J Clin Periodontol. 2019 Jul 4. doi: 10.1111/jcpe.13165.
Abstract
AIM:
To
assess periodontal and dental conditions in individuals in maintenance
care after periodontal therapy in private practice, and identify risk
factors for recurrence of disease and tooth loss.
MATERIALS AND METHODS:
100
patients attending a routine recall visit were included. All had been
treated for periodontal disease and were in maintenance since ≥2 years.
RESULTS:
Examinations
took place 18.0 (±8.71) years after the start of periodontal therapy.
40.1±22.5 recall visits were registered during this time. 91% of the
participants had an initial diagnosis of chronic, 9% of aggressive
periodontitis. The average participant was 46 years old and had 26
teeth. 283 of 2549 initially present teeth were lost, half of them being
molars. Periodontal and endo-periodontal complications accounted for
only 16 lost teeth. The prevalence of all probing depth (PD) categories
decreased significantly. The longer the time, the more frequent the
recall visits, and the more was spent during the maintenance phase the
greater was the reduction. Multivariate analysis rendered BMI and
smoking as factors influencing number of sites with PPD ≥4 mm and BOP.
CONCLUSION:
Tooth
loss and periodontal tissue damage can be contained over prolonged
periods if periodontal disease is treated and patients attend regular
maintenance care.
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