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Article: Influence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance

TitleInfluence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance
Authors
Issue Date2008
PublisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPE
Citation
Journal Of Clinical Periodontology, 2008, v. 35 n. 8, p. 685-695 How to Cite?
Abstract
Background: Limited evidence exists on the significance of residual probing pocket depth (PPD) as a predictive parameter for periodontal disease progression and tooth loss. Aim: The aim of this study was to investigate the influence of residual PPD ≥5 mm and bleeding on probing (BOP) after active periodontal therapy (APT) on the progression of periodontitis and tooth loss. Material and Methods: In this retrospective cohort, 172 patients were examined after APT and supportive periodontal therapy (SPT) for 3-27 years (mean 11.3 years). Analyses were conducted using information at site, tooth and patient levels. The association of risk factors with tooth loss and progression of periodontitis was investigated using multilevel logistic regression analysis. Results: The number of residual PPD increased during SPT. Compared with PPD≤3 mm, PPD=5 mm represented a risk factor for tooth loss with odds ratios of 5.8 and 7.7, respectively, at site and tooth levels. The corresponding odds ratios for PPD=6 mm were 9.3 and 11.0 and for PPD≥7 mm 37.9 and 64.2, respectively. At patient level, heavy smoking, initial diagnosis, duration of SPT and PPD≥6 mm were risk factors for disease progression, while PPD≥6 mm and BOP≥30% represented a risk for tooth loss. Conclusion: Residual PPD≥6 mm represent an incomplete periodontal treatment outcome and require further therapy. © 2008 The Authors.
Persistent Identifierhttp://hdl.handle.net/10722/58124
ISSN
2013 Impact Factor: 3.610
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMatuliene, Gen_HK
dc.contributor.authorPjetursson, BEen_HK
dc.contributor.authorSalvi, GEen_HK
dc.contributor.authorSchmidlin, Ken_HK
dc.contributor.authorBrägger, Uen_HK
dc.contributor.authorZwahlen, Men_HK
dc.contributor.authorLang, NPen_HK
dc.date.accessioned2010-05-31T03:24:13Z-
dc.date.available2010-05-31T03:24:13Z-
dc.date.issued2008en_HK
dc.identifier.citationJournal Of Clinical Periodontology, 2008, v. 35 n. 8, p. 685-695en_HK
dc.identifier.issn0303-6979en_HK
dc.identifier.urihttp://hdl.handle.net/10722/58124-
dc.description.abstractBackground: Limited evidence exists on the significance of residual probing pocket depth (PPD) as a predictive parameter for periodontal disease progression and tooth loss. Aim: The aim of this study was to investigate the influence of residual PPD ≥5 mm and bleeding on probing (BOP) after active periodontal therapy (APT) on the progression of periodontitis and tooth loss. Material and Methods: In this retrospective cohort, 172 patients were examined after APT and supportive periodontal therapy (SPT) for 3-27 years (mean 11.3 years). Analyses were conducted using information at site, tooth and patient levels. The association of risk factors with tooth loss and progression of periodontitis was investigated using multilevel logistic regression analysis. Results: The number of residual PPD increased during SPT. Compared with PPD≤3 mm, PPD=5 mm represented a risk factor for tooth loss with odds ratios of 5.8 and 7.7, respectively, at site and tooth levels. The corresponding odds ratios for PPD=6 mm were 9.3 and 11.0 and for PPD≥7 mm 37.9 and 64.2, respectively. At patient level, heavy smoking, initial diagnosis, duration of SPT and PPD≥6 mm were risk factors for disease progression, while PPD≥6 mm and BOP≥30% represented a risk for tooth loss. Conclusion: Residual PPD≥6 mm represent an incomplete periodontal treatment outcome and require further therapy. © 2008 The Authors.en_HK
dc.languageengen_HK
dc.publisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPEen_HK
dc.relation.ispartofJournal of Clinical Periodontologyen_HK
dc.subject.meshAdolescenten_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshCohort Studiesen_HK
dc.subject.meshDisease Progressionen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshFollow-Up Studiesen_HK
dc.subject.meshForecastingen_HK
dc.subject.meshFurcation Defects - physiopathologyen_HK
dc.subject.meshGingival Hemorrhage - physiopathologyen_HK
dc.subject.meshGingival Recession - physiopathologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLongitudinal Studiesen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPeriodontal Attachment Loss - physiopathologyen_HK
dc.subject.meshPeriodontal Pocket - physiopathology - therapyen_HK
dc.subject.meshPeriodontitis - physiopathologyen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshRisk Factorsen_HK
dc.subject.meshSmoking - physiopathologyen_HK
dc.subject.meshTooth Loss - physiopathologyen_HK
dc.subject.meshTooth Mobility - physiopathologyen_HK
dc.subject.meshTreatment Outcomeen_HK
dc.titleInfluence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenanceen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0303-6979&volume=35&spage=685&epage=95&date=2008&atitle=Influence+of+residual+pockets+on+progression+of+periodontitis+and+tooth+loss:+Results+after+11+years+of+maintenanceen_HK
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_HK
dc.identifier.authorityLang, NP=rp00031en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1600-051X.2008.01245.xen_HK
dc.identifier.pmid18549447en_HK
dc.identifier.scopuseid_2-s2.0-47849118231en_HK
dc.identifier.hkuros153601en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-47849118231&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume35en_HK
dc.identifier.issue8en_HK
dc.identifier.spage685en_HK
dc.identifier.epage695en_HK
dc.identifier.isiWOS:000258075600007-
dc.publisher.placeDenmarken_HK
dc.identifier.scopusauthoridMatuliene, G=7801433083en_HK
dc.identifier.scopusauthoridPjetursson, BE=6506841442en_HK
dc.identifier.scopusauthoridSalvi, GE=35600695300en_HK
dc.identifier.scopusauthoridSchmidlin, K=24476651100en_HK
dc.identifier.scopusauthoridBrägger, U=7005538598en_HK
dc.identifier.scopusauthoridZwahlen, M=7004748418en_HK
dc.identifier.scopusauthoridLang, NP=7201577367en_HK
dc.identifier.citeulike3044281-

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