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Article: Initial extractions and tooth loss during supportive care in a periodontal population seeking comprehensive care

TitleInitial extractions and tooth loss during supportive care in a periodontal population seeking comprehensive care
Authors
Issue Date2000
PublisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPE
Citation
Journal Of Clinical Periodontology, 2000, v. 27 n. 11, p. 824-831 How to Cite?
AbstractBackground/aims: This retrospective survey was aimed at determining the prevalence of tooth extractions and the dental pathologies associated with them during both the active and maintenance phase of periodontal therapy in a periodontal population seeking comprehensive dental care. Methods: A total of 273 randomly selected subjects from the oral prophylaxis clinic of the University of Berne were included. All subjects had received comprehensive care consisting of periodontal and restorative treatment and participated in a supervised maintenance program for an average of 67±46 months (range 5 to 278 months). The population consisted of 39.6% current smokers and 27.8% previous smokers. 6.2% of the patients had gingivitis, 20.5% mild periodontitis, 48.4% moderate and 24.9% severe periodontitis. The average frequency of the recall visits was 4.4±1.5 appointments/year (range 1.7-12 appointments/year). Results: Results indicated that 574 out of a total of 6503 teeth were extracted; 311 teeth were extracted during active therapy and 263 during the supportive periodontal care (SPC) phase of therapy. 46% of patients received tooth extractions as part of their active treatment and 41% during their participation in the secondary prevention program. In the subgroup whose treatment plan included extractions the average number was 2.5±1.6 teeth per patient. Likewise, the patients who received extractions during recall lost an average of 2.35±1.9 teeth per subject with an incidence of 0.4±0.37 teeth per patient per year. These data reinforce the concept that a minority of the population is responsible for the majority of tooth extractions, both during active therapy and SPC. Periodontal disease was the only pathology observed at 57% of the extracted teeth; while caries, endodontic pathology and technical problems in the absence of periodontitis were observed in 29% of cases. Conclusions: These observations indicate that the rendered treatment was effective in the long-term maintenance of the dentition of these subjects and suggest that advanced periodontal disease represented the major cause of tooth loss in this population. © Munksgaard, 2000.
Persistent Identifierhttp://hdl.handle.net/10722/154122
ISSN
2015 Impact Factor: 3.915
2015 SCImago Journal Rankings: 1.848
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTonetti, MSen_US
dc.contributor.authorSteffen, Pen_US
dc.contributor.authorMullerCampanile, Ven_US
dc.contributor.authorSuvan, Jen_US
dc.contributor.authorLang, NPen_US
dc.date.accessioned2012-08-08T08:23:22Z-
dc.date.available2012-08-08T08:23:22Z-
dc.date.issued2000en_US
dc.identifier.citationJournal Of Clinical Periodontology, 2000, v. 27 n. 11, p. 824-831en_US
dc.identifier.issn0303-6979en_US
dc.identifier.urihttp://hdl.handle.net/10722/154122-
dc.description.abstractBackground/aims: This retrospective survey was aimed at determining the prevalence of tooth extractions and the dental pathologies associated with them during both the active and maintenance phase of periodontal therapy in a periodontal population seeking comprehensive dental care. Methods: A total of 273 randomly selected subjects from the oral prophylaxis clinic of the University of Berne were included. All subjects had received comprehensive care consisting of periodontal and restorative treatment and participated in a supervised maintenance program for an average of 67±46 months (range 5 to 278 months). The population consisted of 39.6% current smokers and 27.8% previous smokers. 6.2% of the patients had gingivitis, 20.5% mild periodontitis, 48.4% moderate and 24.9% severe periodontitis. The average frequency of the recall visits was 4.4±1.5 appointments/year (range 1.7-12 appointments/year). Results: Results indicated that 574 out of a total of 6503 teeth were extracted; 311 teeth were extracted during active therapy and 263 during the supportive periodontal care (SPC) phase of therapy. 46% of patients received tooth extractions as part of their active treatment and 41% during their participation in the secondary prevention program. In the subgroup whose treatment plan included extractions the average number was 2.5±1.6 teeth per patient. Likewise, the patients who received extractions during recall lost an average of 2.35±1.9 teeth per subject with an incidence of 0.4±0.37 teeth per patient per year. These data reinforce the concept that a minority of the population is responsible for the majority of tooth extractions, both during active therapy and SPC. Periodontal disease was the only pathology observed at 57% of the extracted teeth; while caries, endodontic pathology and technical problems in the absence of periodontitis were observed in 29% of cases. Conclusions: These observations indicate that the rendered treatment was effective in the long-term maintenance of the dentition of these subjects and suggest that advanced periodontal disease represented the major cause of tooth loss in this population. © Munksgaard, 2000.en_US
dc.languageengen_US
dc.publisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPEen_US
dc.relation.ispartofJournal of Clinical Periodontologyen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAlveolar Bone Loss - Etiologyen_US
dc.subject.meshAnalysis Of Varianceen_US
dc.subject.meshComprehensive Dental Careen_US
dc.subject.meshDental Prophylaxisen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPeriodontitis - Complications - Therapyen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSmokingen_US
dc.subject.meshStatistics, Nonparametricen_US
dc.subject.meshTooth Extraction - Statistics & Numerical Dataen_US
dc.subject.meshTooth Loss - Etiologyen_US
dc.titleInitial extractions and tooth loss during supportive care in a periodontal population seeking comprehensive careen_US
dc.typeArticleen_US
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid11073325-
dc.identifier.scopuseid_2-s2.0-0034330561en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034330561&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume27en_US
dc.identifier.issue11en_US
dc.identifier.spage824en_US
dc.identifier.epage831en_US
dc.identifier.isiWOS:000089893800006-
dc.publisher.placeDenmarken_US
dc.identifier.scopusauthoridTonetti, MS=35602248900en_US
dc.identifier.scopusauthoridSteffen, P=7006582967en_US
dc.identifier.scopusauthoridMullerCampanile, V=9635646300en_US
dc.identifier.scopusauthoridSuvan, J=19637686000en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US

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