Patient‐related risk factors for tooth loss in aggressive periodontitis after active periodontal therapy
Identifieur interne : 002185 ( Istex/Corpus ); précédent : 002184; suivant : 002186Patient‐related risk factors for tooth loss in aggressive periodontitis after active periodontal therapy
Auteurs : Amelie B Umer ; Nihad El Sayed ; Ti-Sun Kim ; Peter Reitmeir ; Peter Eickholz ; Bernadette PretzlSource :
- Journal of Clinical Periodontology [ 0303-6979 ] ; 2011-04.
English descriptors
- KwdEn :
- Aggressive periodontitis, Baehni, Baseline, Baseline diagnosis, Bone loss, Chambrone, Clinical periodontology, Composite genotype, Dental status, Educational status, Eickholz, Fewer teeth, Former smokers, Gagp, Gene cluster, Genotype, Gunsolley, Heidelberg, Inclusion criteria, Initial diagnosis, John wiley sons factors, Kamma, Kamma baehni, Lagp, Lindhe, Lindhe liljenberg, Localized, Localized form, Main outcome, Medical history, Odds ratio, Periodontal, Periodontal disease, Periodontal diseases, Periodontal therapy, Periodontitis, Periodontitis patients, Periodontology, Plaque control record, Poisson, Poisson regression analysis, Present study, Recurrence, Retrospective, Retrospective study, Risk factor, Risk factors, Similar results, Small sample sizes, Smoker, Social status, Statistical analysis, Tonetti, Tooth loss, University degree, University hospital, University hospital heidelberg.
- Teeft :
- Aggressive periodontitis, Baehni, Baseline, Baseline diagnosis, Bone loss, Chambrone, Clinical periodontology, Composite genotype, Dental status, Educational status, Eickholz, Fewer teeth, Former smokers, Gagp, Gene cluster, Genotype, Gunsolley, Heidelberg, Inclusion criteria, Initial diagnosis, John wiley sons factors, Kamma, Kamma baehni, Lagp, Lindhe, Lindhe liljenberg, Localized, Localized form, Main outcome, Medical history, Odds ratio, Periodontal, Periodontal disease, Periodontal diseases, Periodontal therapy, Periodontitis, Periodontitis patients, Periodontology, Plaque control record, Poisson, Poisson regression analysis, Present study, Recurrence, Retrospective, Retrospective study, Risk factor, Risk factors, Similar results, Small sample sizes, Smoker, Social status, Statistical analysis, Tonetti, Tooth loss, University degree, University hospital, University hospital heidelberg.
Abstract
Bäumer A, El Sayed N, Kim T‐S, Reitmeir P, Eickholz P, Pretzl B. Patient‐related risk factors for tooth loss in aggressive periodontitis after active periodontal therapy. J Clin Periodontol 2011; 38: 347–354. doi: 10.1111/j.1600‐051X.2011.01698.x.
Url:
DOI: 10.1111/j.1600-051X.2011.01698.x
Links to Exploration step
ISTEX:4523AAC661AF3C96701A21DA77C6475CDC785A21Le document en format XML
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sort="Kim, Ti Un" uniqKey="Kim T" first="Ti-Sun" last="Kim">Ti-Sun Kim</name><affiliation><mods:affiliation>Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany</mods:affiliation></affiliation></author><author><name sortKey="Reitmeir, Peter" sort="Reitmeir, Peter" uniqKey="Reitmeir P" first="Peter" last="Reitmeir">Peter Reitmeir</name><affiliation><mods:affiliation>Institute of Health Economics and Health Care Management, Helmholtz Zentrum München – German Research Center for Environmental Health, Neuherberg, Germany</mods:affiliation></affiliation></author><author><name sortKey="Eickholz, Peter" sort="Eickholz, Peter" uniqKey="Eickholz P" first="Peter" last="Eickholz">Peter Eickholz</name><affiliation><mods:affiliation>Department of Periodontology, Center of Dental, Oral, and Maxillofacial Medicine (Carolinum), Johann Wolfgang Goethe‐University Frankfurt/Main, Frankfurt, Germany</mods:affiliation></affiliation></author><author><name sortKey="Pretzl, Bernadette" sort="Pretzl, Bernadette" uniqKey="Pretzl B" first="Bernadette" last="Pretzl">Bernadette Pretzl</name><affiliation><mods:affiliation>Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:4523AAC661AF3C96701A21DA77C6475CDC785A21</idno><date when="2011" year="2011">2011</date><idno type="doi">10.1111/j.1600-051X.2011.01698.x</idno><idno type="url">https://api.istex.fr/document/4523AAC661AF3C96701A21DA77C6475CDC785A21/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002185</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002185</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" 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ratio</term><term>Periodontal</term><term>Periodontal disease</term><term>Periodontal diseases</term><term>Periodontal therapy</term><term>Periodontitis</term><term>Periodontitis