Prospective study of complier individuals under periodontal maintenance therapy: analysis of clinical periodontal parameters, risk predictors and the progression of periodontitis

Lorentz, Telma Campos Medeiros; Cota, Luís Otávio Miranda; Cortelli, José Roberto; Vargas, Andréa Maria Duarte; Costa, Fernando Oliveira

doi:10.1111/j.1600-051x.2008.01342.x

Cited by 65 publications

(161 citation statements)

References 51 publications

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“…It is important to highlight that most of the sample had a low socioeconomic status. Periodontal status of the sample was also described by Lorentz et al (2009). 2 During the interval from PMT1 to PMT4, an increase in the number of sites with PD and CAL ≤ 3 mm, and a consequent reduction in the number of sites with PD of ≥ 4 mm, could be observed.…”

Section: Resultsmentioning

confidence: 99%

“…Periodontal status of the sample was also described by Lorentz et al (2009). 2 During the interval from PMT1 to PMT4, an increase in the number of sites with PD and CAL ≤ 3 mm, and a consequent reduction in the number of sites with PD of ≥ 4 mm, could be observed. In this manner, sample from the present study demonstrated a considerable improvement in clinical periodontal parameters, with a stability of periodontal status in the majority of individuals.…”

Section: Resultsmentioning

confidence: 99%

“…2 As described elsewhere, one feature of the present study that is of particular interest is the exclusion of third molars from periodontal examination, except when they occupied the position of second molars and were in complete eruption and in function.…”

Section: Cohort Studymentioning

confidence: 89%

“…Longitudinal studies have demonstrated the effectiveness of periodontal therapy in arresting the progression of periodontal disease, maintaining gingival health and preventing TL. 1,2 The dental mortality has already been reported in longitudinal studies through the combination of lost teeth during active therapy and Periodontal Maintenance Therapy (PMT). [3][4][5][6] The vast majority of studies reported TL only during the maintenance period.…”

Section: Introductionmentioning

confidence: 99%

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Tooth loss in individuals under periodontal maintenance therapy: prospective study

et al. 2010

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This prospective study aimed to evaluate the incidence, the underlying reasons, and the influence of predictors of risk for the occurrence of tooth loss (TL) in a program of Periodontal Maintenance Therapy (PMT). The sample was composed of 150 complier individuals diagnosed with chronic moderate-severe periodontitis who had finished active periodontal treatment and were incorporated in a program of PMT. Social, demographic, behavioral and biological variables were collected at quarterly recalls, over a 12-month period. The effect of predictors of risk of and confounding for the dependent variable TL was tested by univariate and multivariate analysis, as well as the underlying reasons and the types of teeth lost. During the monitoring period, there was a considerable improvement in periodontal clinical parameters, with a stability of periodontal status in the majority of individuals. Twenty-eight subjects (18.66%) had TL, totaling 47 lost teeth (1.4%). The underlying reasons for TL were: periodontal disease (n = 34, 72.3%), caries (n = 3, 6.4%), prosthetic reasons (n = 9, 19.2%), and endodontic reasons (n = 1, 2.1%). Additionally, subjects with 10% of sites with probing depth between 4 and 6 mm were 5 times more likely to present TL (OR = 5.13, 95% CI 2.04-12.09). In this study, the incidence of TL was small and limited to few individuals. Additionally, gender and severity of periodontitis were significantly associated with TL during the monitoring period.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Cohort Studymentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

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Tooth loss in individuals under periodontal maintenance therapy: prospective study

et al. 2010

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“…No T2, houve um paciente com saúde periodontal, 5 com gengivite associada ao biofilme dental e 7 com algum tipo de periodontite crônica. Pacientes com gengivite quando tratados e submetidos à TPS apresentam melhor controle de biofilme e menor perda de inserção quando comparados com pacientes sem acompanhamento periodontal (LORENTZ et al, 2009;LAURELL et al, 1991;VALDERHAUG, 1980). Em pacientes com periodontite crônica, a TPS passa a ter importância fundamental, visto que há pequena parcela em que advém a recorrência da infecção periodontal, principalmente nos casos de periodontite avançada.…”

