Tooth loss in treated periodontitis patients responsible for their supportive care arrangements

Abstract

Smokers, more elderly patients, removable partial denture wearers, and patients with lower education levels or not using inter-dental brushes ought to be targeted for clinic-based SPC.

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

“…It was observed that 28 subjects lost their teeth (18.66%), summing a total of 47 teeth lost (1.38%) between PMT1 and PMT4. It was also noted, in accordance with previous studies (McFall 1982, Axelsson et al 2004, Fardal et al 2004, Chambrone & Chambrone 2006, Leung et al 2006, Faggion et al 2007, that a minority of individuals were responsible for the majority of tooth loss.…”

“…PMT programmes have been well studied and, unanimously, the surveys concluded that they are crucial for the maintenance of periodontal stability. However, the majority of studies in the literature have a retrospective design (McFall 1982, Wood et al 1989, Demetriou et al 1995, Tonetti et al 2000, Checchi et al 2002, König et al 2002, Chambrone & Chambrone 2006, Leung et al 2006, Carnevale et al 2007a, Faggion et al 2007, Matuliene et al 2008) and thus provide limited conclusions. Most of the studies evaluated periodontal clinical parameters collected by different professionals and in different public or private programmes.…”

Tooth loss in compliant and non-compliant periodontally treated patients: 7 years after active periodontal therapy

“…A review of the available literature showed that periodontitis-susceptible patients who comply with a regular maintenance programme after the completion of APT had a low level of combined tooth loss and tooth loss due to periodontitis during PM (Oliver 1969, Hirschfeld & Wasserman 1978, McFall 1982, Lindhe & Nyman 1984, Goldman et al 1986, Wood et al 1989, McGuire 1991, McLeod et al 1997, Tonetti et al 2000, König et al 2002, Fardal et al 2004, Leung et al 2006, Faggion et al 2007, Carnevale et al 2007b. The tooth loss due to periodontitis in these studies ranged from 0.01 to 0.14 teeth/patient/ year.…”

“…The impact of patients' compliance during PM on tooth survival still remains controversial due to the lack of data. There are limited studies that have evaluated tooth loss in patients who received APT but were not maintained subsequently (Becker et al 1984a, Leung et al 2006. In order to evaluate the effect of PM, a control group of noncompliant patients is required.…”

Periodontal maintenance following active specialist treatment: Should patients stay put or return to primary dental care for continuing care? A comparison of outcomes based on the literature

“…30 As an "end-point" marker in periodontitis activity, tooth loss is perhaps the most important outcome measure and one that patients often regard as being of most importance; however, this is a late end point, and most studies were too short to yield meaningful information on this. 31 Owing to the challenges encountered during this review process, there is a need for further research on this topic. In the first instance, a include the low number of studies identified and the fact that many of the included studies are older studies meaning that protocols in the delivery of PM may have adapted over the years.…”