patients</term><term>Periodontology</term><term>Plaque control record</term><term>Poisson</term><term>Poisson regression analysis</term><term>Present study</term><term>Recurrence</term><term>Retrospective</term><term>Retrospective study</term><term>Risk factor</term><term>Risk factors</term><term>Similar results</term><term>Small sample sizes</term><term>Smoker</term><term>Social status</term><term>Statistical analysis</term><term>Tonetti</term><term>Tooth loss</term><term>University degree</term><term>University hospital</term><term>University hospital heidelberg</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Aggressive periodontitis</term><term>Baehni</term><term>Baseline</term><term>Baseline diagnosis</term><term>Bone loss</term><term>Chambrone</term><term>Clinical periodontology</term><term>Composite genotype</term><term>Dental status</term><term>Educational status</term><term>Eickholz</term><term>Fewer teeth</term><term>Former smokers</term><term>Gagp</term><term>Gene cluster</term><term>Genotype</term><term>Gunsolley</term><term>Heidelberg</term><term>Inclusion criteria</term><term>Initial diagnosis</term><term>John wiley sons factors</term><term>Kamma</term><term>Kamma baehni</term><term>Lagp</term><term>Lindhe</term><term>Lindhe liljenberg</term><term>Localized</term><term>Localized form</term><term>Main outcome</term><term>Medical history</term><term>Odds ratio</term><term>Periodontal</term><term>Periodontal disease</term><term>Periodontal diseases</term><term>Periodontal therapy</term><term>Periodontitis</term><term>Periodontitis patients</term><term>Periodontology</term><term>Plaque control record</term><term>Poisson</term><term>Poisson regression analysis</term><term>Present study</term><term>Recurrence</term><term>Retrospective</term><term>Retrospective study</term><term>Risk factor</term><term>Risk factors</term><term>Similar results</term><term>Small sample sizes</term><term>Smoker</term><term>Social status</term><term>Statistical analysis</term><term>Tonetti</term><term>Tooth loss</term><term>University degree</term><term>University hospital</term><term>University hospital heidelberg</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Bäumer A, El Sayed N, Kim T‐S, Reitmeir P, Eickholz P, Pretzl B. 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Patient‐related risk factors for tooth loss in aggressive periodontitis after active periodontal therapy. 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type="first">Amelie</forename><surname>Bäumer</surname></persName><affiliation>Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany<address><country key="DE"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Nihad</forename><surname>El Sayed</surname></persName><affiliation>Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany<address><country key="DE"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Ti‐Sun</forename><surname>Kim</surname></persName><affiliation>Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany<address><country key="DE"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Peter</forename><surname>Reitmeir</surname></persName><affiliation>Institute of Health Economics and Health Care Management, Helmholtz Zentrum München – German Research Center for Environmental Health, Neuherberg, Germany<address><country key="DE"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Peter</forename><surname>Eickholz</surname></persName><affiliation>Department of Periodontology, Center of Dental, Oral, and Maxillofacial Medicine (Carolinum), Johann Wolfgang Goethe‐University Frankfurt/Main, Frankfurt, Germany<address><country key="DE"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Bernadette</forename><surname>Pretzl</surname></persName><affiliation>Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany<address><country key="DE"></country></address></affiliation></author><idno type="istex">4523AAC661AF3C96701A21DA77C6475CDC785A21</idno><idno type="ark">ark:/67375/WNG-BXCKV68J-9</idno><idno type="DOI">10.1111/j.1600-051X.2011.01698.x</idno><idno type="unit">JCPE1698</idno><idno type="supplier">1698</idno><idno type="toTypesetVersion">file:JCPE.JCPE1698.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Clinical Periodontology</title><title level="j" type="alt">JOURNAL OF CLINICAL PERIODONTOLOGY</title><idno type="pISSN">0303-6979</idno><idno type="eISSN">1600-051X</idno><idno type="book-DOI">10.1111/(ISSN)1600-051X</idno><idno type="book-part-DOI">10.1111/jcpe.2011.38.issue-4</idno><idno type="product">JCPE</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">38</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="347">347</biblScope><biblScope unit="page" to="354">354</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-04"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p>
