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A retrospective study on periodontal disease progression in private practice
Author(s) -
Nibali Luigi,
Sun Chuanming,
Akcalı Aliye,
Meng Xsuan,
Tu YuKang,
Donos Nikos
Publication year - 2017
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/jcpe.12653
Subject(s) - medicine , tooth loss , periodontitis , dentistry , chronic periodontitis , retrospective cohort study , molar , clinical attachment loss , cohort , private practice , oral health , family medicine
Background Only a handful of studies have assessed tooth loss risk in chronic periodontitis patients following active therapy and factors associated with it. Aims The aim of this retrospective study was to assess tooth loss in a cohort of chronic periodontitis patients undergoing maintenance care in a UK private practice setting. Materials and Methods One hundred chronic periodontitis patients treated with active periodontal therapy were followed up in supportive periodontal therapy ( SPT ) for at least 5 years. Tooth loss rates and the effect of patient and tooth factors on tooth loss were assessed. Existing patient‐based prognosis systems and a novel tooth‐based prognosis system were tested for their association with tooth loss. Results Excluding third molars, 34 teeth were extracted during SPT , with an overall average tooth loss of 0.06 teeth/patient/year (0.02 for periodontal reasons). Multivariable analysis showed that age, patient prognosis based on the Periodontal Risk Assessment system, tooth prognosis, furcation involvement and previous endodontic therapy were significantly associated with tooth loss during SPT . Conclusion Good overall stability and a small tooth loss rate were observed in this cohort of chronic periodontitis cases under SPT in private practice. Patient‐based and tooth‐based prognosis systems may be used to estimate the risk of tooth loss.