MANAGEMENT OF PATIENTS WITH PERIODONTAL DISEASE REQUIRING PROSTHODONTIC TREATMENT BY DENTAL BRIDGES

Periodontal diseases, including chronic periodontitis, are significant contributors to partial or total tooth loss, impacting both the functionality and aesthetics of the oral cavity. The management of such patients requires a comprehensive approach, combining periodontal therapy and prosthetic treatments, particularly dental bridges. This article explores the critical aspects of managing patients with periodontal diseases who require prosthetic restoration, emphasizing the importance of thorough initial evaluations, effective non-surgical and surgical periodontal treatments, and the careful selection of appropriate prosthetic materials. Pre-prosthetic therapy, including scaling, root planing, and, when necessary, surgical interventions like bone grafts and guided tissue regeneration, is crucial to stabilize the periodontal condition before applying dental bridges. Successful prosthetic treatments depend on proper assessment of bone structure, abutment tooth viability, and occlusal force distribution. The choice of materials, such as zirconia or full ceramic, plays a vital role in ensuring long-term success. Furthermore, post-treatment care, including regular monitoring, professional cleanings, and patient education on oral hygiene, is essential for maintaining periodontal health and maximizing the durability of the prostheses. By integrating these strategies, clinicians can provide durable and functional prosthetic solutions for patients with periodontal diseases, improving both quality of life and oral health outcomes