Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults
Identifieur interne : 000351 ( Pmc/Checkpoint ); précédent : 000350; suivant : 000352Effect 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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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults</title><author><name sortKey="Kim, Sang Yul" 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></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24778900</idno><idno type="pmc">3999354</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999354</idno><idno type="RBID">PMC:3999354</idno><idno type="doi">10.5051/jpis.2014.44.2.65</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000703</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000703</idno><idno type="wicri:Area/Pmc/Curation">000703</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000703</idno><idno type="wicri:Area/Pmc/Checkpoint">000351</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000351</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults</title><author><name sortKey="Kim, Sang Yul" 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. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Periodontal Implant Sci</journal-id><journal-id journal-id-type="iso-abbrev">J Periodontal Implant Sci</journal-id><journal-id journal-id-type="publisher-id">JPIS</journal-id><journal-title-group><journal-title>Journal of Periodontal & Implant Science</journal-title></journal-title-group><issn pub-type="ppub">2093-2278</issn><issn pub-type="epub">2093-2286</issn><publisher><publisher-name>Korean Academy of Periodontology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24778900</article-id><article-id pub-id-type="pmc">3999354</article-id><article-id pub-id-type="doi">10.5051/jpis.2014.44.2.65</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0003-4445-1586</contrib-id><name><surname>Kim</surname><given-names>Sang-Yul</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0003-1710-1580</contrib-id><name><surname>Lee</surname><given-names>Jae-Kwan</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-5280-3249</contrib-id><name><surname>Chang</surname><given-names>Beom-Seok</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-7986-1019</contrib-id><name><surname>Um</surname><given-names>Heung-Sik</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib></contrib-group><aff id="A1">Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry, Gangneung, Korea.</aff><author-notes><corresp>Correspondence: Heung-Sik Um. Department of Periodontology, Gangneung-Wonju National University College of Dentistry, 7 Jukheon-gil, Gangneung 210-702, Korea. <email>hsum@gwnu.ac.kr</email>, Tel: +82-33-640-3184, Fax: +82-33-640-3113</corresp></author-notes><pub-date pub-type="ppub"><month>4</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>24</day><month>4</month><year>2014</year></pub-date><volume>44</volume><issue>2</issue><fpage>65</fpage><lpage>70</lpage><history><date date-type="received"><day>26</day><month>11</month><year>2013</year></date><date date-type="accepted"><day>27</day><month>3</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Korean Academy of Periodontology</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>).</license-p></license></permissions><abstract abstract-type="graphical"><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></abstract><kwd-group><kwd>Maintenance</kwd><kwd>Patient compliance</kwd><kwd>Tooth loss</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>The tooth loss rate of the complete compliance group was significantly lower than that of the noncompliance group. <sup>*</sup>Significant difference (<italic>P</italic><0.05).</p></caption><graphic xlink:href="jpis-44-65-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>The rates of tooth loss for the teeth given a good, questionable, and hopeless prognosis were 3.5%, 25.0% and 68.2%, respectively. Statistical analysis revealed a significant correlation between the tooth loss rate and the tooth prognosis. <sup>*</sup>Significant difference (<italic>P</italic><0.05).</p></caption><graphic xlink:href="jpis-44-65-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>The teeth with a good prognosis in the complete compliance group showed a significantly lower rate of tooth loss (0.4%) than did the teeth with a good prognosis in the noncompliance group (5.1%). <sup>*</sup>Significant difference (<italic>P</italic><0.05).</p></caption><graphic xlink:href="jpis-44-65-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>The teeth with a questionable prognosis in the complete compliance group also showed a significantly lower rate of tooth loss (4.1%) than did the teeth with a questionable prognosis in the erratic compliance (30.7%) or the noncompliance (25.6%) groups. <sup>*</sup>Significant difference (<italic>P</italic><0.05).</p></caption><graphic xlink:href="jpis-44-65-g004"></graphic></fig><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Patient characteristics.</p></caption><graphic xlink:href="jpis-44-65-i001"></graphic><table-wrap-foot><fn><p>SPT: supportive periodontal therapy.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Number of tooth between baseline and re-examination.</p></caption><graphic xlink:href="jpis-44-65-i002"></graphic><table-wrap-foot><fn><p>Values are presented as mean±standard deviation.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T3" orientation="portrait" position="float"><label>Table 3</label><caption><p>Tooth loss during SPT.</p></caption><graphic xlink:href="jpis-44-65-i003"></graphic><table-wrap-foot><fn><p>Values are presented as number (%) or mean±standard deviation.</p><p>SPT: supportive periodontal therapy.</p><p><sup>a)</sup>Chi-square test was used, with the level of significance set at <italic>P</italic><0.05. Three groups are statistically significant differences.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T4" orientation="portrait" position="float"><label>Table 4</label><caption><p>Tooth loss by prognosis and compliance.</p></caption><graphic xlink:href="jpis-44-65-i004"></graphic><table-wrap-foot><fn><p><sup>a,b)</sup>Chi-square test was used, with the level of significance set at <italic>P</italic><0.05. Three groups are statistically significant differences. <sup>c)</sup><italic>P</italic>=0.000</p></fn></table-wrap-foot></table-wrap></floats-group></pmc><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Kim, Sang Yul" sort="Kim, Sang Yul" uniqKey="Kim S" first="Sang-Yul" last="Kim">Sang-Yul Kim</name></noRegion><name sortKey="Chang, Beom Seok" sort="Chang, Beom Seok" uniqKey="Chang B" first="Beom-Seok" last="Chang">Beom-Seok Chang</name><name sortKey="Lee, Jae Kwan" sort="Lee, Jae Kwan" uniqKey="Lee J" first="Jae-Kwan" last="Lee">Jae-Kwan Lee</name><name sortKey="Um, Heung Sik" sort="Um, Heung Sik" uniqKey="Um H" first="Heung-Sik" last="Um">Heung-Sik Um</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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