nach oben

Clinical Oral Investigations

Erschienen in:

23.02.2019 | Original Article

Risk factors associated with long-term outcomes after active and supporting periodontal treatments: impact of various compliance definitions on tooth loss

verfasst von: Catherine Petit, Sylvie Schmeltz, Alexandre Burgy, Henri Tenenbaum, Olivier Huck, Jean-Luc Davideau

Erschienen in: Clinical Oral Investigations | Ausgabe 11/2019

Einloggen, um Zugang zu erhalten

Abstract

Objectives

The aim of this retrospective study was to determine factors influencing tooth loss during a long-term follow-up, emphasizing the impact of various compliance definitions.

Materials and methods

Patients with periodontitis who were treated and presenting for maintenance care for at least up to 6 years were included. The effects of compliance and other patient- and treatment-related factors on tooth loss were assessed. Lack of compliance was defined in three ways: (1) fewer than 1.4 visits per year (irregular compliers), (2) no maintenance visit over a 2-year period (erratic compliers), and (3) no maintenance visit over a 2- to 5-year period (partial compliers) and no maintenance visit for a period of more than 5 years (non-compliers).

Results

One hundred and one patients were selected. The mean follow-up was 9.72 ± 1.17 years. Tooth loss per patient-year was significantly higher in erratic compliers (0.35 ± 0.19) and non-compliers (0.40 ± 0.20) compared with compliers (0.18 ± 0.10). No significant differences were found for irregular (0.30 ± 0.17) and partial (0.25 ± 0.15) compliers. Similar results were obtained for the number of patients who lost more than three teeth. Multivariable regression analysis showed that lack of compliance and periodontitis severity (more than 3% of periodontal pockets > 7 mm at baseline) were independent risk factors for tooth loss.

Conclusions

During long-term follow-up, non-compliance and initial periodontitis severity were the principal risk factors that increased tooth loss.

Clinical relevance

Tooth loss associated with lack of compliance was essentially observed in patients with long continuous periods without maintenance visits and was less influenced by patients’ attended mean visit frequency.

Heitz-Mayfield LJA, Lang NP (2013) Surgical and nonsurgical periodontal therapy. Learned and unlearned concepts. Periodontol 62:218–231. https://doi.org/10.1111/prd.12008 CrossRef

Renvert S, Persson GR (2004) Supportive periodontal therapy. Periodontol 36:179–195. https://doi.org/10.1111/j.1600-0757.2004.03680.x CrossRef

Chambrone L, Chambrone D, Lima LA, Chambrone LA (2010) Predictors of tooth loss during long-term periodontal maintenance: a systematic review of observational studies. J Clin Periodontol 37:675–684. https://doi.org/10.1111/j.1600-051X.2010.01587.x CrossRefPubMed

Costa FO, LOM C, Cortelli JR, Cortelli SC, Cyrino RM, Lages EJP, Oliveira APL (2015) Surgical and Non-Surgical Procedures Associated with Recurrence of Periodontitis in Periodontal Maintenance Therapy: 5-Year Prospective Study. PLoS One 10:e0140847. https://doi.org/10.1371/journal.pone.0140847 CrossRefPubMedPubMedCentral

Lee CT, Huang HY, Sun TC, Karimbux N (2015) Impact of Patient Compliance on Tooth Loss during Supportive Periodontal Therapy: A Systematic Review and Meta-analysis. J Dent Res 94:777–786. https://doi.org/10.1177/0022034515578910 CrossRefPubMed

Manresa C, Sanz-Miralles EC, Twigg J, Bravo M (2018) Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis. Cochrane Database Syst Rev 1:CD009376. https://doi.org/10.1002/14651858.CD009376.pub2 CrossRefPubMed

Martin JA, Page RC, Loeb CF, Levi PA (2010) Tooth loss in 776 treated periodontal patients. J Periodontol 81:244–250. https://doi.org/10.1902/jop.2009.090184 CrossRefPubMed

Martinez-Canut P (2015) Predictors of tooth loss due to periodontal disease in patients following long-term periodontal maintenance. J Clin Periodontol 42:1115–1125. https://doi.org/10.1111/jcpe.12475 CrossRefPubMedPubMedCentral

Heitz-Mayfield LJA (2005) How effective is surgical therapy compared with nonsurgical debridement? Periodontol 37:72–87. https://doi.org/10.1111/j.1600-0757.2004.03797.x CrossRef

10.

Farooqi OA, Wehler CJ, Gibson G, Jurasic MM, Jones JA (2015) Appropriate Recall Interval for Periodontal Maintenance: A Systematic Review. J Evid-Based Dent Pract 15:171–181. https://doi.org/10.1016/j.jebdp.2015.10.001 CrossRefPubMedPubMedCentral

11.

