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Article: Significance of periodontal risk assessment in the recurrence of periodontitis and tooth loss

TitleSignificance of periodontal risk assessment in the recurrence of periodontitis and tooth loss
Authors
Issue Date2010
PublisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPE
Citation
Journal Of Clinical Periodontology, 2010, v. 37 n. 2, p. 191-199 How to Cite?
Abstract
Aim: To investigate the association of the Periodontal Risk Assessment (PRA) model categories with periodontitis recurrence and tooth loss during supportive periodontal therapy (SPT) and to explore the role of patient compliance. Material and Methods: In a retrospective cohort, PRA was performed for 160 patients after active periodontal therapy (APT) and after 9.5 ± 4.5 years of SPT. The recurrence of periodontitis and tooth loss were analysed according to the patient's risk profile (low, moderate or high) after APT and compliance with SPT. The association of risk factors with tooth loss and recurrence of periodontitis was investigated using logistic regression analysis. Results: In 18.2% of patients with a low-risk profile, in 42.2% of patients with a moderate-risk profile and in 49.2% of patients with a high-risk profile after APT, periodontitis recurred. During SPT, 1.61 ± 2.8 teeth/patient were lost. High-risk profile patients lost significantly more teeth (2.59 ± 3.9) than patients with moderate- (1.02 ± 1.8) or low-risk profiles (1.18 ± 1.9) (Kruskal-Wallis test, p=0.0229). Patients with erratic compliance lost significantly (Kruskal-Wallis test, p=0.0067) more teeth (3.11 ± 4.5) than patients compliant with SPT (1.07 ± 1.6). Conclusions: In multivariate logistic regression analysis, a high-risk patient profile according to the PRA model at the end of APT was associated with recurrence of periodontitis. Another significant factor for recurrence of periodontitis was an SPT duration of more than 10 years. © 2009 John Wiley & Sons A/S.
Persistent Identifierhttp://hdl.handle.net/10722/154596
ISSN
2013 Impact Factor: 3.610
ISI Accession Number ID
Funding AgencyGrant Number
Clinical Research Foundation (CRF)
Swiss National Foundation3200-0377763.93/1
Funding Information:

This study was supported by the Clinical Research Foundation (CRF) for the Promotion of Oral Health, Brienz, Switzerland, and the Swiss National Foundation for Scientific Research (SNF), Grant No. 3200-0377763.93/1.

References

 

Author Affiliations
  1. Vilnius University
  2. University of Iceland
  3. Prince Philip Dental Hospital
  4. Universität Bern
DC FieldValueLanguage
dc.contributor.authorMatuliene, Gen_US
dc.contributor.authorStuder, Ren_US
dc.contributor.authorLang, NPen_US
dc.contributor.authorSchmidlin, Ken_US
dc.contributor.authorPjetursson, BEen_US
dc.contributor.authorSalvi, GEen_US
dc.contributor.authorBrägger, Uen_US
dc.contributor.authorZwahlen, Men_US
dc.date.accessioned2012-08-08T08:26:24Z-
dc.date.available2012-08-08T08:26:24Z-
dc.date.issued2010en_US
dc.identifier.citationJournal Of Clinical Periodontology, 2010, v. 37 n. 2, p. 191-199en_US
dc.identifier.issn0303-6979en_US
dc.identifier.urihttp://hdl.handle.net/10722/154596-
dc.description.abstractAim: To investigate the association of the Periodontal Risk Assessment (PRA) model categories with periodontitis recurrence and tooth loss during supportive periodontal therapy (SPT) and to explore the role of patient compliance. Material and Methods: In a retrospective cohort, PRA was performed for 160 patients after active periodontal therapy (APT) and after 9.5 ± 4.5 years of SPT. The recurrence of periodontitis and tooth loss were analysed according to the patient's risk profile (low, moderate or high) after APT and compliance with SPT. The association of risk factors with tooth loss and recurrence of periodontitis was investigated using logistic regression analysis. Results: In 18.2% of patients with a low-risk profile, in 42.2% of patients with a moderate-risk profile and in 49.2% of patients with a high-risk profile after APT, periodontitis recurred. During SPT, 1.61 ± 2.8 teeth/patient were lost. High-risk profile patients lost significantly more teeth (2.59 ± 3.9) than patients with moderate- (1.02 ± 1.8) or low-risk profiles (1.18 ± 1.9) (Kruskal-Wallis test, p=0.0229). Patients with erratic compliance lost significantly (Kruskal-Wallis test, p=0.0067) more teeth (3.11 ± 4.5) than patients compliant with SPT (1.07 ± 1.6). Conclusions: In multivariate logistic regression analysis, a high-risk patient profile according to the PRA model at the end of APT was associated with recurrence of periodontitis. Another significant factor for recurrence of periodontitis was an SPT duration of more than 10 years. © 2009 John Wiley & Sons A/S.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.meshCohort Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshLogistic Modelsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshModels, Biologicalen_US
dc.subject.meshPeriodontal Indexen_US
dc.subject.meshPeriodontitis - Classification - Complications - Prevention & Control - Therapyen_US
dc.subject.meshRecurrenceen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Assessment - Methodsen_US
dc.subject.meshStatistics, Nonparametricen_US
dc.subject.meshTooth Loss - Etiology - Prevention & Controlen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshYoung Adulten_US
dc.titleSignificance of periodontal risk assessment in the recurrence of periodontitis and tooth lossen_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.doi10.1111/j.1600-051X.2009.01508.xen_US
dc.identifier.pmid20041980en_US
dc.identifier.scopuseid_2-s2.0-74049086531en_US
dc.identifier.hkuros170618-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-74049086531&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume37en_US
dc.identifier.issue2en_US
dc.identifier.spage191en_US
dc.identifier.epage199en_US
dc.identifier.isiWOS:000273451300011-
dc.publisher.placeDenmarken_US
dc.identifier.scopusauthoridMatuliene, G=7801433083en_US
dc.identifier.scopusauthoridStuder, R=35339909300en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US
dc.identifier.scopusauthoridSchmidlin, K=24476651100en_US
dc.identifier.scopusauthoridPjetursson, BE=6506841442en_US
dc.identifier.scopusauthoridSalvi, GE=35600695300en_US
dc.identifier.scopusauthoridBrägger, U=7005538598en_US
dc.identifier.scopusauthoridZwahlen, M=7004748418en_US
dc.identifier.citeulike6616615-

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