Tooth mobility and periodontal therapy

Fleszar, Thomas J.; Knowles, James W.; Morrison, Edith C.; Burgett, Frederick G.; Nissle, Robert R.; Ramfjord, Sigurd P.

doi:10.1111/j.1600-051x.1980.tb02156.x

Cited by 123 publications

(89 citation statements)

References 21 publications

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“…With improvements in the periodontal situation, either functionally or by treatment, reduced mobility results [3,4,8,11,17,21,24,30]. In this respect, a reduction in CPAL could be considered an improvement in tooth placement that results in a reduced mobility and PPD (Fig.…”

Section: Discussionmentioning

confidence: 97%

“…However, there is only scant knowledge concerning the influence of splinting of periodontally compromised teeth on the healing of periodontal defects after using reconstructive surgical approaches such as BRG, GTR, or debridement alone. The relevant literature has not addressed this aspect [4,6,9,25,30].…”

Section: Discussionmentioning

confidence: 99%

“…Several papers have addressed the effect of tooth mobility on results obtained with flap surgery (debridement alone), but not with regenerative approaches using BRG [4,6,9,29,30]. The purpose of this study was to evaluate the effect of splinting on the results of periodontal reconstructive surgery using a specific BRG material.…”

Section: Introductionmentioning

confidence: 99%

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The effect of splinting of teeth in combination with reconstructive periodontal surgery in humans

Schulz¹,

Hilgers²,

Niedermeier³

2000

Clinical Oral Investigations

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The purpose of this study was to evaluate the effect of splinting teeth on the results of periodontal reconstructive surgery using a specific carbonate bone replacement graft (BRG) material. Forty-five patients were randomly treated with a periodontal surgery approach. Natural coral calcium BRG was utilised in 33 patients. This 33-patient group was divided into three equal groups. In the presplint group, teeth were splinted to at least two rigid teeth before surgery, in the postsplint group, teeth were splinted at suture removal, and in the nonsplint group, the treated teeth were not splinted at all. In 12 patients, teeth were treated with surgical debridement (DEBR) alone and not splinted. Periodontal probing depth (PPD), clinical probing attachment level (CPAL), and tooth mobility were measured using desmodontometry (DDM) and periotest (PTV) with reproducible methods before surgery and at various periods up to 1 year afterwards. A decrease in PPD (5.4 mm, SD 1.4 mm) and tooth mobility (DDM-horizontal 257 microns, SD 60 microns) and a gain of CPAL (5.1 mm, SD 1.4 mm) were seen following the use of BRG in presplint teeth. In the same group, PPD and tooth mobility were significantly reduced compared to nonsplint teeth. DEBR alone showed reductions in tooth mobility and PPD and a significantly smaller gain in CPAL than in presplint teeth treated with BRG. The less favourable improvement in periodontal function of postsplint or nonsplint teeth seemed to be due to the loss of BRG material caused by tooth mobility. These results indicate that an undisturbed wound healing process using BRG together with tooth stability is beneficial to overall clinical success.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of splinting of teeth in combination with reconstructive periodontal surgery in humans

Schulz¹,

Hilgers²,

Niedermeier³

2000

Clinical Oral Investigations

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“…Slight mobility was observed in this tooth during SPT. It is necessary to pay attention to factors such as inflammation and occlusal trauma 4) . One study reported that compromised teeth could be maintained longitudinally by appropriate SPT 1) .…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Supportive Periodontal Therapy for Severe Chronic Periodontitis with Furcation Involvement: A 12-year Follow-up Report

Komiya-Ito

Tomita

Kinumatsu

et al. 2013

Bull. Tokyo Dent. Coll.

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We report a case involving a 12-year follow-up after treatment for chronic periodontitis with furcation involvement. A 54-year-old woman presented with the chief complaint of hypersensitivity. Clinical examination at the first visit revealed 15% of sites with a probing depth ≥4 mm and 35% of sites with bleeding on probing. Initial periodontal therapy was implemented based on a clinical diagnosis of severe chronic periodontitis. Surgical periodontal therapy was subsequently performed at selected sites. For #44, regenerative periodontal therapy using enamel matrix derivative (Emdogain ® ) was selected. For #16, which exhibited a 2-to 3-wall vertical bony defect and class III (mesio-distal) furcation involvement, bone graft was scheduled. Other sites with residual periodontal pockets were treated by open flap debridement. For #37, with a gutter-shaped root, odontoplasty was performed. After reevaluation, the patient was placed on supportive periodontal therapy (SPT). During 12 years of SPT, the periodontal condition remained uneventful in most of the teeth. However, bone resorption was observed in the distal aspect of #37, making the prognosis poor. This indicates the need to continuously monitor risk factors, including inflammation and traumatic occlusion, during SPT. Although some problems still remain, severe periodontitis with furcation involvement was successfully maintained longitudinally with an adequate level of patient compliance and careful SPT.

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“…An antibiotic must penetrate Teeth with greater mobility present less favorable changes after periodontal treatment than firmer teeth. 122 Occlusal adjustment has also been shown to reduce tooth mobility. 123 Furthermore, periodontal treatment in conjunction with occlusal adjustment tends to result in a slightly more favorable attachment level gain than treatment without occlusal adjustment.…”

Section: Use Of Antibioticsmentioning

confidence: 99%

Treating chronic periodontitis: current status, challenges, and future directions

Shaddox¹

2010

CCIDE

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Periodontitis affects roughly one-third of the US population. A timely diagnosis of chronic periodontitis at its earliest stage is essential to avoid more challenging severe stages of the disease. Most cases of slight and moderate chronic periodontitis can be successfully managed by mechanical removal and/or reduction of subgingival bacterial biofilms and calculus. However, any factor that affects either the local environment or the host response may contribute to progression of the disease and a poor treatment response. Thus, it is essential that clinicians are aware of etiologic and risk factors associated with disease development and progression in order to plan and execute a successful treatment. This paper reviews a variety of risk factors, both local and systemic, that can impact the successful treatment of chronic periodontitis.

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Tooth mobility and periodontal therapy

Cited by 123 publications

References 21 publications

The effect of splinting of teeth in combination with reconstructive periodontal surgery in humans

The effect of splinting of teeth in combination with reconstructive periodontal surgery in humans

Longitudinal Supportive Periodontal Therapy for Severe Chronic Periodontitis with Furcation Involvement: A 12-year Follow-up Report

Treating chronic periodontitis: current status, challenges, and future directions

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