Compliance as a Prognostic Indicator. II. Impact of Patient's Compliance to the Individual Tooth Survival

Miyamoto, Takanari; Kumagai, Toru; Lang, Melissa; Nunn, Martha E.

doi:10.1902/jop.2010.100039

Cited by 30 publications

(37 citation statements)

References 22 publications

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“…Our initial PPD values are higher than those observed by Rosling et al, 10 who studied normal (NM 2.5 ± 0.4; M 2.8 ± 0.5) and highly susceptible (NM 2.9 ± 0.6; M 4.0 ± 0.8) individuals. This author, as reported by the present study, also observed higher and significant PPD values for M. Miyamoto et al 11 likewise reported similar results for NM (3.50 mm) and M (4.36 mm).…”

Section: Discussionsupporting

confidence: 90%

“…7 For example, increased periodontal probing depth (PPD), clinical attachment loss (CAL) and a higher percentage of missing teeth are observed for M. [8][9][10][11] In this scenario, the initial observations of Nordland et al 12 and Loos et al 13 are particularly important. They compared free surfaces of M and non-molars (NM) with those having furcation involvement and observed that the worst condition was always associated with M. Nevertheless, most studies have not evaluated the response of different teeth to systematic periodontal intervention.…”

Section: Introductionmentioning

confidence: 99%

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Response of molars and non-molars to a strict supragingival control in periodontal patients

et al. 2013

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The posterior position in the arches is one of the factors that underlies the poor prognosis of molar teeth (M). It is speculated that M do not benefit from the oral hygiene routine as well as non-molars (NM) do. This study evaluated the response of M and NM to supragingival control during a 6-month period in 25 smokers (S) and 25 never-smokers (NS) with moderate-to-severe periodontitis. One calibrated examiner assessed visible plaque (VPI) and gingival bleeding (GBI) indexes, periodontal probing depth (PPD), bleeding on probing (BOP), and clinical attachment loss (CAL) at days 0 (baseline), 30 and 180. At baseline, M showed significantly higher mean values of VPI (p = 0.017) and PPD (p < 0.001) compared with NM; CAL was also greater in M (p < 0.001) and was affected by smoking (p = 0.007). The reductions obtained for periodontal indicators at day 180 showed similar responses between M and NM. For CAL, M (NS 0.57 ± 0.50; S 0.67 ± 0.64) and NM (NS 0.38 ± 0.23; S 0.50 ± 0.33) reached an almost significant difference (p = 0.05). Smoking did not influence the response to treatment. Multilevel analysis revealed that, only for PDD reductions, the interaction between sites, teeth and patient was significant (p < 0.001). It was concluded that M benefit from an adequate regimen of supragingival biofilm control; therefore, supragingival condition should be considered in the prognosis of molar teeth.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Response of molars and non-molars to a strict supragingival control in periodontal patients

et al. 2013

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“…3). One study was excluded from this analysis because of insufficient data (Miyamoto et al 2010). The results demonstrated each patient in the RC group could save approximately 1 more tooth than do the patients in the EC group during an 8-y SPT phase.…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

Impact of Patient Compliance on Tooth Loss during Supportive Periodontal Therapy

et al. 2015

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Periodontal treatment consists of active periodontal therapy (APT) and supportive periodontal therapy (SPT). Regular SPT is recommended to prevent and control the occurrence of periodontal disease following APT. A patient's compliance with SPT is considered one of the most important factors affecting long-term periodontal status. Tooth loss is generally considered the final outcome of periodontitis. This review aimed to analyze the relationship between patient compliance with regular SPT and tooth loss. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guideline for systematic reviews was used. A search of articles was conducted using MEDLINE (PubMed) and other databases. Quality assessments of selected studies were performed. To assess the effect of compliance on tooth loss during SPT, pooled risk ratio of tooth loss (RRTL) was used as the primary outcome. Pooled risk difference of tooth loss (RDTL) and weighted mean difference of tooth loss rate (WDTLR) were used as secondary outcomes. Subgroup analysis and meta-regression were conducted to evaluate the effects of different variables. In total, 710 articles were screened. Eight studies, which had a regular-compliance (RC) group and an erratic-compliance (EC) group with at least a 5-y follow-up period, qualified for the meta-analysis. The risk of tooth loss in the RC group was significantly lower than that in the EC group (pooled RRTL: 0.56 [confidence interval (CI): 0.38, 0.82]; pooled RDTL: -0.05 [CI: -0.08, -0.01]). The definition of compliance was a variable significantly related to risk ratio of tooth loss. Patients in the RC group had significantly lower tooth loss rate during SPT than did patients in the EC group (WDTLR: -0.12 [CI: -0.19, -0.05]). Teeth have less risk of being lost if patients are more compliant with supportive periodontal therapy. However, unidentified variables causing data heterogeneity and affecting the risk of tooth loss may have been present. More well-controlled prospective studies are needed in the future.

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“…Miyamoto et al [29] raised the question of whether tooth loss should be taken as an evaluation indicator of the treatment effect because the dentist can have a great deal of influence on tooth loss. However, many researchers consider the rate of tooth loss to be an effective evaluation of periodontal treatment [30,31].…”

Section: Discussionmentioning

confidence: 99%

Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults

Kim

Lee

Chang

et al. 2014

J Periodontal Implant Sci

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PurposeThe purpose of this retrospective study was to evaluate the effect of patient compliance with supportive periodontal therapy (SPT) on tooth loss in Korean adults.MethodsThe periodontal records of 134 patients were reviewed for this study. They completed active periodontal treatment from 1999 to 2001 and were placed on a schedule of periodic follow-up visits for SPT. Patient compliance was classified into complete compliance (CC), erratic compliance (EC), and noncompliance (NC) groups. Re-examinations were carried out 11.0±0.8 years after the active periodontal treatment. The prognosis for each tooth was determined as good, questionable, or hopeless according to the bone loss observed in pretreatment radiographs.ResultsThe rate of tooth loss of the CC group was significantly lower than that of the NC group. The tooth loss/patient and the tooth loss/patient/year were not significantly different between the three groups. The rates of tooth loss in the good, questionable, and hopeless prognosis groups were 6.7%, 9.5%, and 13.2%, respectively. For the teeth with a good prognosis, the rate of tooth loss of the CC group was significantly lower than that of the NC group (0.4% vs. 5.1%). For the teeth with a questionable prognosis, the CC group showed a significantly lower rate of tooth loss than did the EC group (4.1% vs. 30.7%) or the NC group (4.1% vs. 25.6%). For the teeth with a hopeless prognosis, the rates of tooth loss were not significantly different among the three groups.ConclusionsWithin the limits of this study, the patients who showed a poor compliance with SPT were more likely to lose teeth than were the regularly compliant patients. However, the risk of tooth loss with a hopeless prognosis was high irrespective of the compliance.Graphical Abstract

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Compliance as a Prognostic Indicator. II. Impact of Patient's Compliance to the Individual Tooth Survival

Abstract: Complete patient compliance with increased frequency of periodontal maintenance is important for improved dental prognosis through reduction of tooth loss among molars and minimization of alveolar bone loss among non-molars.

Cited by 30 publications

References 22 publications

Response of molars and non-molars to a strict supragingival control in periodontal patients

Response of molars and non-molars to a strict supragingival control in periodontal patients

Impact of Patient Compliance on Tooth Loss during Supportive Periodontal Therapy

Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults

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