<hi rend="italic">Bäumer A, El Sayed N, Kim T‐S, Reitmeir P, Eickholz P, Pretzl B. Patient‐related risk factors for tooth loss in aggressive periodontitis after active periodontal therapy. J Clin Periodontol 2011; 38: 347–354. doi: 10.1111/j.1600‐051X.2011.01698.x.</hi>
</p>
Abstract
<p><hi rend="bold">Objectives: </hi> Evaluation of patient‐related risk factors contributing to tooth loss and recurrence of periodontitis 10.5 years after initial therapy in patients with aggressive periodontitis (AgP).</p><p><hi rend="bold">Material and Methods: </hi> Eighty‐four of 174 patients were included. Re‐examination consisted of patient's history, clinical examination and test for interleukin (IL)‐1 composite genotype. Patients' charts were searched for regularity of maintenance and initial diagnosis. Statistical analysis was performed using Poisson and logistical regression analysis.</p><p><hi rend="bold">Results: </hi> The responder rate was 48%. Thirteen of 84 patients presented a localized AgP, 68 were females and 29 smoked. One hundred and thirteen teeth out of 2154 were lost after therapy (1.34 teeth/patient). Age (<hi rend="italic">p</hi>=0.0018), absence of IL‐1 composite genotype (<hi rend="italic">p</hi>=0.0091) and educational status (<hi rend="italic">p</hi>=0.0085) were identified as statistically significant risk factors for tooth loss. Twenty patients exhibited recurrence of periodontitis at re‐examination. Smoking (<hi rend="italic">p</hi>=0.0034) and mean Gingival Bleeding Index (GBI) (<hi rend="italic">p</hi>=0.0239) contributed significantly to recurrence of disease. No patient participating regularly in supportive periodontal therapy (SPT) showed disease recurrence.</p><p><hi rend="bold">Conclusion: </hi> Age, absence of IL‐1 composite genotype and low social status are detected as risk factors for tooth loss. Smoking and high mean GBI are associated with an increased risk for recurrence of periodontitis, whereas regular SPT acts as a protective factor.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">age</term><term xml:id="k2">aggressive periodontitis</term><term xml:id="k3">recurrence of periodontitis</term><term xml:id="k4">smoking</term><term xml:id="k5">social status</term><term xml:id="k6">supportive periodontal therapy (SPT)</term><term xml:id="k7">tooth loss</term></keywords><keywords rend="tocHeading1"><term>Periodontal Therapy</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/4523AAC661AF3C96701A21DA77C6475CDC785A21/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-051X</doi><issn type="print">0303-6979</issn><issn type="electronic">1600-051X</issn><idGroup><id type="product" value="JCPE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF CLINICAL PERIODONTOLOGY">Journal of Clinical Periodontology</title></titleGroup></publicationMeta><publicationMeta level="part" position="04104"><doi origin="wiley">10.1111/jcpe.2011.38.issue-4</doi><numberingGroup><numbering type="journalVolume" number="38">38</numbering><numbering type="journalIssue" number="4">4</numbering></numberingGroup><coverDate startDate="2011-04">April 2011</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="7" status="forIssue"><doi origin="wiley">10.1111/j.1600-051X.2011.01698.x</doi><idGroup><id type="unit" value="JCPE1698"></id><id type="supplier" value="1698"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="tocHeading1">Periodontal Therapy</title></titleGroup><copyright>© 2011 John Wiley & Sons A/S</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.4.7 mode:FullText" date="2011-02-23"></event><event type="publishedOnlineEarlyUnpaginated" date="2011-02-01"></event><event type="firstOnline" date="2011-02-01"></event><event type="publishedOnlineFinalForm" date="2011-02-23"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-19"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-24"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="347">347</numbering><numbering type="pageLast" number="354">354</numbering></numberingGroup><correspondenceTo>Address:
<i>Amelie Bäumer</i>
<i>Sektion Parodontologie</i>
<i>Poliklinik für Parodontologie</i>
<i>Klinik für Mund‐, Zahn‐ Kieferkrankheiten der Universität Heidelberg</i>
<i>Im Neuenheimer Feld 400</i>
<i>D‐69120 Heidelberg</i>
<i>Germany</i>
