Influence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance

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

doi:10.1111/j.1600-051x.2008.01245.x

Cited by 537 publications

(700 citation statements)

References 28 publications

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“…As suggested, the magnitude of changes during SPT appears related to the initial defect size at site level and to heavy smoking at patient level (Matuliene et al. 2008). Moreover, a local effect of smoking appears to be superimposed on the systemic effect, particularly affecting maxillary single‐rooted teeth.…”

Section: Discussionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 99%

“…1996a, Matuliene et al. 2008). In contrast, long‐term follow‐up studies have not found an association between smoking status and tooth loss (Fisher et al.…”

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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“…The present study also showed a continuous decrease in the plaque index with professional toothbrushing combined with chlorhexidine prior to scaling. In other words, meticulous removal of supragingival plaque, including bacteria accumulated around the gingival margin, was especially important in controlling and preventing periodontal disease A study by Matuliene et al 35 reported a full-mouth bleeding score of 30 or more to be a risk factor for tooth loss. The mean BoP score in the early intervention group was 32.4% in the present study, indicating unhealthy gingiva.…”

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confidence: 99%

Effect of an oral healthcare program on gingival health status in rural areas of South Korea

Lee

Kim

Chung

et al. 2017

Rural Remote Health

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Introduction: The purpose of this study was to analyze the effects of an oral health care program administered at rural public health subcenters on oral hygiene status and bleeding on probing (BOP) scores among Korean rural residents older than 40 years. Methods: Residents older than 40 years living in two rural areas were allocated randomly by order of visit into an intervention group (n=23) and control group (n=23). Changes in plaque and BOP score were analyzed between the groups using repeatedmeasures ANOVA. Hierarchical multiple regression analysis was conducted to identify factors affecting changes in BOP score. Results: The BoP score decreased by 22.87 in the intervention group and 0.27 in the control group between baseline and the eighth week (p<0.001). Multiple regression analysis showed that the change in BoP score (∆BoP score) increased significantly with an increase in the reduction of the plaque (PHP) index (∆PHP index) (t=-2.174, p<0.05) and increased significantly more in the intervention group than in the control group (t=2.143, p<0.05). Conclusions: Professional care and continuous oral health education for 8 weeks prior to scaling among adults older than 40 years living in rural environments resulted in a change in oral health behaviors and a substantial reduction in gingival bleeding.

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“…After careful consideration, the final prosthesis was placed to obtain recovery of oral function. An association has been demonstrated between deep periodontal pockets resulting from alveolar bone destruction and an increase in the number of tooth lost 12) . Although extraction was indicated for tooth #17, it was preserved during periodontal surgery.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Severe Chronic Periodontitis with Surgical and Prosthetic Intervention: A 9-year Follow-up Case Report

Makino-Oi

Ishii

Makino³

et al. 2017

Bull. Tokyo Dent. Coll.

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A 60-year-old woman presented with the chief complaint of mobility of tooth #16. Gingival swelling and calculus were observed. Clinical examination revealed that 49.4% of sites had a probing depth (PD) of ≥4 mm and 72% of sites bleeding on probing. Radiographic examination revealed vertical bone resorption in #35 and horizontal resorption in other regions. Periapical region radiolucency on #16 and 27 suggested a perio-endo lesion. The clinical diagnosis was severe chronic periodontitis. Initial periodontal therapy mainly comprised the following: oral hygiene instruction; quadrant scaling and root planing (SRP); extraction of #16, 27, and 31; and placement of provisional restorations. Open flap debridement was performed for teeth with a PD ≥4 mm. Bone defects exceeding the root apex were found in #17, 41, 42, and 45 intraoperatively. Teeth #41, 42, and 45 were extracted. After confirming the stability of the periodontal tissue, final prostheses were placed on #14-17, 13-22, 35-37, 33-43, 44-46, and 47. Following reevaluation, the patient was placed on supportive periodontal therapy (SPT). After 6 years, the patient experienced dull pain in and pus discharge from #17. Repeated SRP yielded no improvement, so the tooth was extracted and a removable partial denture placed on #16 and 17. Nine years have passed since the start of SPT and the level of plaque control has remained adequate and periodontal condition stable.

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Influence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance

Abstract: Residual PPD>or=6 mm represent an incomplete periodontal treatment outcome and require further therapy.

Cited by 537 publications

References 28 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

Effect of an oral healthcare program on gingival health status in rural areas of South Korea

Treatment of Severe Chronic Periodontitis with Surgical and Prosthetic Intervention: A 9-year Follow-up Case Report

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