Leininger M, Tenenbaum H, Davideau J-L (2010) Modified periodontal risk assessment score: long-term predictive value of treatment outcomes. A retrospective study. J Clin Periodontol 37:427–435. https://doi.org/10.1111/j.1600-051X.2010.01553.x CrossRefPubMed

12.

Miyamoto T, Kumagai T, Lang MS, Nunn ME (2010) Compliance as a prognostic indicator. II. Impact of patient’s compliance to the individual tooth survival. J Periodontol 81:1280–1288. https://doi.org/10.1902/jop.2010.100039 CrossRefPubMed

13.

Ng MC-H, Ong MM-A, Lim LP, Koh CG, Chan YH (2011) Tooth loss in compliant and non-compliant periodontally treated patients: 7 years after active periodontal therapy. J Clin Periodontol 38:499–508. https://doi.org/10.1111/j.1600-051X.2011.01708.x CrossRefPubMed

14.

Tsami A, Pepelassi E, Kodovazenitis G, Komboli M (2009) Parameters affecting tooth loss during periodontal maintenance in a Greek population. J Am Dent Assoc 1939 140:1100–1107CrossRef

15.

Kocher T, König J, Dzierzon U, Sawaf H, Plagmann HC (2000) Disease progression in periodontally treated and untreated patients--a retrospective study. J Clin Periodontol 27:866–872CrossRef

16.

Matuliene G, Studer R, Lang NP, Schmidlin K, Pjetursson BE, Salvi GE, Brägger U, Zwahlen M (2010) Significance of Periodontal Risk Assessment in the recurrence of periodontitis and tooth loss. J Clin Periodontol 37:191–199. https://doi.org/10.1111/j.1600-051X.2009.01508.x CrossRefPubMed

17.

Miyamoto T, Kumagai T, Jones JA, Van Dyke TE, Nunn ME (2006) Compliance as a prognostic indicator: retrospective study of 505 patients treated and maintained for 15 years. J Periodontol 77:223–232. https://doi.org/10.1902/jop.2006.040349 CrossRefPubMed

18.

Salvi GE, Mischler DC, Schmidlin K, Matuliene G, Pjetursson BE, Brägger U, Lang NP (2014) Risk factors associated with the longevity of multi-rooted teeth. Long-term outcomes after active and supportive periodontal therapy. J Clin Periodontol 41:701–707. https://doi.org/10.1111/jcpe.12266 CrossRefPubMed

19.

Eickholz P, Kaltschmitt J, Berbig J, Reitmeir P, Pretzl B (2008) Tooth loss after active periodontal therapy. 1: patient-related factors for risk, prognosis, and quality of outcome. J Clin Periodontol 35:165–174. https://doi.org/10.1111/j.1600-051X.2007.01184.x CrossRefPubMed

20.

Costa FO, Lages EJP, Cota LOM, Lorentz TCM, Soares RV, Cortelli JR (2014) Tooth loss in individuals under periodontal maintenance therapy: 5-year prospective study. J Periodontal Res 49:121–128. https://doi.org/10.1111/jre.12087 CrossRefPubMed

21.

Dannewitz B, Zeidler A, Hüsing J, Saure D, Pfefferle T, Eickholz P, Pretzl B (2016) Loss of molars in periodontally treated patients: results 10 years and more after active periodontal therapy. J Clin Periodontol 43:53–62. https://doi.org/10.1111/jcpe.12488 CrossRefPubMed

22.

Armitage GC (1999) Development of a classification system for periodontal diseases and conditions. Ann Periodontol Am Acad Periodontol 4:1–6CrossRef

23.

Tenenbaum H, Bogen O, Séverac F, Elkaim R, Davideau J-L, Huck O (2017) Long-term prospective cohort study on dental implants: clinical and microbiological parameters. Clin Oral Implants Res 28:86–94. doi: https://doi.org/10.1111/clr.12764

24.

Fardal Ø, Fardal P, Persson GR (2013) Periodontal and general health in long-term periodontal maintenance patients treated in a Norwegian private practice: a descriptive report from a compliant and partially compliant survivor population. J Periodontol 84:1374–1381. https://doi.org/10.1902/jop.2012.120416 CrossRefPubMed

25.

Checchi L, Montevecchi M, Gatto MRA, Trombelli L (2002) Retrospective study of tooth loss in 92 treated periodontal patients. J Clin Periodontol 29:651–656CrossRef

26.

König J, Plagmann H-C, Ruhling A, Kocher T (2002) Tooth loss and pocket probing depths in compliant periodontally treated patients: a retrospective analysis. J Clin Periodontol 29:1092–1100CrossRef

27.

Matuliene G, Pjetursson BE, Salvi GE, Schmidlin K, Brägger U, Zwahlen M, Lang NP (2008) Influence of residual pockets on progression of periodontitis and tooth loss: results after 11 years of maintenance. J Clin Periodontol 35:685–695. https://doi.org/10.1111/j.1600-051X.2008.01245.x CrossRefPubMed

28.

