Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis

Manresa, Carolina; Sanz-Miralles, Elena; Twigg, Joshua; Bravo, Manuel

doi:10.1002/14651858.cd009376.pub2

Cited by 121 publications

(134 citation statements)

References 115 publications

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“…In a global view, establishing efficient protocols or adjuvant periodontal strategies to reduce the probability of reinfection and disease progression, with consequent improvement in dental maintenance, is still a challenge, independently of the population studied (Manresa et al . ).…”

Section: Discussionmentioning

confidence: 97%

Periodontal status of individuals with Down syndrome: sociodemographic, behavioural and family perception influence

Nuernberg

Ivanaga

Haas

et al. 2019

J intellect Disabil Res

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Background The aim of the present study was to assess the periodontal condition of individuals with Down syndrome and the association with sociodemographic and behavioural characteristics and family perception of oral health. Methods This cross‐sectional observational study was performed at a referral centre for dental assistance to disabled persons in Araçatuba, Brazil. Parents of the individuals were interviewed, and the visible plaque index, bleeding on probing, probing pocket depth and clinical attachment level were recorded by one periodontist in six sites per tooth of all teeth. The individual was the unit of analysis. The significance level was set at 5%. Results Sixty‐four subjects (23.8 ± 8.3 years old) were included. Eighteen (28.1%) were diagnosed with gingivitis and 46 (71.9%) with periodontitis. In the multiple logistic regression final model, age and self‐reported oral hygiene practices were associated with the occurrence of periodontitis. The chance of having periodontitis was 4.7 times higher among individuals older than 20 years and approximately 4 times higher in patients whose oral hygiene was performed by themselves and their parents, compared with those who performed oral hygiene alone. Sex, follow‐up time in the centre, education, degree of participants' dependence, flossing and family history of periodontal disease were not associated with the occurrence of periodontitis. Higher levels of plaque and bleeding were observed for participants with parents reporting bad gingival health (76.2% and 46.9%) and deficient oral hygiene (79.5% and 47.3%). The perception of parents regarding gingival bleeding was correlated with higher bleeding detected clinically (P = 0.01; 50.1%). Conclusions The prevalence of periodontitis in individuals with Down syndrome is high and increases with age, even in the face of the parents' perception about their children's oral condition.

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Section: Discussionmentioning

confidence: 97%

Periodontal status of individuals with Down syndrome: sociodemographic, behavioural and family perception influence

Nuernberg

Ivanaga

Haas

et al. 2019

J intellect Disabil Res

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“…Thus, in general, the majority of evidence indicates that smokers are at increased risk for the presence of unresponsive periodontal pockets and further periodontal breakdown during PMT. In several studies, two‐ to seven‐fold higher risk for RP were reported in CS when compared with FS and NS …”

Section: Discussionmentioning

confidence: 99%

“…Several studies have emphasized the benefits of periodontal maintenance therapy (PMT) in preserving the homeostasis of periodontal tissues obtained after active periodontal therapy (APT) performed through surgical and/or non‐surgical procedures . However, without establishing a regular program of clinical re‐evaluation, adequate biofilm control, and reinforcement of oral hygiene instructions, the benefits of PMT could not be maintained …”

Section: Introductionmentioning

confidence: 99%

“…Several studies in PMT reported the effects of smoking on the progression of periodontitis and tooth loss . However, there is a scarcity of published prospective studies addressing the direct influence of cumulative smoking exposure and smoking cessation and its contribution to the recurrence of periodontitis (RP) among periodontally susceptible individuals …”

Section: Introductionmentioning

confidence: 99%

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Cumulative smoking exposure and cessation associated with the recurrence of periodontitis in periodontal maintenance therapy: A 6‐year follow‐up

Costa

Cota

2019

Journal of Periodontology

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Background This study followed individuals in periodontal maintenance therapy (PMT) over 6 years and longitudinally evaluated the effects of cumulative smoking exposure and duration of smoking cessation on the recurrence of periodontitis. Methods From a 6‐year follow‐up cohort study with 212 individuals in PMT, 142 patients who attended at least one PMT visit within 12 months were determined to be elegible. According to smoking habits they were categorized into three groups: non‐smokers (NS; n = 95), former smokers (FS; n = 22), and current smokers (CS; n = 25). Complete periodontal examination and smoking habits were evaluated at two instances: T1 (first time, after active periodontal therapy) and T2 (second time, 6 years). Associations between the recurrence of periodontitis (RP; probing depth ≥4 mm and clinical attachment loss ≥3 mm, together with the presence of bleeding on probing and/or suppuration), smoking status, and potential risk variables were analyzed by univariate and multivariate analysis, when appropriate. Results The RP in NS, FS, and CS groups was 44.2%, 68.2%, and 80.0%, respectively. After adjusting for confounders, odds ratios (95% confidence interval) for the RP in T2 was 2.80 (2.11 to 5.14) for FS and 5.97 (3.58 to 9.88) for CS. There was a significant dose‐response relationship between pack‐years of smoking and the RP, as well as a significant decrease in the risk for the RP as the years of smoking cessation increased. Conclusion During 6 years of PMT, cumulative smoking exposure and shorter time since smoking cessation were significantly associated with the RP.

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“…Professional mechanical plaque removal is a successful tool to maintain the results of SRP during the phase of supportive periodontal therapy for many years and decades for a long life with own natural teeth . ‒ Here the compliance of the patient is mandatory and one of the keys to successful supportive therapy .…”

Section: Introductionmentioning

confidence: 99%

Professional tooth cleaning prior to non‐surgical periodontal therapy: A randomized clinical trial

Jentsch

Heusinger²,

Weickert³

et al. 2019

Journal of Periodontology

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Background This study was aimed to investigate if professional oral prophylaxis before scaling and root planing (SRP) has an effect on the outcome of non‐surgical periodontal treatment in patients with chronic periodontitis. Methods Fifty‐two individuals with chronic periodontitis receiving non‐surgical periodontal therapy by SRP with (test) and without (control) two appointments of professional tooth cleaning but with motivation and instruction were monitored for clinical variables, four selected microorganisms and two biomarkers at baseline, before SRP as well as 3 and 6 months after SRP. Statistical analysis included non‐parametric tests for intra‐ and intergroup comparisons. Results Probing depth (PD), attachment level, bleeding on probing (BOP), and interproximal plaque index (API) were significantly improved in both groups 3 and 6 months after SRP. PD, BOP, API, and the number of sites with PD ≥5 mm were significantly lower in the test group than in the control group at the appointment immediately before SRP. Tannerella forsythia was significantly reduced in both groups at 3 and 6 months, Porphyromonas gingivalis only in the test group. Interleukin‐1β was significantly reduced in the control group 3 and 6 months after SRP, matrix metalloproteinase‐8 level decreased in the test group 3 months after SRP. There was no significant difference of any clinical and non‐clinical variable between both groups at 3 and 6 months after SRP. Conclusions Professional tooth cleaning before the SRP does not improve the clinical results of the SRP. It has no obvious long‐lasting effects on major periodontopathogens in the subgingival biofilm as well as on biomarkers in the gingival crevicular fluid after SRP.

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Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis

Abstract: Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis (Review)

Cited by 121 publications

References 115 publications

Periodontal status of individuals with Down syndrome: sociodemographic, behavioural and family perception influence

Periodontal status of individuals with Down syndrome: sociodemographic, behavioural and family perception influence

Cumulative smoking exposure and cessation associated with the recurrence of periodontitis in periodontal maintenance therapy: A 6‐year follow‐up

Professional tooth cleaning prior to non‐surgical periodontal therapy: A randomized clinical trial

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