Anatomical, microbiological, and genetic considerations in treatment of Chinese periodontal patients

Goh, Edwin X. J.; Ong, Marianne Meng Ann

doi:10.1111/jicd.12381

Cited by 8 publications

(4 citation statements)

References 74 publications

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“…The average percentage of error prediction between molars and non‐molars showed a statistically significant difference ( p < .01). Further, upon statistical analysis, three possible reasons were revealed: (1) the mean amount of teeth at each position with an average baseline of PD ≥5 mm differed between the molars (387.5) and non‐molars (147.2) in test dataset; (2) molars were considered inferior treatment outcomes and worse prognosis due to anatomic factors such as presence of furcation, concavities on the root surfaces and cervical enamel projections 36,37 ; (3) and the unique anatomical characteristics of Chinese descendants can be another reason 38,39 …”

Section: Discussionmentioning

confidence: 99%

“…and non-molars (147.2) in test dataset; (2) molars were considered inferior treatment outcomes and worse prognosis due to anatomic factors such as presence of furcation, concavities on the root surfaces and cervical enamel projections 36,37 ; (3) and the unique anatomical characteristics of Chinese descendants can be another reason. 38,39 This study was the first site-level precise prediction model which was built on mass followed cohorts of Chinese patients treated for periodontitis. Results of this study reflect the real-world situation that the frequency of subjects with severe periodontitis (stage III or IV) was about 92%, much higher than previous finding in data from the Fourth National Oral Health Survey (2015-2016).…”

Section: F I G U R Ementioning

confidence: 99%

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Deep learning improves prediction of periodontal therapy effectiveness in Chinese patients

Wang

Yang

et al. 2023

J of Periodontal Research

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Clinical outcomes in periodontal treatment have been confirmed to be influenced by several systemic and local factors such as age, gender, cigarette smoking, and patient compliance, among others. [1][2][3] The combined effects of various factors produce varying states and progression of periodontitis among different individuals which leads to great differences in treatment response. 4 Since the last century, a number of prognostic models and risk assessment tools 2,5-8 based on the abovementioned factors have been developed to calculate the probability of periodontitis progression 9,10 and to predict tooth survival after therapy. 3,5,7,11 However,

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Section: Discussionmentioning

confidence: 99%

Section: F I G U R Ementioning

confidence: 99%

Deep learning improves prediction of periodontal therapy effectiveness in Chinese patients

Wang

Yang

et al. 2023

J of Periodontal Research

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“…It was found that more than half of people may have cervical enamel projection (CEP) in their molars [67]. Connective tissues are unable to attach to CEPs, and therefore CEPs have been implicated as a risk factor for the development of localized periodontitis [68]. In the 28 cases of paradental cyst that Craig et al [5] observed, 20 cases showed developing CEP or CEP extending from the enamel cementum to the bifurcation.…”

Section: Dental Anatomy Factorsmentioning

confidence: 99%

Current Perspectives on Paradental Cyst: A Literature Review

Li,

Zhao,

You

et al. 2023

Dentistry Journal

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Paradental cyst (PC) is an uncommon type of odontogenic cyst of inflammatory origin, which develops near the cervical margin of the outside of the root of a vital tooth. The category of paradental cyst includes the buccal bifurcation cyst, which is found in the buccal area adjacent to the mandibular first or second molars in children. A conclusive diagnosis of a PC needs to correlate the surgical, radiographic, and histologic findings. When strict diagnosis is neglected, they can be easily misdiagnosed and mistreated. PCs associated with mandibular first and second molars and those associated with the mandibular third molar may have slightly different clinical manifestations but have almost completely different treatment principles due to the distinction in location. For the third molars, removal of both the tooth and the cyst is preferred. However, when the first or second molars are affected, it may be advisable to perform enucleation of the lesion while preserving the associated tooth. There are also more conservative methods to retain vital permanent teeth within the mandibular arch. Additionally, the cyst wall primarily consisted of granulation tissue firmly attached to the periodontal ligament space. The exact origin of these cysts was a subject of ongoing debate, but they were believed to primarily arise from either the reduced enamel epithelium or the inflammatory proliferation of junctional/sulcular epithelium, which originate from the superficial mucosa during tooth eruption. The aim of the present review was to update information on clinical manifestations, diagnosis and treatment strategies of cysts and discuss their pathogenic mechanisms. Raising familiarity with the distinctive features is beneficial for accurately diagnosing these lesions and effectively caring for the patients.

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“…The bone loss that occurs within this space is known as furcation involvement [4]. The major factors for furcation involvement are greater plaque and calculus accumulation, improper brushing techniques, developmental abnormalities like cervical enamel projections, deep grooves on furcation area, anatomical positioning of tooth, and shorter roots (where earlier furcation involvement occurs) [5]. All the above cited factors will hamper the maintenance of furcation leading to poor oral hygiene, gingival inflammation and periodontal attachment loss cum bone loss sequentially [6].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Knowledge Regarding Furcation Defects among Dental Practitioners: A Multinational Survey

Gummaluri,

KK,

Sharma

et al. 2023

ADUM

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This study was undertaken to assess knowledge regarding furcation defects among dental fraternity. This is an open-ended, randomized, web-based cross-sectional multinational online survey. A total of 904 responses were gathered by sending 13 questions through a google form. Data were expressed in frequency and percentages. Chi-square test was performed to determine significant difference between gender, education level and variation between dentists of India and other countries. P value <0.05 was considered to be statistically significant. Present study had 650 dentists from India and 254 dentists from other countries. For overall knowledge regarding furcation, 90.7% (average of first and second question) of dentists had knowledge regarding furcation. There was no significant difference between males (range 54%-93%) and females (range 46%- 95%) (p>0.05) in terms of knowledge. Majority (88.7%) of post-graduates knew about the use of Nabers probe for furcation measurements and values were significant (p<0.05). Present study also revealed 65%-67% of undergraduates and post-graduates knew that Degree II furcation defects showed predictable periodontal regeneration, however values were non-significant (p>0.05). There was no statistical significance (p>0.05) between dentists of India and other countries. Dental fraternity in general had adequate knowledge regarding the furcation defects, their treatment modalities and expected complications.

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Anatomical, microbiological, and genetic considerations in treatment of Chinese periodontal patients

Cited by 8 publications

References 74 publications

Deep learning improves prediction of periodontal therapy effectiveness in Chinese patients

Deep learning improves prediction of periodontal therapy effectiveness in Chinese patients

Current Perspectives on Paradental Cyst: A Literature Review

Assessment of Knowledge Regarding Furcation Defects among Dental Practitioners: A Multinational Survey

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