Tooth loss in periodontally compromised patients: Results 20 years after active periodontal therapy

2018 ◽  
Vol 45 (11) ◽  
pp. 1356-1364 ◽  
Author(s):  
Bernadette Pretzl ◽  
Shirin El Sayed ◽  
Dorothea Weber ◽  
Peter Eickholz ◽  
Amelie Bäumer
Keyword(s):  
Tooth Loss ◽  
Periodontal Therapy ◽  
Compromised Patients

scholarly journals Retrospectively analysed tooth loss in periodontally compromised patients: Long‐term results 10 years after active periodontal therapy—Patient‐related outcomes

2020 ◽  
Vol 55 (6) ◽  
pp. 946-958
Author(s):  
Hari Petsos ◽  
Beate Schacher ◽  
Tatjana Ramich ◽  
Katrin Nickles ◽  
Bettina Dannewitz ◽  
...  
Keyword(s):  
Tooth Loss ◽  
Periodontal Therapy ◽  
Long Term Results ◽  
Compromised Patients

scholarly journals Tooth loss in periodontally compromised patients: Retrospective long‐term results 10 years after active periodontal therapy. Tooth‐related outcomes

2021 ◽  
Author(s):  
Hari Petsos ◽  
Tatjana Ramich ◽  
Katrin Nickles ◽  
Bettina Dannewitz ◽  
Leon Pfeifer ◽  
...  
Keyword(s):  
Tooth Loss ◽  
Periodontal Therapy ◽  
Long Term Results ◽  
Compromised Patients

scholarly journals Development of a prognostic tool: based on risk factors for tooth loss after active periodontal therapy

2021 ◽  
Author(s):  
Sonja Rahim-Wöstefeld ◽  
Dorothea Kronsteiner ◽  
Shirin ElSayed ◽  
Nihad ElSayed ◽  
Peter Eickholz ◽  
...  
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Tooth Loss ◽  
Treatment Plan ◽  
Periodontal Therapy ◽  
Outcome Variable ◽  
Individual Treatment ◽  
Risk Indicator ◽  
Related Factors ◽  
Prognostic Tool

Abstract Objectives The aim of this study was to develop a prognostic tool to estimate long-term tooth retention in periodontitis patients at the beginning of active periodontal therapy (APT). Material and methods Tooth-related factors (type, location, bone loss (BL), infrabony defects, furcation involvement (FI), abutment status), and patient-related factors (age, gender, smoking, diabetes, plaque control record) were investigated in patients who had completed APT 10 years before. Descriptive analysis was performed, and a generalized linear-mixed model-tree was used to identify predictors for the main outcome variable tooth loss. To evaluate goodness-of-fit, the area under the curve (AUC) was calculated using cross-validation. A bootstrap approach was used to robustly identify risk factors while avoiding overfitting. Results Only a small percentage of teeth was lost during 10 years of supportive periodontal therapy (SPT; 0.15/year/patient). The risk factors abutment function, diabetes, and the risk indicator BL, FI, and age (≤ 61 vs. > 61) were identified to predict tooth loss. The prediction model reached an AUC of 0.77. Conclusion This quantitative prognostic model supports data-driven decision-making while establishing a treatment plan in periodontitis patients. In light of this, the presented prognostic tool may be of supporting value. Clinical relevance In daily clinical practice, a quantitative prognostic tool may support dentists with data-based decision-making. However, it should be stressed that treatment planning is strongly associated with the patient’s wishes and adherence. The tool described here may support establishment of an individual treatment plan for periodontally compromised patients.

scholarly journals Risk factors for tooth loss with a mean follow-up period of 13.9 years in supportive periodontal therapy patients

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tomotaka Kato ◽  
Natsuki Fujiwara ◽  
Tomohisa Ogawa ◽  
Yukihiro Numabe
Keyword(s):  
Risk Factors ◽  
Tooth Loss ◽  
Periodontal Therapy ◽  
Dental Hygienists ◽  
Multiple Classification Analysis ◽  
Hazard Ratios ◽  
Dental Office ◽  
Multiple Classification ◽  
Supportive Periodontal Therapy

Abstract Background Clinical evidence indicates that there are various risk factors of tooth loss. However, the degree of this risk among other risk factors remains unclear. In this retrospective cohort study, the authors evaluated the hazard ratios of several risk factors for tooth loss. Methods Included patients had all been treated for dental disorders, were in the supportive phase of periodontal therapy by dental hygienists, and visited a Japanese dental office continually during a 10-year period. Periodontal parameters, tooth condition, and general status of all teeth (excluding third molars) at the initial visit and at least 10 years later were evaluated by using multiple classification analysis. Results The authors evaluated a total of 7584 teeth in 297 patients (average age: 45.3, mean follow-up time: 13.9 years) Non-vital pulp was the most significant predictor of tooth loss according to Cox hazards regression analysis (hazard ratio: 3.31). The 10-year survival rate was approximately 90% for teeth with non-vital pulp and 99% for teeth with vital pulp. Fracture was the most common reason for tooth loss. Conclusions Non-vital pulp had the most significant association with tooth loss among the parameters. Therefore, it is very important to minimize dental pulp extirpation.

Tooth loss after active periodontal therapy. 2: tooth-related factors

2008 ◽  
Vol 35 (2) ◽  
pp. 175-182 ◽  
Author(s):  
Bernadette Pretzl ◽  
Jens Kaltschmitt ◽  
Ti-Sun Kim ◽  
Peter Reitmeir ◽  
Peter Eickholz
Keyword(s):  
Tooth Loss ◽  
Periodontal Therapy ◽  
Related Factors

scholarly journals The role of maintenance in periodontal disease

Dental Update ◽  
2019 ◽  
Vol 46 (10) ◽  
pp. 959-965
Author(s):  
Joanna Batt ◽  
Phil Ower ◽  
Praveen Sharma
Keyword(s):  
Periodontal Disease ◽  
Clinical Relevance ◽  
Tooth Loss ◽  
Initial Therapy ◽  
Periodontal Therapy ◽  
Periodontal Treatment ◽  
New Classification ◽  
Periodontal Health ◽  
Periodontal Breakdown

There is increasing recognition, made explicit in the new classification for periodontitis, that periodontitis is a lifelong disease that is not ‘cured’ but rather ‘managed’. This paper focuses on how the response to periodontal treatment is ideally measured and how decisions are made as to whether the treatment has been ‘successful’ or not. The roles of both the patient and practitioner in the maintenance of periodontal health for those patients who respond to initial therapy are crucial. Patients not responding to initial, non-surgical periodontal therapy also need to be appropriately managed, as outlined in this paper. CPD/Clinical Relevance: This paper highlights the importance of maintenance of periodontal health, as an integral part of the overall management of patients with periodontitis, in order to minimize further periodontal breakdown and eventual tooth loss.

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