E‐mail: <email normalForm="amelie.baeumer@med.uni-heidelberg.de">amelie.baeumer@med.uni‐heidelberg.de</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JCPE.JCPE1698.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 19 December 2010</unparsedEditorialHistory><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="6"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="42"></count><count type="wordTotal" number="8434"></count><count type="linksCrossRef" number="73"></count></countGroup><titleGroup><title type="main">Patient‐related risk factors for tooth loss in aggressive periodontitis after active periodontal therapy</title><title type="shortAuthors">Bäumer et al.</title><title type="short">Patient‐related factors for tooth loss in aggressive periodontitis</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Amelie</givenNames><familyName>Bäumer</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>Nihad</givenNames><familyName>El Sayed</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>Ti‐Sun</givenNames><familyName>Kim</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a2"><personName><givenNames>Peter</givenNames><familyName>Reitmeir</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a3"><personName><givenNames>Peter</givenNames><familyName>Eickholz</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a1"><personName><givenNames>Bernadette</givenNames><familyName>Pretzl</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="DE"><unparsedAffiliation>Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="DE"><unparsedAffiliation>Institute of Health Economics and Health Care Management, Helmholtz Zentrum München – German Research Center for Environmental Health, Neuherberg, Germany</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="DE"><unparsedAffiliation>Department of Periodontology, Center of Dental, Oral, and Maxillofacial Medicine (Carolinum), Johann Wolfgang Goethe‐University Frankfurt/Main, Frankfurt, Germany</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">age</keyword><keyword xml:id="k2">aggressive periodontitis</keyword><keyword xml:id="k3">recurrence of periodontitis</keyword><keyword xml:id="k4">smoking</keyword><keyword xml:id="k5">social status</keyword><keyword xml:id="k6">supportive periodontal therapy (SPT)</keyword><keyword xml:id="k7">tooth loss</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><section xml:id="sec-sum-1"><p> <i>Bäumer A, El Sayed N, Kim T‐S, Reitmeir P, Eickholz P, Pretzl B. Patient‐related risk factors for tooth loss in aggressive periodontitis after active periodontal therapy. J Clin Periodontol 2011; 38: 347–354. doi: 10.1111/j.1600‐051X.2011.01698.x.</i> </p></section><section xml:id="abs1-1"><title type="main">Abstract</title><p><b>Objectives: </b> Evaluation of patient‐related risk factors contributing to tooth loss and recurrence of periodontitis 10.5 years after initial therapy in patients with aggressive periodontitis (AgP).</p><p><b>Material and Methods: </b> Eighty‐four of 174 patients were included. Re‐examination consisted of patient's history, clinical examination and test for interleukin (IL)‐1 composite genotype. Patients' charts were searched for regularity of maintenance and initial diagnosis. Statistical analysis was performed using Poisson and logistical regression analysis.</p><p><b>Results: </b> The responder rate was 48%. Thirteen of 84 patients presented a localized AgP, 68 were females and 29 smoked. One hundred and thirteen teeth out of 2154 were lost after therapy (1.34 teeth/patient). Age (<i>p</i>=0.0018), absence of IL‐1 composite genotype (<i>p</i>=0.0091) and educational status (<i>p</i>=0.0085) were identified as statistically significant risk factors for tooth loss. Twenty patients exhibited recurrence of periodontitis at re‐examination. Smoking (<i>p</i>=0.0034) and mean Gingival Bleeding Index (GBI) (<i>p</i>=0.0239) contributed significantly to recurrence of disease. No patient participating regularly in supportive periodontal therapy (SPT) showed disease recurrence.</p><p><b>Conclusion: </b> Age, absence of IL‐1 composite genotype and low social status are detected as risk factors for tooth loss. Smoking and high mean GBI are associated with an increased risk for recurrence of periodontitis, whereas regular SPT acts as a protective factor.</p></section></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p><b>Conflict of interest and sources of funding statement</b>
The authors declare that they have no financial or other relationships that might lead to a conflict of interest.
