2018 Volume 10 Issue 3 Pages 202-208
In this article, the theme of fixed prosthodontic treatment of patients with periodontitis is discussed by categorizing treatment approaches into the Scandinavian approach and the US approach, which were described in the last issue by Drs. Hideaki Hirooka and Tokuo Matsui, respectively. The Scandinavian approach is based on the concept that the clinician should never do more than what is absolutely necessary, but should always be prepared to do what the situation demands, whereas the US approach aims at clinical outcomes using periodontal/regenerative surgeries to adjust the alveolar bone level and to obtain a shallow gingival sulcus and attached gingiva. These approaches have conceptual similarities, although their treatment approach is completely different. I hope that this discussion will provide an opportunity for readers to further consider the role of the prosthodontic specialist in the treatment of periodontal disease.