Survival and maintenance efforts of adhesively attached extracted teeth in periodontitis patients

Graetz, Christian; Ostermann, Freda; Springer, Claudia; Schwendicke, Falk

doi:10.1016/j.jdent.2019.02.008

Cited by 2 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This data distribution statistically results in a majority of patients at Stages II and III with ‘tails’ into Stages I and IV—a hallmark bell curve distribution. These observations have been reported earlier and could be representative of a larger communication/incentive gap for treatment in that patient who presents with Stage I and has a minimal disease not incentivized by treatment, and Stage IV patients presenting an extremely advanced condition but are not motivated for periodontal rehabilitation (Graetz et al, 2019).…”

Section: Discussionsupporting

confidence: 70%

Periodontitis stage and grade modifies the benefit of regular supportive periodontal care in terms of need for retreatment and mean cumulative cost

Saleh,

Decker,

Ravidà

et al. 2023

J Clinic Periodontology

View full text Add to dashboard Cite

AimThis study aimed to characterize the periodontal breakdown during supportive periodontal care (SPC) and to quantify the corresponding cost‐effectiveness of periodontal therapy.Materials and MethodsData were obtained from charts of patients who received active periodontal therapy (APT) with a minimum follow‐up of ≥10 years. Analysis was done to identify factors associated with the incidence of additional sub‐gingival instrumentation (SGI) and/or surgery (SUR) during SPC and mean cumulative cost of recurrence was calculated. All relevant data were collected.ResultsIn all, 442 patients were included. Over the follow‐up period, 62% of Stage I and II patients and 72% of Stage III and IV patients required further treatment following the APT; 56.5% of SGI patients and 78.6% of SUR patients received a second intervention. SUR patients received more SUR during the follow‐up period (p = .035). Stage III and IV patients received more SUR during SPC than Stage I and II patients (p = .001). Grade C patients received more SUR during the follow‐up period (p < .05). During the 5‐year period preceding retreatment, the mean SPC visits were lower for patients who did not require retreatment (p < .001). Risk factors such as regularity of maintenance, smoking and diabetes were related to a higher chance of receiving SUR during the follow‐up period (p < .05). The mean cumulative costs indicated less recurrence cost for compliers in Stage III and IV or Grade B and C but not for those in Stage I and II or Grade A.ConclusionsThe risk of relapse in the maintenance population may be correlated with higher stage and grade, patient compliance, modifiable risk factors and the nature of the treatment provided during APT. The total cost of treatment of recurrences was lower for compliers in Stage III/IV and Grade B/C compared with erratic compliers with the same severity and risk.

show abstract

Section: Discussionsupporting

confidence: 70%

Periodontitis stage and grade modifies the benefit of regular supportive periodontal care in terms of need for retreatment and mean cumulative cost

Saleh,

Decker,

Ravidà

et al. 2023

J Clinic Periodontology

View full text Add to dashboard Cite

show abstract

“…The HR of prosthesis in patients aged over 31 years was 2.82 times that of patients aged younger than 20 years. There is a significant association between the age of the patient and prosthetic survival 30–33 . This is particularly relevant because younger patients are dependent on their parents or caregivers to perform their routine oral hygiene activities 34,35 …”

Section: Discussionmentioning

confidence: 99%

“…There is a significant association between the age of the patient and prosthetic survival. [30][31][32][33] This is particularly relevant because younger patients are dependent on their parents or caregivers to perform their routine oral hygiene activities. 34,35 The HR of maxillary prosthesis was significantly higher than that of mandibular prosthesis in our patients, but this tendency holds for healthy individuals as well.…”

Section: Discussionmentioning

confidence: 99%

Dental treatment under intravenous sedation prolongs longevity of a fixed prosthesis in patients with intellectual disabilities

Yamaguchi-Komeyama

Tanoue

Kurata

et al. 2021

Special Care in Dentistry

View full text Add to dashboard Cite

This study aimed to assess the longevity of a fixed prosthesis in patients with intellectual disability (ID) and to investigate the risk factors associated with the failure of a prosthesis due to abutment tooth extraction or prosthesis dislodgement or removal. Methods: We studied past medical records to evaluate the longevity of 315 prostheses that were luted in 76 patients with ID. We calculated the survival rates and assessed 15 variables potentially associated with prosthetic failure using multivariate Cox regression analyses with shared frailty for patients.Results: Three-quarters of our sample population had severe or profound ID. The maximum observation period was 31.0 years, and the corresponding survival ratio was 32.5%; the survival ratio at 10 years was 59.4%. The use of intravenous sedation significantly influenced the success of the prosthesis, with the hazard ratio (HR) being 0.49 times that of conventional treatment without behavioraltering drug therapy. The most significant risk factor for prosthetic failure was age at placement; the HR for patients aged ≥31 years was 2.82 times that for patients aged ≤ 20 years. Conclusions: In patients with severe ID, appropriate intravenous sedation was effective in prolonging the longevity of a fixed prosthesis.

show abstract

Survival and maintenance efforts of adhesively attached extracted teeth in periodontitis patients

Cited by 2 publications

References 19 publications

Periodontitis stage and grade modifies the benefit of regular supportive periodontal care in terms of need for retreatment and mean cumulative cost

Periodontitis stage and grade modifies the benefit of regular supportive periodontal care in terms of need for retreatment and mean cumulative cost

Dental treatment under intravenous sedation prolongs longevity of a fixed prosthesis in patients with intellectual disabilities

Contact Info

Product

Resources

About