Tooth loss in periodontally compromised patients: Results 20 years after active periodontal therapy

Pretzl, Bernadette; Sayed, Shirin El; Weber, Dorothea; Eickholz, Peter; Bäumer, Amelie

doi:10.1111/jcpe.13010

Cited by 41 publications

(72 citation statements)

References 32 publications

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“…It has to be kept in mind that the patients not adhering to the suggested maintenance regimen still showed up for a mean SPT visit of 1.7 times per year. Thus, these patients cannot be compared with non‐compliers in other studies (Baumer, Pretzl, et al, ; Eickholz et al, ; Pretzl et al, ).…”

Section: Discussionmentioning

confidence: 99%

Tooth loss in aggressive periodontitis: Results 25 years after active periodontal therapy in a private practice

Bäumer

Weber

Staufer

et al. 2019

J Clinic Periodontology

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Aim To assess tooth loss in patients with aggressive periodontitis (AgP) 10–35 years after active periodontal therapy (APT) in a private practice and to detect possible factors influencing tooth loss. Material and Methods In 100 patients with AgP, tooth loss was recorded over a median follow‐up period of 25.5 years after APT, retrospectively. Patient‐ and tooth‐level factors were assessed with a Cox frailty regression model. Results Of 2,380 teeth, 227 were lost during a median follow‐up time of 25.5 years (2.3 ± 3.6 teeth/patient, range 0–17 teeth), resulting in a mean tooth loss rate of 0.09 teeth/patient/year. At patient‐level, statistically significant factors for tooth loss were smoking (p = .039) and the baseline diagnosis generalized AgP (p < .001). Influencing factors at tooth‐level were location in the maxilla (p = .003), baseline bone loss (p < .001), molars (p < .001) and premolars (p < .001) as well as abutment teeth (p = .009). Conclusion Tooth loss occurred rarely in patients with AgP treated in a private practice over a long‐time period. Annual tooth loss rates are comparable with those described in university settings. Smoking, generalized form of AgP, location/type of tooth, baseline bone loss and abutment status could be detected as factors impacting upon tooth loss.

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Section: Discussionmentioning

confidence: 99%

Tooth loss in aggressive periodontitis: Results 25 years after active periodontal therapy in a private practice

Bäumer

Weber

Staufer

et al. 2019

J Clinic Periodontology

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“…The risk of progression of periodontitis has been associated with smoking, diabetes, age, and the presence and duration of periodontal maintenance (PM) . During the last half century, multiple studies have documented the long‐term effectiveness of active periodontal therapy, and PM in preventing TL in periodontitis patients . Although an overall high tooth survival rate was reported after periodontal therapy, there was a discrepancy in the number of teeth lost among such studies.…”

Section: Introductionmentioning

confidence: 99%

Using periodontal staging and grading system as a prognostic factor for future tooth loss: A long‐term retrospective study

Ravidà

Qazi

Troiano

et al. 2019

Journal of Periodontology

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Background: A new classification of periodontal diseases aimed to identify periodontal disease based on a multidimensional staging and grading system has been recently proposed. However, up to date, its prognostic predictive capability has not been investigated. The aim of this study was to assess if parameters included in the new classification were predictive of tooth loss after a long-term follow-up (>10 years) in patients with periodontitis. Methods: Patients presented with periodontitis at the University of Michigan between January 1966 and January 2004 were screened and categorized according to the new classification of periodontitis. Number/Reasons of teeth loss in patients who underwent at least one session/year of maintenance during the entire follow-up period were extracted and used to analyze the prognostic capabilities of variables (staging, grading, and Extent) included in the new classification.

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“…A utilização de um protocolo bem definido baseado em evidência científica traz ao serviço a organização necessária para o oferecimento de assistência ao usuário 10,11 . O serviço avaliado no estudo apresenta um protocolo de atendimento bem definido, com etapas sequenciais e baseado em achados científicos pertinentes 9,[18][19][20][21] .…”

Section: Discussionunclassified

Perfil dos atendimentos no serviço de Periodontia da Faculdade de Odontologia da UFRJ

et al. 2019

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meio de levantamento de dados dos atendimentos realizados em um período de 10 anos (2007 a 2016). Foram analisados o protocolo de atendimento, número total de procedimentos realizados por semestre e por estudante de graduação, número de exames periodontais, profilaxias, instruções de higiene oral, procedimentos de raspagem supragengivais, procedimentos de raspagem subgengival e alisamento radicular realizados por semestre. As informações relacionadas ao perfil dos usuários foram coletadas a partir do prontuário e incluíram dados sociodemográficos, diagnóstico das condições periodontais e condições sistêmicas associadas. No período estudado foram realizados 13.810 procedimentos clínicos, em média 690,5 por semestre. Em amostragem de 715 usuários a idade variou entre 12 e 85 anos, sendo a faixa etária predominante entre 45 e 64 anos, equivalente a 55,38% da amostra. Na amostra, 14,55% foram diagnosticados com gengivite e 85,45% com periodontite, sendo 93,94% dos casos periodontite crônica e 6,06% periodontite agressiva. Foram identificadas condições sistêmicas de saúde associadas aos quadros de doença periodontal. As condições mais relevantes informadas pelos pacientes foram hipertensão arterial (25,87%), doenças respiratórias como sinusite e rinite alérgica (13,29%), diabetes mellitus (10,35%) e tabagismo (7,70%). Foi possível conhecer em detalhes o funcionamento da clínica da disciplina de Periodontia II da FO/UFRJ e os resultados foram utilizados como base para melhorias no serviço. O perfil de saúde apresentado pelos usuários do serviço apontou para a necessidade de abordagem interprofissional. Descritores: Administração de Serviços de Saúde. Periodontia. Ensino Odontológico. Cuidados Interprofissionais.

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Tooth loss in periodontally compromised patients: Results 20 years after active periodontal therapy

Abstract: Over 20 years of follow-up, a low number of teeth were lost in mostly severely compromised periodontal patients. Smoking, non-compliance to SPT, age, living as a single and systemic diseases like diabetes or cardiovascular diseases negatively influence tooth loss on the long run.

Cited by 41 publications

References 32 publications

Tooth loss in aggressive periodontitis: Results 25 years after active periodontal therapy in a private practice

Tooth loss in aggressive periodontitis: Results 25 years after active periodontal therapy in a private practice

Using periodontal staging and grading system as a prognostic factor for future tooth loss: A long‐term retrospective study

Perfil dos atendimentos no serviço de Periodontia da Faculdade de Odontologia da UFRJ

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