Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults
Identifieur interne : 000835 ( Main/Merge ); précédent : 000834; suivant : 000836Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults
Auteurs : Sang-Yul Kim [Corée du Sud] ; Jae-Kwan Lee [Corée du Sud] ; Beom-Seok Chang [Corée du Sud] ; Heung-Sik Um [Corée du Sud]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2014.
Abstract
The purpose of this retrospective study was to evaluate the effect of patient compliance with supportive periodontal therapy (SPT) on tooth loss in Korean adults.
The periodontal records of 134 patients were reviewed for this study. They completed active periodontal treatment from 1999 to 2001 and were placed on a schedule of periodic follow-up visits for SPT. Patient compliance was classified into complete compliance (CC), erratic compliance (EC), and noncompliance (NC) groups. Re-examinations were carried out 11.0±0.8 years after the active periodontal treatment. The prognosis for each tooth was determined as good, questionable, or hopeless according to the bone loss observed in pretreatment radiographs.
The rate of tooth loss of the CC group was significantly lower than that of the NC group. The tooth loss/patient and the tooth loss/patient/year were not significantly different between the three groups. The rates of tooth loss in the good, questionable, and hopeless prognosis groups were 6.7%, 9.5%, and 13.2%, respectively. For the teeth with a good prognosis, the rate of tooth loss of the CC group was significantly lower than that of the NC group (0.4% vs. 5.1%). For the teeth with a questionable prognosis, the CC group showed a significantly lower rate of tooth loss than did the EC group (4.1% vs. 30.7%) or the NC group (4.1% vs. 25.6%). For the teeth with a hopeless prognosis, the rates of tooth loss were not significantly different among the three groups.
Within the limits of this study, the patients who showed a poor compliance with SPT were more likely to lose teeth than were the regularly compliant patients. However, the risk of tooth loss with a hopeless prognosis was high irrespective of the compliance.
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DOI: 10.5051/jpis.2014.44.2.65
PubMed: 24778900
PubMed Central: 3999354
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of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung</wicri:regionArea><wicri:noRegion>Gangneung</wicri:noRegion></affiliation></author><author><name sortKey="Chang, Beom Seok" sort="Chang, Beom Seok" uniqKey="Chang B" first="Beom-Seok" last="Chang">Beom-Seok Chang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, 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sort="Kim, Sang Yul" uniqKey="Kim S" first="Sang-Yul" last="Kim">Sang-Yul Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung</wicri:regionArea><wicri:noRegion>Gangneung</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Jae Kwan" sort="Lee, Jae Kwan" uniqKey="Lee J" first="Jae-Kwan" last="Lee">Jae-Kwan Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung</wicri:regionArea><wicri:noRegion>Gangneung</wicri:noRegion></affiliation></author><author><name sortKey="Chang, Beom Seok" sort="Chang, Beom Seok" uniqKey="Chang B" first="Beom-Seok" last="Chang">Beom-Seok Chang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung</wicri:regionArea><wicri:noRegion>Gangneung</wicri:noRegion></affiliation></author><author><name sortKey="Um, Heung Sik" sort="Um, Heung Sik" uniqKey="Um H" first="Heung-Sik" last="Um">Heung-Sik Um</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung</wicri:regionArea><wicri:noRegion>Gangneung</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Periodontal & Implant Science</title><idno type="ISSN">2093-2278</idno><idno type="eISSN">2093-2286</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The purpose of this retrospective study was to evaluate the effect of patient compliance with supportive periodontal therapy (SPT) on tooth loss in Korean adults.</p></sec><sec><title>Methods</title><p>The periodontal records of 134 patients were reviewed for this study. They completed active periodontal treatment from 1999 to 2001 and were placed on a schedule of periodic follow-up visits for SPT. Patient compliance was classified into complete compliance (CC), erratic compliance (EC), and noncompliance (NC) groups. Re-examinations were carried out 11.0±0.8 years after the active periodontal treatment. The prognosis for each tooth was determined as good, questionable, or hopeless according to the bone loss observed in pretreatment radiographs.</p></sec><sec><title>Results</title><p>The rate of tooth loss of the CC group was significantly lower than that of the NC group. The tooth loss/patient and the tooth loss/patient/year were not significantly different between the three groups. The rates of tooth loss in the good, questionable, and hopeless prognosis groups were 6.7%, 9.5%, and 13.2%, respectively. For the teeth with a good prognosis, the rate of tooth loss of the CC group was significantly lower than that of the NC group (0.4% vs. 5.1%). For the teeth with a questionable prognosis, the CC group showed a significantly lower rate of tooth loss than did the EC group (4.1% vs. 30.7%) or the NC group (4.1% vs. 25.6%). For the teeth with a hopeless prognosis, the rates of tooth loss were not significantly different among the three groups.</p></sec><sec><title>Conclusions</title><p>Within the limits of this study, the patients who showed a poor compliance with SPT were more likely to lose teeth than were the regularly compliant patients. However, the risk of tooth loss with a hopeless prognosis was high irrespective of the compliance.</p></sec><sec><title>Graphical Abstract</title><p><graphic xlink:href="jpis-44-65-ab001.jpg" position="float" orientation="portrait"></graphic></p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hujoel, Pp" uniqKey="Hujoel P">PP Hujoel</name></author><author><name sortKey="Leroux, Bg" uniqKey="Leroux B">BG Leroux</name></author><author><name sortKey="Selipsky, H" uniqKey="Selipsky H">H Selipsky</name></author><author><name sortKey="White, Ba" uniqKey="White B">BA White</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pihlstrom, Bl" uniqKey="Pihlstrom B">BL Pihlstrom</name></author><author><name sortKey="Mchugh, Rb" uniqKey="Mchugh R">RB McHugh</name></author><author><name sortKey="Oliphant, Th" uniqKey="Oliphant T">TH Oliphant</name></author><author><name sortKey="Ortiz Campos, C" uniqKey="Ortiz 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