The influence of fixed prostheses on periodontal health.

The quality of the fixed prostheses is related to the concomitant restoration of the lost oral cavity functions and creation of aesthetics, mechanical strength and hygienic possibilities. While trying to obtain a maximum aesthetic effect and prostheses strength, the hygienic possibilities may be disregarded. The aim of this study was to review the literature regarding the biological (periodontal, peri-implant centred) and aesthetical performance of materials used for fixed constructions in the last decade. The literature survey was performed in MEDLINE (via PubMed), Wiley Online Library, ProQuest data bases for the period from year 2005 to 2017. Articles (11) reviewing fixed dental prostheses and their impact on the periodontal and peri-implant tissue and aesthetics were included. The review shows that aesthetical outcome of soft tissue health could be improved from PES score 7 up to maximum of 14 scores, but during aesthetical improvement (mucosa around implants and extraction sites, crown gingival connection) health of the soft tissue must be assumed as a priority.