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Moderate‐ to long‐term therapeutic outcomes of treated aggressive periodontitis patients without regular supportive care
Author(s) -
Goh V.,
Nihalani D.,
Yeung K. W. S.,
Corbet E. F.,
Leung W. K.
Publication year - 2018
Publication title -
journal of periodontal research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.31
H-Index - 83
eISSN - 1600-0765
pISSN - 0022-3484
DOI - 10.1111/jre.12517
Subject(s) - medicine , periodontitis , discontinuation , aggressive periodontitis , retrospective cohort study , cohort , dentistry , clinical attachment loss , cohort study , periodontal examination , tooth loss , physical examination , oral health
Background and Objective Risk for deterioration in treated aggressive periodontitis (AgP) individuals remained unclear. This retrospective cohort study investigated 7‐26 years of periodontal outcomes and oral health‐related quality of life ( OHRQ oL) of young adults with advanced periodontitis. Material and Methods Eighty‐nine previously treated patients with AgP were re‐examined. Clinical and radiographic parameters before treatment discontinuation and at re‐examination were compared. OHRQ oL at re‐call was assessed with the short‐form Oral Health Impact Profile ( OHIP ‐14S). Results None of the subjects adhered to suggested periodontal therapy and maintenance after discharge. Mean percentage of sites with probing pocket depth ( PPD ) ≥6 mm at re‐examination was 4.5 ± 5.9%. A total of 182 teeth had been lost over time. Tooth loss rate was 0.14/patient/year. From 68 subjects with documented favorable treatment outcomes, higher percentage of sites with PPD ≥6 mm at re‐examination and higher radiographic proximal bone loss was associated with current smoking status. Patients with AgP with <20 teeth at re‐call had worse OHRQ oL than those with ≥20 teeth. Patients with higher full‐mouth mean PPD also reported poorer OHRQ oL. Conclusion Treatment in patients with AgP who smoke and neglect proper supportive care, risk periodontal disease progression. Substantial tooth loss and higher full‐mouth mean PPD led to poorer OHRQ oL in this cohort.