Section: Artigos Originaisunclassified

Avaliação do Nível de Cooperação de Pacientes em Terapia Periodontal de Suporte

et al. 2015

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RESUMO:A motivação e a educação em saúde bucal são consideradas ferramentas de base para a prevenção das doenças periodontais. O objetivo deste estudo foi avaliar o nível de cooperação dos pacientes da Clínica de Periodontia do Curso de Odontologia da Universidade Federal do Maranhão durante a Terapia Periodontal de Suporte (TPS). Avaliou-se clinicamente a profundidade de sondagem (PS), recessão gengival (RG), nível de inserção clínica (NIC), mobilidade dentária, envolvimento de furca, índice de placa (IP) e índice de sangramento gengival (ISG) de 16 pacientes adultos em três fases: baseline, T1 e T2. Os indivíduos foram diagnosticados quanto à condição periodontal e responderam ao questionário sobre o impacto na rotina e qualidade de vida nos últimos seis meses pelo índice OHIP-14 (Oral Health Impact Profile). Os dados foram submetidos à análise estatística. Os pacientes foram classificados conforme o grau de cooperação em: colaboradores (75%), colaboradores irregulares (12,5%) e não colaboradores (12,5%). A PS e o NIC dos pacientes colaboradores durante as três fases não sofreram diferenças significativas. O ISG apresentou redução quando comparado ao baseline. A média do IP dos pacientes colaboradores evidenciou uma pequena redução, ao contrário dos colaboradores irregulares. Não houve escores de impacto forte na avaliação do OHIP-14, demonstrando uma boa percepção da qualidade da saúde bucal pelos indivíduos. Os pacientes colaboradores tiveram um impacto fraco em relação à doença periodontal nas duas fases do estudo (T1 e T2). Os principais diagnósticos foram a gengivite associada ao biofilme (38,46%) e periodontite crônica avançada localizada (30,76%). Pode-se concluir que os pacientes, em sua maioria, mostraram-se colaboradores na TPS, mantendo sua condição periodontal estável ou progredindo para saúde periodontal. PALAVRAS-CHAVE:Cooperação do Paciente; Doenças Periodontais; Motivação; Qualidade de Vida. ASSESSMENT OF PATIENTS´ COOPERATION LEVEL IN BASIC PERIODONTAL THERAPYABSTRACT: Motivation and education in mouth health are basic tools to prevent periodontal diseases. Current study assesses patients´ cooperation level at the Periodontal Clinic of the Dentistry Course of the Universidade Federal do Maranhão during Basic Periodontal Therapy (BPT). Sounding depth (PS), gum recession (RG), level of clinical insertion, dental mobility, furca involvement, plaque index (IP) and gum blooding index (ISG) of six adult were assessed clinically at three phases: baseline, T1 and T2. The patients were diagnosed with regard to their periodontal condition and answered a questionnaire on the impact on routine and life quality during the last six months, using Oral Health Impact Profile (OHIP-14). Data underwent statistical Manoel Cirilo Silva NetoCirurgião-Dentista. Samantha Ariadne Alves FreitasDoutoranda em Odontologia; Programa de Pós-Graduação em Odontologia; Universidade Federal do Maranhão (UFMA), Brasil. Camila Lima DuailibeDiscente de graduação em Odontologia da Universidade Federal do Maranhão (UFMA), Brasil. Li...

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Effectiveness of a periodontal re‐evaluation incentive program for patient compliance

Reyes‐Perez,

Heinlein,

Kearney

et al. 2024

Journal of Dental Education

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Prospective study of complier individuals under periodontal maintenance therapy: analysis of clinical periodontal parameters, risk predictors and the progression of periodontitis

Abstract: Periodontal maintenance programmes in academic environment can stabilize the periodontal condition obtained after active periodontal therapy as well as control the action of risk variables for the progression of periodontitis.

Cited by 65 publications

References 51 publications

Tooth loss in individuals under periodontal maintenance therapy: prospective study

Tooth loss in individuals under periodontal maintenance therapy: prospective study

Avaliação do Nível de Cooperação de Pacientes em Terapia Periodontal de Suporte

Effectiveness of a periodontal re‐evaluation incentive program for patient compliance

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