4 modalities of periodontal treatment compared over 5 years.
Identifieur interne : 00C341 ( Main/Curation ); précédent : 00C340; suivant : 00C3424 modalities of periodontal treatment compared over 5 years.
Auteurs : S P Ramfjord ; R G Caffesse ; E C Morrison ; R W Hill ; G J Kerry ; E A Appleberry ; R R Nissle ; D L StultsSource :
- Journal of clinical periodontology [ 0303-6979 ] ; 1987.
Descripteurs français
- KwdFr :
- Association thérapeutique, Attribution aléatoire, Curetage sous-gingival, Détartrage dentaire, Essais cliniques comme sujet, Humains, Lambeaux chirurgicaux, Mâchoire partiellement édentée (étiologie), Parodontite (), Parodontite (anatomopathologie), Poche parodontale (), Poche parodontale (anatomopathologie), Racine dentaire (), Réintervention, Études de suivi.
- MESH :
- anatomopathologie : Parodontite, Poche parodontale.
- étiologie : Mâchoire partiellement édentée.
- Association thérapeutique, Attribution aléatoire, Curetage sous-gingival, Détartrage dentaire, Essais cliniques comme sujet, Humains, Lambeaux chirurgicaux, Parodontite, Poche parodontale, Racine dentaire, Réintervention, Études de suivi.
English descriptors
- KwdEn :
- Clinical Trials as Topic, Combined Modality Therapy, Dental Scaling, Follow-Up Studies, Humans, Jaw, Edentulous, Partially (etiology), Periodontal Pocket (pathology), Periodontal Pocket (surgery), Periodontitis (pathology), Periodontitis (surgery), Periodontitis (therapy), Random Allocation, Reoperation, Subgingival Curettage, Surgical Flaps, Tooth Root (surgery).
- MESH :
- etiology : Jaw, Edentulous, Partially.
- pathology : Periodontal Pocket, Periodontitis.
- surgery : Periodontal Pocket, Periodontitis, Tooth Root.
- therapy : Periodontitis.
- Clinical Trials as Topic, Combined Modality Therapy, Dental Scaling, Follow-Up Studies, Humans, Random Allocation, Reoperation, Subgingival Curettage, Surgical Flaps.
Abstract
The purpose of the present study was to assess in a clinical trial over 5 years the results following 4 different modalities of periodontal therapy (pocket elimination or reduction surgery, modified Widman flap surgery, subgingival curettage, and scaling and rool planing). 90 patients were treated. The treatment methods were applied on a random basis to each of the 4 quadrants of the dentition. The patients were given professional tooth cleaning and oral hygiene instructions every 3 months. Pocket depth and attachment levels were scored once a year. 72 patients completed the 5 years of observation. Both patient means for pocket depth and attachment level as well as % distribution of sites with loss of attachment greater than or equal to 2 mm and greater than or equal to 3 mm were compared. For 1-3 mm probing depth, scaling and root planing, as well as subgingival curettage led to significantly less attachment loss than pocket elimination and modified Widman flap surgery. For 4-6 mm pockets, scaling and root planing and curettage had better attachment results than pocket elimination surgery. For the 7-12 mm pockets, there was no statistically significant difference among the results following the various procedures.
PubMed: 3308969
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S P Ramfjord<affiliation><nlm:affiliation>University of Michigan School of Dentistry, Department of Periodontics, Ann Arbor 48109.</nlm:affiliation>
<wicri:noCountry code="subField">Ann Arbor 48109</wicri:noCountry>
</affiliation>
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<term>Combined Modality Therapy</term>
<term>Dental Scaling</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (etiology)</term>
<term>Periodontal Pocket (pathology)</term>
<term>Periodontal Pocket (surgery)</term>
<term>Periodontitis (pathology)</term>
<term>Periodontitis (surgery)</term>
<term>Periodontitis (therapy)</term>
<term>Random Allocation</term>
<term>Reoperation</term>
<term>Subgingival Curettage</term>
<term>Surgical Flaps</term>
<term>Tooth Root (surgery)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Association thérapeutique</term>
<term>Attribution aléatoire</term>
<term>Curetage sous-gingival</term>
<term>Détartrage dentaire</term>
<term>Essais cliniques comme sujet</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Mâchoire partiellement édentée (étiologie)</term>
<term>Parodontite ()</term>
<term>Parodontite (anatomopathologie)</term>
<term>Poche parodontale ()</term>
<term>Poche parodontale (anatomopathologie)</term>
<term>Racine dentaire ()</term>
<term>Réintervention</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Parodontite</term>
<term>Poche parodontale</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Periodontal Pocket</term>
<term>Periodontitis</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Periodontal Pocket</term>
<term>Periodontitis</term>
<term>Tooth Root</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Periodontitis</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<term>Combined Modality Therapy</term>
<term>Dental Scaling</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Random Allocation</term>
<term>Reoperation</term>
<term>Subgingival Curettage</term>
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<term>Attribution aléatoire</term>
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<term>Détartrage dentaire</term>
<term>Essais cliniques comme sujet</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Parodontite</term>
<term>Poche parodontale</term>
<term>Racine dentaire</term>
<term>Réintervention</term>
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<front><div type="abstract" xml:lang="en">The purpose of the present study was to assess in a clinical trial over 5 years the results following 4 different modalities of periodontal therapy (pocket elimination or reduction surgery, modified Widman flap surgery, subgingival curettage, and scaling and rool planing). 90 patients were treated. The treatment methods were applied on a random basis to each of the 4 quadrants of the dentition. The patients were given professional tooth cleaning and oral hygiene instructions every 3 months. Pocket depth and attachment levels were scored once a year. 72 patients completed the 5 years of observation. Both patient means for pocket depth and attachment level as well as % distribution of sites with loss of attachment greater than or equal to 2 mm and greater than or equal to 3 mm were compared. For 1-3 mm probing depth, scaling and root planing, as well as subgingival curettage led to significantly less attachment loss than pocket elimination and modified Widman flap surgery. For 4-6 mm pockets, scaling and root planing and curettage had better attachment results than pocket elimination surgery. For the 7-12 mm pockets, there was no statistically significant difference among the results following the various procedures.</div>
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