Predictors of tooth loss during long‐term periodontal maintenance: a systematic review of observational studies

Chambrone, Leandro; Chambrone, Daniela; Lima, Luiz Antônio Pugliesi Alves de; Chambrone, Luiz Armando

doi:10.1111/j.1600-051x.2010.01587.x

Cited by 242 publications

(331 citation statements)

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“…This is a direct consequence of the chronic nature of these diseases. In this sense, it is possible to observe the importance of a longitudinal follow-up of the treated patients so that any imbalances in the pathophysiological axis can immediately be diagnosed, seeking to maintain the results after active therapy (2).…”

Section: Introductionmentioning

confidence: 99%

Tooth Loss in Patients under Periodontal Maintenance in a Private Practice: A Retrospective Study

et al. 2017

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The aim of the present study was to evaluate the incidence and causes of tooth loss in periodontal subjects from a private practice in Brazil. Two trained examiners extracted data from the records of subjects who sought periodontal treatment from 1980 to 2013. Only records of patients who completed the non-surgical periodontal treatment and had at least one visit for maintenance were included. Data were analyzed by chi-square test, Student's t-test, Kaplan-Meier survival curve and Cox regression. A total of 3,319 records were reviewed and 737 records included (58.6% women, mean age of 46.6±13.0 years at the beginning of the treatment). Maintenance period ranged from 1 to 33 years (7.4±6 years). During this period, 202 individuals (27.4%) lost 360 teeth, 47.5% of losses within the first five years (n=171). Non-compliers lost more teeth than compliers (p<0.001), respectively 211 and 149 teeth. Regarding reasons of tooth loss, 84 individuals lost 38% of the teeth from periodontal disease progression (n=137). Survival analysis showed that most patients lost only one tooth from periodontal disease, and differences in the survival rates between compliers and non-compliers were observed following the second tooth loss. Approximately one-third of tooth losses was related to periodontal disease progression, and there was stability in time of the proportion of losses from disease progression and other reasons. Therefore, it is possible to conclude that compliant patients in a private practice lose fewer teeth than do non-compliers. Among compliers, periodontal disease progression was not the main cause of tooth loss.

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Section: Introductionmentioning

confidence: 99%

Tooth Loss in Patients under Periodontal Maintenance in a Private Practice: A Retrospective Study

et al. 2017

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“…[2][3][4][5] Cross-sectional studies have shown that smokers are two to seven times more likely to present periodontitis, compared to nonsmokers, 2,6,7 and smoking has been associated with tooth loss during periodontal maintenance as well. 7,8 With respect to surgical or non-surgical periodontal therapy, several studies have shown that smokers have a worse response to treatment when compared to nonsmokers. 9,10 In southern Brazil, 6 it has been estimated that smoking cessation programs could result in an approximate reduction of up to 12% in the number of cases of destructive periodontal disease (cases were defined as individuals with ≥ 30% of teeth with periodontal attachment loss ≥ 5 mm).…”

Section: Introductionmentioning

confidence: 99%

Smoking and periodontal tissues: a review

et al. 2012

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The impact of smoking on general health has been widely studied and is directly related to several important medical problems including cancer, low birth weight, and pulmonary and cardiovascular disease. In the past 25 years, there has also been an increasing awareness of the role of cigarette consumption in oral health problems such as periodontal disease. Smoking is considered the major risk factor in the prevalence, extent and severity of periodontal diseases. This article will discuss the available evidence and provide the reader with an overview of the impact of smoking and its cessation on the pathogenesis and treatment of periodontal diseases.

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“…age and smoking) and tooth-related factors (tooth type and location, and the IJBAR (2015) 6 (03) www.ssjournals.com initial tooth prognosis) were associated with tooth loss during periodontal maintenance. [6] The association between cancer, tooth loss, and periodontal disease has been evaluated by several studies. [7] 1.2 Dental Implants: The Clinical Perspectives Dental Implants have changed the face of dentistry over the last three decades.…”

Section: Periodontal Health and Tooth Lossmentioning

confidence: 99%

Dental Implants: Dual Stabilization Technology

Saini

2015

Int J of Biomed & Adv Res

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More recent epidemiological data seem to show an increasing trend of tooth loss due to periodontal reasons rather than caries; the presence of initial attachment loss, bone height and the habit of smoking significantly increase the risk of tooth mortality. A dental implant is a titanium screw which is placed into bone to replace missing teeth. The implant mimics the root of a tooth in function. Dental Implants have changed the face of dentistry over the last three decades. Success of dental implants is generally defined by implant survival. Implant failure perhaps results from multi-factorial process. With changing concepts in technology and incorporation of better implant design, the chances of implant failures can be minimized by using dual stabilization implants that focus on osseous fixation.

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Predictors of tooth loss during long‐term periodontal maintenance: a systematic review of observational studies

Cited by 242 publications

References 50 publications

Tooth Loss in Patients under Periodontal Maintenance in a Private Practice: A Retrospective Study

Tooth Loss in Patients under Periodontal Maintenance in a Private Practice: A Retrospective Study

Smoking and periodontal tissues: a review

Dental Implants: Dual Stabilization Technology

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