This study was self‐funded by the authors and their institutions in its major parts. Tobias Hain (Hain Lifescience GmbH, Nehren, Germany) provided the test kits for the interleukin‐1 composite genotype.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Patient‐related risk factors for tooth loss in aggressive periodontitis after active periodontal therapy</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Patient‐related factors for tooth loss in aggressive periodontitis</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Patient‐related risk factors for tooth loss in aggressive periodontitis after active periodontal therapy</title></titleInfo><name type="personal"><namePart type="given">Amelie</namePart><namePart type="family">Bäumer</namePart><affiliation>Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Nihad</namePart><namePart type="family">El Sayed</namePart><affiliation>Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ti‐Sun</namePart><namePart type="family">Kim</namePart><affiliation>Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Peter</namePart><namePart type="family">Reitmeir</namePart><affiliation>Institute of Health Economics and Health Care Management, Helmholtz Zentrum München – German Research Center for Environmental Health, Neuherberg, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Peter</namePart><namePart type="family">Eickholz</namePart><affiliation>Department of Periodontology, Center of Dental, Oral, and Maxillofacial Medicine (Carolinum), Johann Wolfgang Goethe‐University Frankfurt/Main, Frankfurt, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Bernadette</namePart><namePart type="family">Pretzl</namePart><affiliation>Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Heidelberg, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2011-04</dateIssued><edition>Accepted for publication 19 December 2010</edition><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">1</extent><extent unit="tables">6</extent><extent unit="formulas">0</extent><extent unit="references">42</extent><extent unit="linksCrossRef">73</extent><extent unit="words">8434</extent></physicalDescription><abstract>Bäumer A, El Sayed N, Kim T‐S, Reitmeir P, Eickholz P, Pretzl B. Patient‐related risk factors for tooth loss in aggressive periodontitis after active periodontal therapy. J Clin Periodontol 2011; 38: 347–354. doi: 10.1111/j.1600‐051X.2011.01698.x.</abstract><abstract>Objectives: Evaluation of patient‐related risk factors contributing to tooth loss and recurrence of periodontitis 10.5 years after initial therapy in patients with aggressive periodontitis (AgP). Material and Methods: Eighty‐four of 174 patients were included. Re‐examination consisted of patient's history, clinical examination and test for interleukin (IL)‐1 composite genotype. Patients' charts were searched for regularity of maintenance and initial diagnosis. Statistical analysis was performed using Poisson and logistical regression analysis. Results: The responder rate was 48%. Thirteen of 84 patients presented a localized AgP, 68 were females and 29 smoked. One hundred and thirteen teeth out of 2154 were lost after therapy (1.34 teeth/patient). Age (p=0.0018), absence of IL‐1 composite genotype (p=0.0091) and educational status (p=0.0085) were identified as statistically significant risk factors for tooth loss. Twenty patients exhibited recurrence of periodontitis at re‐examination. Smoking (p=0.0034) and mean Gingival Bleeding Index (GBI) (p=0.0239) contributed significantly to recurrence of disease. No patient participating regularly in supportive periodontal therapy (SPT) showed disease recurrence. Conclusion: Age, absence of IL‐1 composite genotype and low social status are detected as risk factors for tooth loss. Smoking and high mean GBI are associated with an increased risk for recurrence of periodontitis, whereas regular SPT acts as a protective factor.</abstract><subject lang="en"><genre>keywords</genre><topic>age</topic><topic>aggressive periodontitis</topic><topic>recurrence of periodontitis</topic><topic>smoking</topic><topic>social status</topic><topic>supportive periodontal therapy (SPT)</topic><topic>tooth loss</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Clinical Periodontology</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0303-6979</identifier><identifier type="eISSN">1600-051X</identifier><identifier type="DOI">10.1111/(ISSN)1600-051X</identifier><identifier type="PublisherID">JCPE</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>38</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>347</start><end>354</end><total>8</total></extent></part></relatedItem><identifier type="istex">4523AAC661AF3C96701A21DA77C6475CDC785A21</identifier><identifier type="ark">ark:/67375/WNG-BXCKV68J-9</identifier><identifier type="DOI">10.1111/j.1600-051X.2011.01698.x</identifier><identifier type="ArticleID">JCPE1698</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2011 John Wiley & Sons A/S</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/4523AAC661AF3C96701A21DA77C6475CDC785A21/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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