| Abstrakt: |
Immediate and late results of periodontitis treatment with the use of various types of joining in 74 patients are analyzed. Traditional casts were employed in 34 cases; in 40 patients fragmentary nonremovable casts with parapulpar fixation were used, as were adhesive one-piece, equatory, and intradental casts. The initial condition of the periodontium was similar in all the patients. Periodontal status was compared over the course of treatment with the use of different casts. Mathematical characteristics were used for analysis: periodontal and gingival indexes; osseous index and hygienic condition index, that were determined before, 30 days, and 12 months after treatment. Only two of the four studied indexes evidenced a reliable improvement of the condition after therapy and joining by traditional techniques, but the effect proved to be unstable, and 12 months after treatment both values significantly grew again. When traditional treatment modalities are used, alleviation of the inflammation and improvement of the hygienic condition of the oral cavity depend not so much on the type of joining but mostly on the initial status of the periodontium. A more manifest and stable reduction of the inflammation and improvement of the oral cavity hygienic status were observed in the patients treated with the use of present-day more physiologic cast designs. This evidence considerable advantages of these new designs vs. the traditional ones. |
