Clinical indicators of probing attachment loss following initial periodontal treatment in advanced periodontitis patients

Abstract

16 advanced periodontitis patients were subjected to initial periodontal treatment and monitored every 3rd month during 42 months. Clinical characteristics at baseline and during the 42-month maintenance period were investigated for their association with probing attachment loss over the 42-month period, both on a patient level and on a site level. On a patient level, averaged full-mouth plaque and bleeding on probing scores over the maintenance interval showed little association with probing attachment loss. Little association was also observed for % sites with depth > or = 6 mm at baseline. However, a notable relationship was seen for % sites > or = 6 mm at 3 months. This finding initiated a separation of the 16 subjects into 2 groups based upon % sites > or = 6 mm at 3 months (groups 'high' and 'low'). Site level analyses for these groups showed little association between frequent presence of plaque at the sites over the maintenance interval and probing attachment loss. Frequent bleeding on probing showed limited relationship with attachment loss for group 'low', but an appreciable association for group 'high'. The findings suggest that advanced periodontitis patients with multiple residual probing depths > or = 6 mm at re-evaluation run a greater risk of developing sites with additional attachment loss than patients with few such residual depths. For such higher risk patients, bleeding on probing at maintenance examinations may be a useful indicator of subsequent deterioration at a site level.

The effect of smoking on bleeding on probing after nonsurgical periodontal therapy: a quasi-experimental study

“…18,19 During periodontal maintenance, BoP and probing pocket depth (PPD) are used as prognostic factors for future periodontal disease activity. 20 The absence of BoP has been shown to be a good indicator of stable CAL, and its presence has a moderate predictive value for future attachment loss. 21 Although one point with minimal bleeding at one site does not have the same clinical meaning as more intense bleeding, BoP is considered to be the best parameter for predicting attachment loss.…”

Risk Factor for Periodontitis

“…Risk predictorBleeding on probingBleeding on probing can be effective in the diagnosis and monitoring of active periodontal disease, (23) but when used as a stand-alone test ,it can be accurate. A proper diagnosis should include a combination of bleeding on probing, probing depth and clinical attachmentloss (30) .…”

Additional use of autogenous periosteal barrier membrane combined with regenerative therapy in the interproximal intrabony defects: case series

“…[1][2][3] In addition, intrabony defects have been shown to worsen the long-term prognosis of the teeth. 4 To treat intrabony defects, several approaches, including scaling root planing (SRP), open flap debridement, and resective and regenerative surgery, have been employed for several decades.…”