Absence of bleeding on probing An indicator of periodontal stability

Lang, Niklaus P.; Adler, Rolf H.; Joss, Andreas; Nyman, Sture

doi:10.1111/j.1600-051x.1990.tb01059.x

Cited by 529 publications

(234 citation statements)

References 7 publications

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“…Bleeding is a marker of gingival inflammation and though not an indicator of attachment loss, it is a negative predictor of future attachment loss. 13 Bleeding on probing can thus be regarded as a determinant of a higher risk of disease progression. 14,15 …”

Section: Bleeding On Probingmentioning

confidence: 99%

See you in three months! The rationale for the three monthly peridontal recall interval: a risk based approach

Darcey

Ashley

2011

Br Dent J

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Section: Bleeding On Probingmentioning

confidence: 99%

See you in three months! The rationale for the three monthly peridontal recall interval: a risk based approach

Darcey

Ashley

2011

Br Dent J

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“…At a site level, absence of BoP is considered to predict long‐term stability following treatment of chronic periodontitis patients (Lang et al. 1990), whereas presence of BoP predicts disease progression in both smokers and non‐smokers (Ramseier et al. 2015).…”

Section: Discussionmentioning

confidence: 99%

Site‐specific treatment outcome in smokers following 12 months of supportive periodontal therapy

Bunæs

Lie

Åstrøm

et al. 2016

J Clinic Periodontology

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AimTo evaluate the effect of cigarette smoking on periodontal health at patient, tooth, and site levels following supportive therapy.Materials and MethodsEighty chronic periodontitis patients, 40 smokers and 40 non‐smokers, were recruited to a single‐arm clinical trial. Periodontal examinations were performed at baseline (T0), 3 months following active periodontal therapy (T1), and 12 months following supportive periodontal therapy (T2). Smoking status was validated measuring serum cotinine levels. Probing depth (PD) ≥ 5 mm with bleeding on probing (BoP) was defined as the primary outcome. Logistic regression analyses adjusted for clustered observations of patients, teeth, and sites and mixed effects models were employed to analyse the data.ResultsAll clinical parameters improved from T0 to T2 (p < 0.001), whereas PD, bleeding index (BI), and plaque index (PI) increased from T1 to T2 in smokers and non‐smokers (p < 0.001). An overall negative effect of smoking was revealed at T2 (OR = 2.78, CI: 1.49, 5.18, p < 0.001), with the most pronounced effect at maxillary single‐rooted teeth (OR = 5.08, CI: 2.01, 12.78, p < 0.001). At the patient level, less variation in treatment outcome was detected within smokers (ICC = 0.137) compared with non‐smokers (ICC = 0.051).ConclusionSmoking has a negative effect on periodontal health following 12 months of supportive therapy, in particular at maxillary single‐rooted teeth.

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“…It is a poor predictor of disease progression, but the absence of BoP is a good predictor of future tissue stability (Lang, Adler, Joss & Nyman, 1990). Lekholm et al.…”

Section: Introductionmentioning

confidence: 99%

How do peri‐implant biologic parameters correspond with implant survival and peri‐implantitis? A critical review

Doornewaard

Jacquet

Cosyn

et al. 2018

Clinical Oral Implants Res

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ObjectivesThe aim of this critical review was to evaluate whether commonly used biologic diagnostic parameters correspond to implant survival and peri‐implantitis prevalence.Materials and methodsPublications from 2011 to 2017 were selected by an electronic search using the Pubmed database of the US National Library of Medicine. Prospective and retrospective studies with a mean follow‐up time of at least 5 years and reporting prevalence of peri‐implantitis as well as mean bone loss and standard deviation were selected. The correlation between reported prevalence of peri‐implantitis and reported implant survival, mean follow‐up time, mean bone loss, mean probing depth, and mean bleeding on probing was calculated. Mean bone loss and standard deviation were used for estimation of proportion of implants with bone loss exceeding 1, 2, and 3 mm.ResultsFull‐text analysis was performed for 255 papers from 4,173 available ones, and 41 met all the inclusion criteria. The overall mean weighted survival rate was 96.9% (89.9%–100%) and the reported prevalence of peri‐implantitis ranged between 0% and 39.7%, based on 15 different case definitions. The overall weighted bone loss was 1.1 mm based on 8,182 implants and an average mean loading time ranging from 5 to 20 years. No correlation was found between mean bone loss and the reported prevalence of peri‐implantitis. The estimated prevalence of implants with bone loss above 2 mm was 23%. The overall weighted mean probing depth was 3.3 mm, and mean weighted bleeding was 52.2%. Only a weak correlation was found between survival and function time (r = −0.49). There was no relation between the probing depth or bleeding and the mean bone loss, mean follow‐up time, and reported prevalence of peri‐implantitis.ConclusionBiologic parameters mean probing depth and mean bleeding on probing do not correlate with mean bone loss and this irrespective of follow‐up. Case definition for peri‐implantitis varied significantly between studies indicating that an unambiguous definition based on a specified threshold for bone loss is not agreed upon in the literature.

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Absence of bleeding on probing An indicator of periodontal stability

Cited by 529 publications

References 7 publications

See you in three months! The rationale for the three monthly peridontal recall interval: a risk based approach

See you in three months! The rationale for the three monthly peridontal recall interval: a risk based approach

Site‐specific treatment outcome in smokers following 12 months of supportive periodontal therapy

How do peri‐implant biologic parameters correspond with implant survival and peri‐implantitis? A critical review

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