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Tooth loss in treated periodontitis patients responsible for their supportive care arrangements
Author(s) -
Leung W. K.,
Ng Daniel K. C.,
Jin Lijian,
Corbet Esmonde F.
Publication year - 2006
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.2006.00903.x
Subject(s) - medicine , oral hygiene , dentistry , periodontitis , tooth loss , clinical attachment loss , gingival and periodontal pocket , bleeding on probing , oral health , dental care , orthodontics
Aim: To identify risk indicators associated with tooth loss and periodontitis in treated patients responsible for arranging supportive periodontal care (SPC). Materials and Methods: Ninety‐seven Chinese subjects (34–77 years) who showed favourable responses to periodontal therapy provided in a teaching hospital 5–12 years previously were recalled. They were advised to seek regular SPC on discharge. Background information, general health status, smoking, oral hygiene habits, follow‐up dental care, tooth loss, and periodontal parameters were investigated. Multiple regression analysis was performed. Results: Two hundred and fifty‐six teeth had been lost, 195 because of self‐reported periodontal reasons. Up to 26.8% sites were with pockets 6 mm. Positive correlations were found between total/periodontal tooth loss and (i) smoking pack‐years, (ii) time spent on oral hygiene, (iii) years since therapy's conclusion, (iv) age, and negative correlations with (v) inter‐dental brush use, and (vi) education levels. Tooth loss by arch was correlated with wearing of removable partial denture in that arch. Percentage sites with pockets 6 mm were significantly negatively correlated with percentage sites without bleeding on probing. Conclusions: Smokers, more elderly patients, removable partial denture wearers, and patients with lower education levels or not using inter‐dental brushes ought to be targeted for clinic‐based SPC.