Evidence map›Paper›PMID 41431295›Full record

ArticleJournal of clinical periodontology2026

Associations Between Restoration Margins and Adjacent Periodontal Status-Longitudinal Results From SHIP-TREND.

Patrick Nafz, Thomas Kocher, Christiane Pink, Sebastian-Edgar Baumeister, Stefan Reckelkamm, Stefanie Samietz, Sonya Nafz, Henry Völzke, Philipp Kanzow, Birte Holtfreter

Abstract read
In one paragraph

Article in Journal of clinical periodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Patrick NafzDepartment of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, Greifswald, Germany.ORCID 0009-0003-3847-4527
Thomas KocherDepartment of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0001-9605-2822
Christiane PinkDepartment of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0001-5950-2716
Sebastian-Edgar BaumeisterInstitute of Health Services Research in Dentistry, University of Münster, Münster, Germany.ORCID 0000-0002-9391-6602
Stefan ReckelkammInstitute of Health Services Research in Dentistry, University of Münster, Münster, Germany.ORCID 0000-0002-5273-7288
Stefanie SamietzDepartment of Prosthodontics, Gerodontology and Dental Materials, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0002-1817-6755
Sonya NafzDepartment of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0003-4054-0717
Henry VölzkeInstitute for Community Medicine, SHIP/Clinical-Epidemiological Research, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0001-7003-399X
Philipp KanzowDepartment of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0002-2169-561X
Birte HoltfreterDepartment of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0002-6541-3127

Funding

Deutsche Forschungsgemeinschaft 451892213German Federal State of Mecklenburg-West Pomerania
6 · The paper itself

Abstract

aimTo investigate the association between dental restorations and adjacent periodontal status over a 7-year period, using data from a population-based cohort study. MATERIALS AND

methodsWe used 7-year follow-up data on the restorative and periodontal statuses of 88,793 tooth surfaces from 2158 SHIP-TREND (Study of Health in Pomerania) participants. Using confounder-adjusted and inverse-probability-weighted generalised estimating equations, we estimated the associations of restoration status with bleeding on probing (BOP), probing depth (PD) and clinical attachment level (CAL).

resultsSurfaces with dental restorations had significantly poorer periodontal outcomes than sound surfaces, with crowns having the greatest impact. At follow-up, filled and crowned surfaces presented higher proportions of adjacent sites with BOP (18.5% and 22.4%, respectively) compared to sound surfaces (15.8%). Similarly, adjusted average PD was 1.93 mm adjacent to sound surfaces, 1.99 mm adjacent to surfaces with fillings and 2.14 mm adjacent to surfaces with crowns. The results remained consistent when the effects of incidentally placed fillings and crowns on follow-up periodontal status were evaluated. Although effect modification by surface type was observed, no consistent patterns emerged across the different outcomes.

conclusionDental restorations can have an adverse effect on periodontal health, emphasising the critical need for precise restorative techniques and post-treatment maintenance.

Indexed as

Dental Restoration, PermanentPeriodontal DiseasesPeriodontal IndexAdultAgedCrownsFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedPeriodontal Attachment LossPeriodontal Pocketcohort studyepidemiologyperiodontal healthrestoration marginrestoration statusrisk factor

Identifiers

PMID41431295
PMCPMC12972603

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.