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

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TitleInfluence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance
AuthorsMatuliene, G2
Pjetursson, BE2
Salvi, GE2
Schmidlin, K2
Brägger, U2
Zwahlen, M2
Lang, NP1 2
Issue Date2008
PublisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPE
CitationJournal Of Clinical Periodontology, 2008, v. 35 n. 8, p. 685-695 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-051X.2008.01245.x
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.
ISSN0303-6979
2011 Impact Factor: 2.996
2011 SCImago Journal Rankings: 0.160
DOIhttp://dx.doi.org/10.1111/j.1600-051X.2008.01245.x
ISI Accession Number IDWOS:000258075600007
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorMatuliene, G
dc.contributor.authorPjetursson, BE
dc.contributor.authorSalvi, GE
dc.contributor.authorSchmidlin, K
dc.contributor.authorBrägger, U
dc.contributor.authorZwahlen, M
dc.contributor.authorLang, NP
dc.date.accessioned2010-05-31T03:24:13Z
dc.date.available2010-05-31T03:24:13Z
dc.date.issued2008
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.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationJournal Of Clinical Periodontology, 2008, v. 35 n. 8, p. 685-695 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-051X.2008.01245.x
dc.identifier.citeulike3044281
dc.identifier.doihttp://dx.doi.org/10.1111/j.1600-051X.2008.01245.x
dc.identifier.epage695
dc.identifier.hkuros153601
dc.identifier.isiWOS:000258075600007
dc.identifier.issn0303-6979
2011 Impact Factor: 2.996
2011 SCImago Journal Rankings: 0.160
dc.identifier.issue8
dc.identifier.openurl
dc.identifier.pmid18549447
dc.identifier.scopuseid_2-s2.0-47849118231
dc.identifier.spage685
dc.identifier.urihttp://hdl.handle.net/10722/58124
dc.identifier.volume35
dc.languageeng
dc.publisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPE
dc.publisher.placeDenmark
dc.relation.ispartofJournal of Clinical Periodontology
dc.relation.referencesReferences in Scopus
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshAged
dc.subject.meshCohort Studies
dc.subject.meshDisease Progression
dc.subject.meshFemale
dc.subject.meshFollow-Up Studies
dc.subject.meshForecasting
dc.subject.meshFurcation Defects - physiopathology
dc.subject.meshGingival Hemorrhage - physiopathology
dc.subject.meshGingival Recession - physiopathology
dc.subject.meshHumans
dc.subject.meshLongitudinal Studies
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshPeriodontal Attachment Loss - physiopathology
dc.subject.meshPeriodontal Pocket - physiopathology - therapy
dc.subject.meshPeriodontitis - physiopathology
dc.subject.meshRetrospective Studies
dc.subject.meshRisk Factors
dc.subject.meshSmoking - physiopathology
dc.subject.meshTooth Loss - physiopathology
dc.subject.meshTooth Mobility - physiopathology
dc.subject.meshTreatment Outcome
dc.titleInfluence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong
  2. Universität Bern