Saminsky M, Halperin-Sternfeld M, Machtei EE, Horwitz J (2015) Variables affecting tooth survival and changes in probing depth: a long-term follow-up of periodontitis patients. J Clin Periodontol 42:513–519. https://doi.org/10.1111/jcpe.12419 CrossRefPubMed

29.

Carnevale G, Cairo F, Tonetti MS (2007) Long-term effects of supportive therapy in periodontal patients treated with fibre retention osseous resective surgery. I: recurrence of pockets, bleeding on probing and tooth loss. J Clin Periodontol 34:334–341. https://doi.org/10.1111/j.1600-051X.2007.01051.x CrossRefPubMed

30.

Tonetti MS, Steffen P, Muller-Campanile V, Suvan J, Lang NP (2000) Initial extractions and tooth loss during supportive care in a periodontal population seeking comprehensive care. J Clin Periodontol 27:824–831CrossRef

31.

Rosling B, Serino G, Hellström MK, Socransky SS, Lindhe J (2001) Longitudinal periodontal tissue alterations during supportive therapy. Findings from subjects with normal and high susceptibility to periodontal disease. J Clin Periodontol 28:241–249CrossRef

32.

Hirschfeld L, Wasserman B (1978) A long-term survey of tooth loss in 600 treated periodontal patients. J Periodontol 49:225–237CrossRef

33.

Tomasi C, Leyland AH, Wennström JL (2007) Factors influencing the outcome of non-surgical periodontal treatment: a multilevel approach. J Clin Periodontol 34:682–690. https://doi.org/10.1111/j.1600-051X.2007.01111.x CrossRefPubMed

34.

Deas DE, Moritz AJ, Sagun RS, Gruwell SF, Powell CA (2016) Scaling and root planing vs. conservative surgery in the treatment of chronic periodontitis. Periodontol 2000 71:128–139. https://doi.org/10.1111/prd.12114 CrossRefPubMed

35.

Fardal Ø, Johannessen AC, Linden GJ (2004) Tooth loss during maintenance following periodontal treatment in a periodontal practice in Norway. J Clin Periodontol 31:550–555. https://doi.org/10.1111/j.1600-051X.2004.00519.x CrossRefPubMed

36.

Nibali L, Farias BC, Vajgel A, Tu YK, Donos N (2013) Tooth loss in aggressive periodontitis: a systematic review. J Dent Res 92:868–875. https://doi.org/10.1177/0022034513501878 CrossRefPubMed

37.

Graetz C, Sälzer S, Plaumann A, Schlattmann P, Khal M, Springer C, Dörfer C, Schwendicke F (2017) Tooth loss in generalized aggressive periodontitis: prognostic factors after 17 years of supporting periodontal treatment. J Clin Periodontol 44:612–619. https://doi.org/10.1111/jcpe.12725 CrossRefPubMed

38.

Bäumer A, El Sayed N, Kim TS, Reitmeir P, Eickholz P, Pretzl P (2011) Patient-related risk factors for tooth loss in aggressive periodontitis after active periodontal therapy. J Clin Periodontol 38:347–354. https://doi.org/10.1111/j.1600-051X.2011.01698.x CrossRefPubMed

Titel: Risk factors associated with long-term outcomes after active and supporting periodontal treatments: impact of various compliance definitions on tooth loss
verfasst von: Catherine Petit
Sylvie Schmeltz
Alexandre Burgy
Henri Tenenbaum
Olivier Huck
Jean-Luc Davideau
Publikationsdatum: 23.02.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 11/2019
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-019-02851-x

Neu im Fachgebiet Zahnmedizin

19.04.2024 | Vorhofflimmern | Nachrichten

Newsletter bestellen

Springer Medizin

Risk factors associated with long-term outcomes after active and supporting periodontal treatments: impact of various compliance definitions on tooth loss

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Neu im Fachgebiet Zahnmedizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

Newsletter

Springer Medizin

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 11/2019

Osteotomy speed, heat development, and bone structure influence by various piezoelectric systems—an in vitro study

Visibility, location, and morphology of the primary maxillary sinus ostium and presence of accessory ostia: a retrospective analysis using cone beam computed tomography (CBCT)

Different surface modifications combined with universal adhesives: the impact on the bonding properties of zirconia to composite resin cement

In vitro validation of near-infrared transillumination at 780 nm for the detection of caries on proximal surfaces

Impact of type of tooth on outcome of non-surgical root canal treatment

Relationship between periodontal inflammation and calcium channel blockers induced gingival overgrowth—a cross-sectional study in a Japanese population

Neu im Fachgebiet Zahnmedizin

Parodontalbehandlung verbessert Prognose bei Katheterablation

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

Die Oralprophylaxe & Kinderzahnheilkunde umbenannt

Newsletter