Material and meth
ods. Thirty-one subjects aged 36 to 86 years participated in the clini
cal trial. A trial autopolymerizing resin containing the preparation o
r a conventional autopolymerizing resin was applied to the inner surfa
ce of the denture base, which was in contact with the abutments. When
there were autopolymerizing resin group abutments, there was also at l
east one preparation group abutment under the overdenture. Results. Th
e incidence of caries in the preparation and autopolymerizing resin gr
oups were 0% and 0%, respectively, for the first 2 years, 4.5% and 0%,
respectively, during the 3- to 4-year period, 13.8% and 75%, respecti
vely, during the 5- to 8-year period, and 10% and 15%, respectively, i
n total. Gingival crevicular fluid demonstrated a tendency to decrease
in both groups over time. Conclusion. The trial autopolymerizing resi
n containing the preparation has a long-term caries prevention effect,
and helps to maintain gingival health. Without adding clinical steps,
abutments can be protected by the tannin-fluoride preparation.