Recurrence of periodontitis and associated factors in previously treated periodontitis patients without maintenance follow-up

Abstract

Background. Preventive dentistry, including supportive periodontal therapy (SPT), is one of the most critical areas of attention. Despite SPT’s importance in the long-term success of periodontal treatment, the patients’ adherence to it is weak. The present study aimed to evaluate of periodontal disease’s recurrence rate and its related factors in periodontal patients without regular follow-up. Methods. A cross-sectional study was set in a specialized periodontics clinic in Tehran, Iran. Patients with periodontitis who completed periodontal therapy during 2005–2014 and did not adhere to the maintenance phase were evaluated. The periodontal history of the patients was updated. The previous diagnoses of patients according to their previous periodontal charts were revised by AAP 2015 criteria. Then, periodontal parameters were assessed, and current periodontal status was evaluated. Statistical analyses consisted of Fisher’s exact test, t-test, Man-Whitney test, and Kruskal-Wallis test. Spearman’s correlation coefficient was used to assess the relationship between factors and variables. Results. Fifty patients were evaluated, including 29 males and 21 females. There was a significant relationship between the initial diagnosis and recurrence rate of periodontitis (P=0.017). There was also a significant relationship between the recurrence of periodontitis and the years elapsed since the initial treatment (P=0.027, r = 0.353). Smoking significantly affected tooth loss (P=0.001). Conclusion. Patients with severe periodontitis need more attention to participate in supportive periodontal care. The patients must be aware of the disadvantages of neglecting this phase and be reminded of regular follow-up.

The survival of periodontally treated molars in long‐term maintenance: A systematic review and meta‐analysis

“…Compliance with scheduled maintenance intervals has been emphasized in previous studies (Agrawal et al, 2015;Atarbashi-Moghadam et al, 2020). However, no specific definition has been established for 'compliant' and 'noncompliant' in this review owing to the restriction in available information and reported data.…”

Activatable prodrug for controlled release of an antimicrobial peptide via the proteases overexpressed in Candida albicans and Porphyromonas gingivalis

“…However, treatment of C. albicans and P. gingivalis is quite different, and co-treatment has not yet been investigated in molecular detail 21 . Treatment for P. gingivalis -based gingivitis is largely limited to lifestyle changes; thus, gingivitis relapses are common in susceptible patients leading to tooth loss and worse quality of life 24 . Moreover, drug-resistant fungi are a growing public health threat with a mortality rate as high as 30% in the Candida family ( C. auris ); thus, improved therapies are clearly needed 3 , 25 .…”

Comparative evaluation of Indocyanine Green and 810nm Diode Laser Assisted Antimicrobial Photodynamic Therapy with 810nm Diode Laser Assisted New Attachment Procedure as adjuncts to Scaling and Root Planning in Supportive Periodontal Therapy: A Randomized Controlled Split-Mouth Clinical Trial

“…Comprehensive periodontal therapy, which combines non-surgical and surgical periodontal therapy, has been shown to be effective in achieving adequate attachment gain [2]. Periodontal maintenance, also known as supportive periodontal therapy (SPT), is a phase of periodontal therapy in which the periodontal condition is monitored and etiological factors are reduced or eliminated following periodontal treatment [3,4,5]. Following active periodontal therapy, maintenance consists of three components: patient personal care, preventive procedures performed by dental health care professionals, and supportive periodontal therapy interventions addressing disease recurrence due to re-emergence of subgingival biofilm and pocket formation [6].…”