Tooth loss after active periodontal therapy. 2: tooth‐related factors

Pretzl, Bernadette; Kaltschmitt, Jens; Kim, Ti‐Sun; Reitmeir, Peter; Eickholz, Peter

doi:10.1111/j.1600-051x.2007.01182.x

Cited by 138 publications

(215 citation statements)

References 38 publications

(76 reference statements)

Supporting

Mentioning

182

Contrasting

Unclassified

Order By: Relevance

“…[9] In addition, molars in the mandible and buccal furcations in the maxilla, the correct diagnosis of furcation involvement with Class II seems especially important because at these sites a regenerative surgical procedure might be a possible treatment of choice. [101112] Hence, accurate diagnosis is a necessity for appropriate treatment to be carried out and to achieve optimum clinical results.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic accuracy of cone beam computed tomography in identification and postoperative evaluation of furcation defects

Pajnigara¹,

Kolte²,

Kolte³

et al. 2016

J Indian Soc Periodontol

View full text Add to dashboard Cite

Background:Decision-making in periodontal therapeutics is critical and is influenced by accurate diagnosis of osseous defects, especially furcation involvement. Commonly used diagnostic methods such as clinical probing and conventional radiography have their own limitations. Hence, this study was planned to evaluate the dimensions of furcation defects clinically (pre- and post-surgery), intra-surgically, and by cone beam computed tomography (CBCT) (pre- and post-surgery).Materials and Methods:The study comprised a total of 200 Grade II furcation defects in forty patients, with a mean age of 38.05 ± 4.77 years diagnosed with chronic periodontitis which were evaluated clinically (pre- and post-surgically), by CBCT (pre- and post-surgically), and intrasurgically after flap reflection (40 defects in each). After the presurgical clinical and CBCT measurements, demineralized freeze-dried bone allograft was placed in the furcation defect and the flaps were sutured back. Six months later, these defects were evaluated by recording measurements clinically, i.e., postsurgery clinical measurements and also postsurgery CBCT measurements (40 defects each).Results:Presurgery clinical measurements (vertical 6.15 ± 1.71 mm and horizontal 3.05 ± 0.84 mm) and CBCT measurements (vertical 7.69 ± 1.67 mm and horizontal 4.62 ± 0.77 mm) underestimated intrasurgery measurements (vertical 8.025 ± 1.67 mm and horizontal 4.82 ± 0.67 mm) in both vertical and horizontal aspects, and the difference was statistically not significant (vertical P = 1.000, 95% confidence interval [CI], horizontal P = 0.867, 95% CI). Further, postsurgery clinical measurements (vertical 2.9 ± 0.74 mm and horizontal 1.52 ± 0.59 mm) underestimated CBCT measurements (vertical 3.67 ± 1.17 mm and horizontal 2.45 ± 0.48 mm). There was statistically significant difference between presurgery clinical–presurgery CBCT (P < 0.0001, 95% CI) versus postsurgery clinical–postsurgery CBCT (P < 0.0001, 95% CI) values in both vertical and horizontal aspects.Conclusion:The use of CBCT appears to be prudent for accurate diagnosis of furcation defects in advanced periodontal diseases. Presurgical and postsurgical three-dimensional imaging enable the clinician to optimize treatment decisions and assess the quantum of healing more definitively.

show abstract

Section: Discussionmentioning

confidence: 99%

Diagnostic accuracy of cone beam computed tomography in identification and postoperative evaluation of furcation defects

Pajnigara¹,

Kolte²,

Kolte³

et al. 2016

J Indian Soc Periodontol

View full text Add to dashboard Cite

show abstract

“…Crown-root ratio was not incorporated because of possible confounding with remaining bone level. Nevertheless, regularity of maintenance has been shown to be significant in terms of preservation of teeth with furcation lesions (Rosling et al 1976, Nyman et al 1977, Checchi et al 2002, Pretzl et al 2008) and should thus be routinely recommended. However, on the basis of the multivariate analysis, regular dental recalls in the Periodontology Clinic and/or at patients' own general dentists did not seem to be associated with better post-resection molar survival (Table 4).…”

Section: Discussionmentioning

confidence: 99%

Survival of molar teeth after resective periodontal therapy – A retrospective study

Lee

Corbet

Leung

2012

J Clinic Periodontology

View full text Add to dashboard Cite

show abstract

“…This may explain why diabetes mellitus shows a high OR for having <24 PT. This suggests that providing dental health checkups incorporating professional mechanical tooth cleaning, tooth brushing instruction, and supportive therapy might be effective in preventing periodontal disease-induced tooth loss in diabetes mellitus patients 9,17,25,48) . Gilbert and Litaker investigated the correlation between self-reported and clinical oral health status in patients aged more than 45 years in a Florida dental care study and reported that self-reported gum health and presence of loose teeth were the only periodontal measures showing a significant association with clinically determined periodontal status 21) .…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Number of Present Teeth in Adults in Japanese Urban City

Kurahashi

Kitagawa

Mutoh

2017

Bull. Tokyo Dent. Coll.

View full text Add to dashboard Cite

The purpose of this study was to identify which factors were associated with number of present teeth (PT) in older adults as their clarification might contribute to maintaining the number of PT in this population. These factors were investigated by means of a questionnaire on oral health condition, general health behavior, and anamnesis of diabetes mellitus together with a dental examination. Data were obtained from a total of 7,741 Japanese subjects (2,623 males and 5,118 females), all of whom were aged 40, 50, or 60 years. Significant differences were observed in the mean number of PT between a positive or negative response to questions on anamnesis of diabetes mellitus, current smoking, and having loose teeth in all age groups in males; significant differences were also observed for current smoking, lower intake of dairy milk products, having loose teeth, no experience of tooth brushing instruction, and poor oral hygiene status in all age groups in females. Stepwise logistic regression analysis revealed having loose teeth (odds ratio [OR], 1.82), gingival swelling (OR, 1.40), an anamnesis of diabetes mellitus (OR, 1.72), current smoking (OR, 1.86), lower intake of dairy milk products (OR, 1.22), preference for salty seasonings (OR, 1.23), frequent sweet intake (OR, 1.29), no experience of tooth brushing instruction (OR, 1.38), and poor oral hygiene (OR, 2.04) as significant risk factors for the number of PT being <24 after adjusting for age and sex. These results indicate that an anamnesis of diabetes mellitus, a history of smoking, the presence of loose teeth, and poor oral hygiene status in a self-reported evaluation of oral health might correlate with <24 PT in older adults.

show abstract

Tooth loss after active periodontal therapy. 2: tooth‐related factors

Abstract: The following tooth-related risk factors for tooth loss were identified: baseline bone loss, furcation involvement, and use as an abutment tooth.

Cited by 138 publications

References 38 publications

Diagnostic accuracy of cone beam computed tomography in identification and postoperative evaluation of furcation defects

Diagnostic accuracy of cone beam computed tomography in identification and postoperative evaluation of furcation defects

Survival of molar teeth after resective periodontal therapy – A retrospective study

Factors Associated with Number of Present Teeth in Adults in Japanese Urban City

Contact Info

Product

Resources

About