Significance of Periodontal Risk Assessment in the recurrence of periodontitis and tooth loss

Matuliene, Giedre; Studer, Rachel; Lang, Niklaus P.; Schmidlin, Kurt; Pjetursson, Bjarni E.; Salvi, Giovanni E.; Brägger, Urs; Zwahlen, Marcel

doi:10.1111/j.1600-051x.2009.01508.x

Cited by 136 publications

(233 citation statements)

References 30 publications

(33 reference statements)

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“…1997, Matuliene et al. 2010) and in this study, smoking outweighed other patient‐related risk factors documented by a smaller variation in PD ≥ 5 mm with BoP at T2 within smokers compared with non‐smokers.…”

Section: Discussionsupporting

confidence: 44%

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Site‐specific treatment outcome in smokers following 12 months of supportive periodontal therapy

Bunæs

Lie

Åstrøm

et al. 2016

J Clinic Periodontology

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AimTo evaluate the effect of cigarette smoking on periodontal health at patient, tooth, and site levels following supportive therapy.Materials and MethodsEighty chronic periodontitis patients, 40 smokers and 40 non‐smokers, were recruited to a single‐arm clinical trial. Periodontal examinations were performed at baseline (T0), 3 months following active periodontal therapy (T1), and 12 months following supportive periodontal therapy (T2). Smoking status was validated measuring serum cotinine levels. Probing depth (PD) ≥ 5 mm with bleeding on probing (BoP) was defined as the primary outcome. Logistic regression analyses adjusted for clustered observations of patients, teeth, and sites and mixed effects models were employed to analyse the data.ResultsAll clinical parameters improved from T0 to T2 (p < 0.001), whereas PD, bleeding index (BI), and plaque index (PI) increased from T1 to T2 in smokers and non‐smokers (p < 0.001). An overall negative effect of smoking was revealed at T2 (OR = 2.78, CI: 1.49, 5.18, p < 0.001), with the most pronounced effect at maxillary single‐rooted teeth (OR = 5.08, CI: 2.01, 12.78, p < 0.001). At the patient level, less variation in treatment outcome was detected within smokers (ICC = 0.137) compared with non‐smokers (ICC = 0.051).ConclusionSmoking has a negative effect on periodontal health following 12 months of supportive therapy, in particular at maxillary single‐rooted teeth.

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Section: Discussionsupporting

confidence: 44%

“…2015) and inconsistent compliance (Matuliene et al. 2010, Ramseier et al. 2014), the selection of appropriate SPT intervals is of paramount importance for the maintenance of periodontal stability in cigarette smokers.…”

mentioning

confidence: 99%

Site‐specific treatment outcome in smokers following 12 months of supportive periodontal therapy

Bunæs

Lie

Åstrøm

et al. 2016

J Clinic Periodontology

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“…Cumulative evidence highlights that factors such as age, smoking, prevalence of gingival bleeding, and interleukin-1 (IL-1) polymorphism have impeded the long-term prognosis of AgP patients (7)(8)(9). In order to improve the prognosis of AgP cases, intervention of risk factors and modified treatment plans based on risk assessment have been attempted (10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Root abnormalities and nonsurgical management of generalized aggressive periodontitis

Lü

Meng

et al. 2017

J Oral Sci

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“…Patient's personal will is important for patient's continued care. However, it is practically possible with the help of a dental professional 9) .…”

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confidence: 99%

A Comparison of Oral Health Behavior and Oral Health Outcomes between Cooperative and Non-Cooperative Groups following Implementation of an Oral Health Care Program

Kim

2017

J Dent Hyg Sci

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The purpose of this study was to reveal analyze the relationship between status of participation in an oral health care program and oral health outcomes among patients in Korea, and to evaluate the results to provide evidence regarding the feasibility of widespread implementation of the program. Patients were designated as either cooperative or non-cooperative with the oral health care program and were assigned to each group accordingly. Modified dental hygiene process (M-DHP) of the oral healthcare program was modified to form the dental hygiene process. The study included 48 patients at a dental clinic in Busan, Korea. Questionnaires were used to collect information on oral health behavior (OHB), clinical examination was used to record bleeding on probing (BOP) and O'Leary index, and phase microscopy was used to identify microorganisms. Differences between groups were evaluated using repeated measures ANOVA. Our results showed that the group cooperative with the oral health care program showed greater improvement in OHB, BOP, and O'Leary index than the non-cooperative group. Second, patient satisfaction with the M-DHP was very high, particularly for content and the friendly nature of the staff. The cooperative group showed greater improvement in oral health than the non-cooperative group for all metrics. Our results suggest that this low-coste program, if implemented, would be actively accepted and utilized in dental clinics.

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Significance of Periodontal Risk Assessment in the recurrence of periodontitis and tooth loss

Abstract: In multivariate logistic regression analysis, a high-risk patient profile according to the PRA model at the end of APT was associated with recurrence of periodontitis. Another significant factor for recurrence of periodontitis was an SPT duration of more than 10 years.

Cited by 136 publications

References 30 publications

Site‐specific treatment outcome in smokers following 12 months of supportive periodontal therapy

Site‐specific treatment outcome in smokers following 12 months of supportive periodontal therapy

Root abnormalities and nonsurgical management of generalized aggressive periodontitis

A Comparison of Oral Health Behavior and Oral Health Outcomes between Cooperative and Non-Cooperative Groups following Implementation of an Oral Health Care Program

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