Clinical course of chronic periodontitis

Abstract

This investigation has shown that, in a well-maintained population who practises oral home care and has regular check-ups, the incidence of incipient periodontal destruction increases with age, the highest rate occurs between 50 and 60 years, and gingival recession is the predominant lesion before 40 years, while periodontal pocketing is the principal mode of destruction between 50 and 60 years of age.

Tooth loss in individuals under periodontal maintenance therapy: prospective study

“…Therefore, it may be considered to be mild to moderate. 7,22,23 It has been reported that individuals with greater severity and extent of periodontitis presented higher dental mortality rates. 15 The multivariate final model reported that subjects with 10% of sites with PD between 4 and 6 mm exhibit 5 times more chances for the occurrence of TL.…”

Gingivitis as a risk factor in periodontal disease

“…Attachment loss occurred in a few sites already at 16 years, but mainly as gingival recession on buccal surfaces (Heitz-Mayfield et al 2003). Deepened pockets were scarce below 40 years of age, and rarely exceeded 3.4 mm in depth.…”

“…The material presented in this review is obtained from longitudinal studies of periodontal disease in man (Heitz-Mayfield et al 2003, Schätzle et al 2003a,b, 2004.…”

“…In order further to elucidate the transition from gingivitis to peridoontitis, the incidence of the initial loss of attachment over the 60 years life span was next assessed (Heitz-Mayfield et al 2003). The loss of the first 2 mm or more of periodontal attachment as measured apically from the cemento-enamel junction was termed as Initial loss of Attachment (ILA).…”

Diagnosis and Monitoring of Gingivitis in vivo Using Non-Invasive Technology - Infrared Spectroscopy

“…If left untreated, however, some gingivitis will develop into a more destructive irreversible form of periodontal disease, i.e., chronic periodontitis, leaving permanent damage to tooth supporting tissues. Longitudinal studies showed that teeth with chronically inflamed gingiva had 70% more attachment loss than healthy sites and a much higher risk of tooth loss as well (Heitz-Mayfield et al, 2003;Schatzle et al, 2003). Once chronic periodontitis has established, more invasive treatment approaches and life long professional maintenance are required for periodontal health.…”