Abstract:
Background. Periodontal disease is one of the most prevalent chronic conditions worldwide and a leading
cause of tooth loss in adults. Periodontal status represents a critical biological determinant in prosthetic
treatment planning and prognosis, directly influencing the stability of tooth- and implant-supported
restorations. The impact of periodontitis on oral function, aesthetics, and quality of life necessitates the
integration of periodontal evaluation into prosthetic decision-making.
Objective of the study. To analyze the importance of periodontal status in the planning and success of
prosthetic rehabilitation in patients with periodontitis.
Material and methods. A narrative review of recent literature was conducted, including 20 comparative
studies and systematic reviews assessing the relationship between periodontal parameters (PPD, CAL, bone
loss) and prosthetic outcomes. Data regarding implant survival, fixed restoration longevity, biological
complications, and the role of pre-prosthetic periodontal therapy were evaluated.
Results. Evidence indicates that achieving a favorable periodontal status prior to prosthetic treatment
significantly increases restoration predictability and longevity. Non-surgical therapy reduces inflammation
and pocket depth, while regenerative procedures improve bone support necessary for rehabilitation. Control
of risk factors such as smoking, diabetes, and poor oral hygiene substantially affects outcomes. Under
controlled periodontal conditions, implant survival rates exceed 90–95% at 5–10 years, whereas uncontrolled
disease is associated with markedly lower success rates.
Conclusions. Periodontal status is a key determinant of prosthetic rehabilitation success. Integrating
periodontal therapy and long-term maintenance into prosthetic planning ensures functional and biologically
stable outcomes.
