Predictors of tooth loss during long‐term periodontal maintenance: An updated systematic review

Carvalho, R.; Botelho, João; Mascarenhas, Paulo; Alcoforado, Gil

doi:10.1111/jcpe.13488

Cited by 37 publications

(43 citation statements)

References 64 publications

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“…Furthermore a recent updated systematic review revealed an average of 0.1 tooth loss per year per patients who were in maintenance therapy after active therapy for at least 5 years. 20 The higher tooth loss rate in patients with no maintenance care is in agreement with a previous study, 29 where patients who were diagnosed with periodontal disease but untreated had an adjusted mean annual tooth loss of 0.36. The result is additionally supported by Löe et al 2 in Sri Lankan tea workers who were never exposed to periodontal treatment to have a mean tooth loss rate ranging between 0.1 and 0.3 teeth/patient/year.…”

Section: Discussionsupporting

confidence: 90%

“…These findings are also in agreement with other previous studies. 8,13,20,35,37 The presence of furcation involvement has clearly been associated with increased risk of tooth loss in populations undergoing regular supportive periodontal care. 9,17,41,45 It is also in agreement with a previous study 16 showing an increased risk of tooth loss with furcation involvement in molars without regular periodontal therapy in 1897 patient followed up to 11 years.…”

Section: Discussionmentioning

confidence: 99%

“…18,19 Similarly, studies focusing on long-term supportive periodontal therapy revealed low rates of tooth loss in patients under regular maintenance. 13,14,[19][20][21] Overall, not many studies have investigated the effect of patient-and site-factors on periodontal progression and long-term tooth loss in populations not under regular periodontal care, 4,22,23 and none, to our knowledge, in Sicilian populations. The aim of this study was to assess tooth loss and radiographic bone loss up to 15 years in patients attending a national-health service primary care practice in Sicily undergoing no regular care.…”

Section: Introductionmentioning

confidence: 99%

“…Less gingival inflammation and slower rate of clinical attachment loss were found in patients who systematically received frequent prophylaxis and personal oral hygiene instruction 18,19 . Similarly, studies focusing on long‐term supportive periodontal therapy revealed low rates of tooth loss in patients under regular maintenance 13,14,19–21 …”

Section: Introductionmentioning

confidence: 99%

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Tooth loss and radiographic bone loss in patients without regular supportive care: A retrospective study

Al-Harthi

Barbagallo

Psaila

et al. 2021

Journal of Periodontology

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Background: Very few studies have investigated the effect of patient and site factors on periodontal progression and long-term tooth loss in populations with minimal dental care. The aim of this retrospective study was to assess tooth loss and radiographic bone loss over at least 5 years in patients attending a nationalhealth service primary care practice in Sicily and undergoing no regular care. Methods: Records of two hundred consecutive patients with at least 5 years follow-up were screened and demographic, clinical and radiographic data were retrieved. Analyses of associations between patient and site factors and tooth loss were performed.Results: After excluding not suitable patients, a total of 159 patient records with clinical and radiographic data with average 8.6 years follow-up were included.One hundred of these patients had no professional mechanical plaque removal (PMPR) carried out throughout the study follow-up. Nearly 65% of patients lost at least 1 tooth during the follow-up period, with a total of 400 extracted teeth (for periodontal and non-periodontal reasons). The annual tooth loss rate was slightly higher for "no PMPR" (untreated) patients (0.30 teeth/patient/year) compared with patients who had PMPR (0.27 teeth/patient/year). On a patient-level, only reduced frequency of daily tooth brushing was associated with tooth loss at logistic regression, whereas staging, grading and diagnosis of caries were associated with rates of tooth loss/year. At multilevel analysis including patient-and toothfactors, age, diagnosis of caries and endodontic disease and percentage of bone loss at baseline were associated with tooth loss. Conclusion:This study confirms the importance of tooth brushing, initial bone loss, caries and endodontic disease in predicting tooth survival in a primary care setting.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tooth loss and radiographic bone loss in patients without regular supportive care: A retrospective study

Al-Harthi

Barbagallo

Psaila

et al. 2021

Journal of Periodontology

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“…Fifth, next-generation sequencing for miRNA analysis was not used because the targeted miRNA in microarray analyses are pre-specified, and the number is limited. Finally, the effects of other confounders, such as tooth-related factors, cannot be excluded [47] and warrant careful attention.…”

Section: Discussionmentioning

confidence: 99%

Detection of Salivary miRNAs That Predict Chronic Periodontitis Progression: A Cohort Study

Fujimori

Yoneda

Tomofuji

et al. 2021

IJERPH

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The aim of this two-year cohort study was to investigate salivary microRNAs (miRNAs) that predict periodontitis progression. A total of 120 patients who underwent supportive periodontal therapy were recruited. Unstimulated whole saliva was collected at baseline. Two years later, 44 patients were followed up (median age, 67.1 years) and divided into two groups: progression group (n = 22), with one or more sites with clinical attachment level (CAL) progression (>3 mm compared with baseline) or tooth extraction due to periodontitis progression; and the control group (n = 22), which did not exhibit CAL progression. In the microarray analysis of salivary miRNAs, hsa-miR-5571-5p, hsa-miR-17-3p, hsa-let-7f-5p, hsa-miR-4724-3p, hsa-miR-99a-5p, hsa-miR-200a-3p, hsa-miR-28-5p, hsa-miR-320d, and hsa-miR-31-5p showed fold change values <0.5 or ≥2.0 in the progression group compared with the control group (p < 0.05). On receiver operating characteristic curve analysis, areas under the curves of hsa-miR-5571-5p, hsa-let-7f-5p, hsa-miR-99a-5p, hsa-miR-28-5p, and hsa-miR-320d were >0.7, indicating fair discrimination power. The expressions of salivary hsa-miR-5571-5p, hsa-let-7f-5p, hsa-miR-99a-5p, hsa-miR-28-5p, and hsa-miR-320d were associated with periodontitis progression in patients with chronic periodontitis. These salivary miRNAs may be new biomarkers for progression of periodontitis, and monitoring them may contribute to new diagnostics and precision medicine for periodontitis.

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Supportive Periodontal Therapy

Sharma

2023

Practical Periodontal Diagnosis and Treatment Planning

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Predictors of tooth loss during long‐term periodontal maintenance: An updated systematic review

Abstract: Aim: To evaluate the risk factors / predictors of tooth loss in patients with periodontitis who underwent periodontal therapy and long-term periodontal maintenance (PM).

Cited by 37 publications

References 64 publications

Tooth loss and radiographic bone loss in patients without regular supportive care: A retrospective study

Tooth loss and radiographic bone loss in patients without regular supportive care: A retrospective study

Detection of Salivary miRNAs That Predict Chronic Periodontitis Progression: A Cohort Study

Supportive Periodontal Therapy

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