Retention of questionable and hopeless teeth in compliant patients treated for aggressive periodontitis

Abstract

Graetz C, Dörfer CE, Kahl M, Kocher T, Fawzy El‐Sayed K, Wiebe J‐F, Gomer K, Rühling A. Retention of questionable and hopeless teeth in compliant patients treated for aggressive periodontitis. J Clin Periodontol 2011; 38: 707–714. doi: 10.1111/j.1600‐051X.2011.01743.x. Abstract Aim: The aim of this study was to determine the survival rates of questionable and hopeless teeth in patients with aggressive periodontitis (AgP) and chronic periodontitis (CP) during 15 years of supportive periodontal therapy (SPT). Materials and methods: Thirty‐four AgP and 34 CP patients (SPT10 years) with bone loss of 50% at 2 teeth were consecutively recruited. Bone loss was measured on digitized radiographs and teeth were categorized as “questionable” (50 to <70% bone loss) or as “hopeless” (70%). Progression in pocket probing depths (PPD) during SPT, tooth loss and reasons for extraction were analysed. Results: In AgP patients, 262 teeth were considered as questionable and 63 as hopeless (CP: 149/51). During active periodontal therapy, 25 questionable and 26 hopeless teeth were extracted (CP: 12/16). During 15.3 ± 4.1 years of SPT of AgP 28 questionable and 15 hopeless teeth were removed (CP: 28/12). The mean tooth loss per patient during SPT in total was 0.14 (AgP) and 0.16 (CP) teeth/year. There were no significant differences in tooth loss or longitudinal progression of PPD between AgP and CP patients. Conclusions: In patients with AgP, 88.2% (209 of 237) of questionable and 59.5% (22 of 37) of hopeless teeth survived 15 years during regular SPT in a dental school department.

A systematic review on the patient perception of periodontal treatment using air polishing devices

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Influence of psychological attachment patterns on periodontal disease – a pilot study with 310 compliant patients

“…, Graetz et al. ). Since 1999 an individualized SPT interval of 3–12 months was defined upon a periodontal risk assessment (PRA) of the respective dentist for all patients, after 2003 using a modified PRA (Lang & Tonetti ).…”

Periodontal Probing Versus Radiographs for the Diagnosis of Furcation Involvement

“…From 1982 to 1998, a total of 2,564 patients were treated for moderate‐to‐advanced periodontitis in the Department of Periodontology, Christian‐Albrechts‐University of Kiel, Germany. Three hundred ten patients, who received maintenance therapy for ≥10 years with ≥1 visit/year after non‐surgical/surgical active periodontal therapy (APT), presenting bone loss of ≥50% at ≥2 teeth, annual pocket probing depth (PD) documentation, and complete conventional radiography documentation at baseline (T0), at the end of the APT (T1), and at the last documented visit of maintenance therapy (T2), qualified for participation in the study 14 . Two hundred thirty‐eight patients had at least one first or second molar treated with OFS during APT (in total 939 molars).…”