Supportive periodontal treatment: Pocket depth changes and tooth loss

Wet, LM De; Slot, DE; Weijden, GA Van der

doi:10.1111/idh.12290

Cited by 12 publications

(20 citation statements)

References 41 publications

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“…site‐based). Of the 33 studies included, seven did not report statistical comparisons of patient‐ or tooth‐related risk factors (De Wet et al, 2018; Graetz et al, 2011; Hirschfeld & Wasserman, 1978; McFall, 1982; McLeod et al, 1998; Papantonopoulos, 2004; Wood et al, 1989).…”

Section: Resultsmentioning

confidence: 99%

Predictors of tooth loss during long‐term periodontal maintenance: An updated systematic review

Carvalho

Botelho

Mascarenhas

et al. 2021

J Clinic Periodontology

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Section: Resultsmentioning

confidence: 99%

Predictors of tooth loss during long‐term periodontal maintenance: An updated systematic review

Carvalho

Botelho

Mascarenhas

et al. 2021

J Clinic Periodontology

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“…Another limitation of this analysis could be its generalizability since the findings were obtained from a database from a clinic that is specialized in periodontal therapy. Numerous studies have demonstrated the beneficial effect of periodontal treatment and maintenance in this specific private periodontal clinic 6,28 . It is known from research that patients in private periodontal clinics compared to those treated in an academic setting show significant better stability of the periodontal condition based on less progression of periodontitis and tooth loss 51 .…”

Section: Discussionmentioning

confidence: 99%

“…It is, therefore, safe to state that the annual TL found can be considered to be acceptable, which is an indication of periodontal stability. However, the implications of TL are wide and the impact on the patient's quality of life is immeasurable 2,3,6,27 …”

Section: Discussionmentioning

confidence: 99%

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Success of supportive periodontal therapy in periodontitis patients — A retrospective analysis

Schoenmakers

Willems

Slot

et al. 2021

Int J Dental Hygiene

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Objective The aim of this retrospective analysis was to evaluate, in adult patients treated for periodontitis, the periodontal stability during supportive periodontal therapy (SPT). Methods Data were collected and analyzed retrospectively for periodontitis patients aged ≥36 years who underwent active periodontal therapy (APT) and were following an SPT programme. The stability of the APT success, defined as a probing pocket depth (PPD) of ≤5 mm, was the main outcome parameter. Analyses were performed in which PPD, tooth loss (TL), bleeding on probing (BOP), periodontal epithelium surface area (PESA), and the effects of age, gender, smoking status, and the number of years in SPT were evaluated. The annual TL and BOP of <10% in addition to a PPD of ≤5 mm were considered to be secondary outcome variables. Results In total, 993 patients were included, in 36% of whom a PPD ≤5 mm was found at the evaluation of APT. If the outcome was defined as a BOP of <10% in addition to a PPD of ≤5 mm, this was present in only 16% of the patients. During SPT, a small overall increase in clinical parameters for the total population and an annual average TL of 0.15 per patient was observed. Patients of male gender and smokers negatively affected the success of SPT. Conclusion The periodontal clinical status remained ‘fairly’ stable during SPT in chronic periodontitis patients aged ≥36 years. Smoking negatively affects the outcome of APT and periodontal stability during SPT.

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“…Host-microbial interactions are key factors in the pathogenesis of periodontitis, while certain risk factors including smoking, poor oral hygiene, and diabetes are likely to increase host susceptibility [ 17 , 18 ]. Clinical periodontal status parameters, including scores of supragingival plaque, bleeding, suppuration and probing depth as well as tissue appearance can be useful indicators of periodontal disease presence and progression [ 19 ]. Identifying an individual's risk factors could further enhance evaluation and monitoring of the susceptibility for disease progression, thereby optimizing treatment strategies [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing the completeness of periodontal disease documentation in the EHR: a first step in measuring the quality of care

et al. 2021

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Background Our objective was to measure the proportion of patients for which comprehensive periodontal charting, periodontal disease risk factors (diabetes status, tobacco use, and oral home care compliance), and periodontal diagnoses were documented in the electronic health record (EHR). We developed an EHR-based quality measure to assess how well four dental institutions documented periodontal disease-related information. An automated database script was developed and implemented in the EHR at each institution. The measure was validated by comparing the findings from the measure with a manual review of charts. Results The overall measure scores varied significantly across the four institutions (institution 1 = 20.47%, institution 2 = 0.97%, institution 3 = 22.27% institution 4 = 99.49%, p-value < 0.0001). The largest gaps in documentation were related to periodontal diagnoses and capturing oral homecare compliance. A random sample of 1224 charts were manually reviewed and showed excellent validity when compared with the data generated from the EHR-based measure (Sensitivity, Specificity, PPV, and NPV > 80%). Conclusion Our results demonstrate the feasibility of developing automated data extraction scripts using structured data from EHRs, and successfully implementing these to identify and measure the periodontal documentation completeness within and across different dental institutions.

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Supportive periodontal treatment: Pocket depth changes and tooth loss

Abstract: This study indicates that with regard to bleeding on probing and probing pocket depth, patients receiving supportive periodontal treatment maintain their periodontal condition. However, in this group of adherent maintenance patients, tooth loss was most prevalent for molar teeth.

Cited by 12 publications

References 41 publications

Predictors of tooth loss during long‐term periodontal maintenance: An updated systematic review

Predictors of tooth loss during long‐term periodontal maintenance: An updated systematic review

Success of supportive periodontal therapy in periodontitis patients — A retrospective analysis

Assessing the completeness of periodontal disease documentation in the EHR: a first step in measuring the quality of care

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