Prognostic factors for the loss of molars – an 18‐years retrospective cohort study

Graetz, Christian; Schützhold, Svenja; Plaumann, Anna; Kahl, Maren; Springer, Claudia; Sälzer, Sonja; Holtfreter, Birte; Kocher, Thomas; Dörfer, Christof E.; Schwendicke, Falk

doi:10.1111/jcpe.12460

Cited by 71 publications

(161 citation statements)

References 50 publications

(77 reference statements)

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“…In this setting, comparable to our study, 6.7% of molars were extracted during APT and 19.7% during SPT excluding third molars (Graetz et al. ).…”

Section: Discussionsupporting

confidence: 89%

“…, Graetz et al. ), we found FI of degree III to be the most relevant tooth‐related factor for loss of molars during SPT. It should be noted that about 63% of molars with FI III were still present after 10 years with a mean survival time of 11.8 years (95% CI 10.18–13.36 years).…”

Section: Discussionsupporting

confidence: 65%

“…, Graetz et al. ), tooth mobility, degree of furcation involvement (FI) (McGuire & Nunn , Dannewitz et al. , Salvi et al.…”

mentioning

confidence: 99%

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Loss of molars in periodontally treated patients: results 10 years and more after active periodontal therapy

Dannewitz

Zeidler

Hüsing

et al. 2016

J Clinic Periodontology

123

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“…In this setting, comparable to our study, 6.7% of molars were extracted during APT and 19.7% during SPT excluding third molars (Graetz et al. ).…”

Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 65%

See 1 more Smart Citation

Loss of molars in periodontally treated patients: results 10 years and more after active periodontal therapy

Dannewitz

Zeidler

Hüsing

et al. 2016

J Clinic Periodontology

123

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“…Graetz et al4 analyzed bone loss using PR exams and panoramic radiographs. The performance of these 2 imaging exam protocols did not show sufficient accuracy.…”

Section: Discussionmentioning

confidence: 99%

“…Furcation involvement is considered to be one of the most important prognostic factors for the loss of molars 34. Treatment of furcation involvement represents a challenge to clinicians due to the anatomy of the furcation56 and the limited physical access to the area.…”

Section: Introductionmentioning

confidence: 99%

Detection of furcation involvement using periapical radiography and 2 cone-beam computed tomography imaging protocols with and without a metallic post: An animal study

et al. 2017

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PurposeThe purpose of this study was to assess the accuracy, sensitivity, and specificity of the diagnosis of incipient furcation involvement with periapical radiography (PR) and 2 cone-beam computed tomography (CBCT) imaging protocols, and to test metal artifact interference.Materials and MethodsMandibular second molars in 10 macerated pig mandibles were divided into those that showed no furcation involvement and those with lesions in the furcation area. Exams using PR and 2 different CBCT imaging protocols were performed with and without a metallic post. Each image was analyzed twice by 2 observers who rated the absence or presence of furcation involvement according to a 5-point scale. Receiver operating characteristic (ROC) curves were used to evaluate the accuracy, sensitivity, and specificity of the observations.ResultsThe accuracy of the CBCT imaging protocols ranged from 67.5% to 82.5% in the images obtained with a metallic post and from 72.5% to 80% in those without a metallic post. The accuracy of PR ranged from 37.5% to 55% in the images with a metallic post and from 42.5% to 62.5% in those without a metallic post. The area under the ROC curve values for the CBCT imaging protocols ranged from 0.813 to 0.802, and for PR ranged from 0.503 to 0.448.ConclusionBoth CBCT imaging protocols showed higher accuracy, sensitivity, and specificity than PR in the detection of incipient furcation involvement. Based on these results, CBCT may be considered a reliable tool for detecting incipient furcation involvement following a clinical periodontal exam, even in the presence of a metallic post.

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Is it Worth it? Health Economics of Furcation Involvement

Schwendicke

Graetz

2018

Diagnosis and Treatment of Furcation‐Involved Teeth

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Prognostic factors for the loss of molars – an 18‐years retrospective cohort study

Abstract: Furcation involvement, bone loss, tooth mobility, mean pocket depth and age strongly predicted tooth loss during SPT. Long-term retention of periodontally compromised molars was possible via conservative non-regenerative active and supportive therapy.

Cited by 71 publications

References 50 publications

Loss of molars in periodontally treated patients: results 10 years and more after active periodontal therapy

Loss of molars in periodontally treated patients: results 10 years and more after active periodontal therapy

Detection of furcation involvement using periapical radiography and 2 cone-beam computed tomography imaging protocols with and without a metallic post: An animal study

Is it Worth it? Health Economics of Furcation Involvement

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