Mean annual attachment, bone level, and tooth loss: A systematic review

Needleman, Ian; García, Raúl I.; Gkranias, Nikolaos; Kirkwood, Keith L.; Kocher, Thomas; Iorio, Anna Di; Moreno, Federico; Petrie, Aviva

doi:10.1002/jper.17-0062

Cited by 71 publications

(55 citation statements)

References 67 publications

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“…Similarly, our study, which included both sexes and non‐menopausal women, reported a mean CAL difference of 0.3 mm between the osteoporosis and normal BMD groups. According to a systematic review and meta‐analysis of prospective studies on periodontitis progression, the average mean CAL loss was 0.1 mm/year . Therefore, the mean CAL difference of 0.3 mm reported in the previous systemic review and in our study is clinically relevant.…”

Section: Discussionsupporting

confidence: 66%

Significant association between skeletal bone mineral density and moderate to severe periodontitis in fair oral hygiene individuals

Mongkornkarn

Suthasinekul

Sritara

et al. 2019

J of Invest & Clin Dent

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Aim This cross‐sectional study aimed to investigate the association between skeletal bone mineral density (BMD) and periodontitis in Thai adults and elders. Methods This study comprised 3282 participants aged 30‐82 years. BMD was assessed at 3 skeletal sites using dual‐energy X‐ray absorptiometry. Each participant's BMD status was classified as normal, osteopenia or osteoporosis. Periodontal assessments were the number of remaining teeth, plaque score, probing depth and clinical attachment level (CAL). The participants were classified into no/mild or moderate/severe periodontitis groups. The mean periodontal variables between BMD categories were compared. The association between the BMD status and moderate/severe periodontitis was analyzed using binary logistic regression. Results Among the BMD categories, the greatest mean CAL and the lowest mean number of remaining teeth were found in the osteoporosis group. The mean CAL difference between the osteoporosis and normal BMD groups was 0.3 mm. In 337 participants with a plaque score of less than 40%, there was a significant association between osteoporosis and moderate/severe periodontitis. Conclusion Skeletal BMD in the osteoporosis range was associated with moderate/severe periodontitis in individuals with fair oral hygiene, suggesting the benefit of special attention to the skeletal bone health of these individuals.

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Section: Discussionsupporting

confidence: 66%

Significant association between skeletal bone mineral density and moderate to severe periodontitis in fair oral hygiene individuals

Mongkornkarn

Suthasinekul

Sritara

et al. 2019

J of Invest & Clin Dent

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“…The beneficial effect of periodontal care was then reported, with a mortality between 0.11 and 0.24 t/y after both surgery and supportive therapy, and between 0.22 and 0.29 t/y in case of treatment not followed by supportive care (Becker, Becker, et al, ; Becker Berg, & Becker, , ; Tonetti, Muller‐Campanile, & Lang, ). A systematic review part of the 2017 World Workshop reported that annual tooth loss increases with advancing age and does not differ when comparing geographic groups (Needleman et al, ). In the same review, counting a pool of over 8,600 patients without periodontal intervention, the mean rate of t/y was 0.2 with no gender differences.…”

Section: Long‐term Tooth Retention What Would Be An Acceptable Rate mentioning

confidence: 99%

Success in periodontology: An evolutive concept

Prato¹,

Gianfilippo

Wang

2019

J Clinic Periodontology

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Aim The purpose of this editorial was to discuss a definition of success after periodontal therapy based on the retention of natural dentition. Materials and Methods Based on topic and relevance, references were collected and then divided into four categories: (a) the influence of available therapeutic techniques on the definition of hopeless teeth, (b) the long‐term rate of tooth loss during supportive periodontal therapy, (c) the duration of time that the treatment outcomes may be considered stable and (d) patients’ perception and satisfaction of periodontal therapy. Results Periodontal therapy can change the prognosis of hopeless teeth, making them maintainable in the long term. The rate of tooth loss can be minimized in a way that a period of 10 years or more is needed to evaluate further periodontal breakdown. In addition, patients’ perception and satisfaction of the treatment should be considered as the main therapeutic endpoints of the provided periodontal therapy. Conclusions Definition of success is linked to the available therapeutic tools. Due to the recent advancement of treatment modalities, periodontally hopeless teeth can now be treated and maintained for a long period of time with health, function and patient satisfaction.

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“…Furthermore, a thorough evaluation of the scientific evidence conducted as part of the due diligence process in preparation of the classification workshop did not support the existence of different forms of periodontitis based on clear differences in pathobiology (Papapanou et al, ). At present, there is neither adequate knowledge of unique mechanisms nor evidence to support the need for specific treatments to justify the distinction between aggressive and chronic periodontitis (Fine, Patil, & Loos, ; Lang et al, ; Lindhe et al, ; Needleman et al, ; Tonetti et al, ).…”

Section: Introductionmentioning

confidence: 99%

Implementation of the new classification of periodontal diseases: Decision‐making algorithms for clinical practice and education

Tonetti

Sanz

2019

J Clinic Periodontology

146

147

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Background Implementation of the new classification of periodontal diseases requires careful navigation of the new case definitions and organization of the diagnostic process along rationale and easily applicable algorithms. The aim of this report was to describe the rationale for one such approach designed for clinical practice and education. Methods The authors developed empiric decision‐making algorithms based on the new classification to effectively discriminate between the key periodontal diagnoses of periodontal health, gingivitis and periodontitis. Results A stepwise approach is proposed that includes (a) a sensitive screening step able to discriminate periodontal health, gingivitis and suspect periodontitis; (b) a specific confirmation step to provide differential diagnosis between periodontitis and the other conditions characterized by attachment loss; (c) a step to assess the severity and complexity of management of the periodontitis case (staging); and (d) a step to assess the risk profile of the case (grading). Specific decision‐making algorithms are described for all steps of the diagnostic process. Conclusions The proposed process allows discrimination between the different case definitions of periodontal health and disease. The diagnostic accuracy and cost‐effectiveness of the process need to be validated in prospective trials generalizable to operators with different level of expertise, different populations and clinical settings.

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Mean annual attachment, bone level, and tooth loss: A systematic review

Abstract: Background: Rate of progression of periodontitis has been used to inform the design

Cited by 71 publications

References 67 publications

Significant association between skeletal bone mineral density and moderate to severe periodontitis in fair oral hygiene individuals

Significant association between skeletal bone mineral density and moderate to severe periodontitis in fair oral hygiene individuals

Success in periodontology: An evolutive concept

Implementation of the new classification of periodontal diseases: Decision‐making algorithms for clinical practice and education

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