Periodontal pockets: Predictors for site-related worsening after non-surgical therapy-A long-term retrospective cohort study.
non-surgical periodontal therapy
pocket depth
residual pockets
supportive periodontal care
tooth mobility
Journal
Journal of clinical periodontology
ISSN: 1600-051X
Titre abrégé: J Clin Periodontol
Pays: United States
ID NLM: 0425123
Informations de publication
Date de publication:
22 Feb 2024
22 Feb 2024
Historique:
revised:
18
01
2024
received:
23
06
2023
accepted:
21
01
2024
medline:
22
2
2024
pubmed:
22
2
2024
entrez:
22
2
2024
Statut:
aheadofprint
Résumé
To evaluate site-related changes in periodontal pocket depth (PPD) after non-surgical periodontal therapy and to identify predictors for PPD changes in a retrospective patient data analysis. PPD, clinical attachment level, bleeding on probing, tooth mobility (TM), furcation involvement (FI), abutment status, adherence to supportive periodontal care (SPC) and SPC follow-ups were obtained from fully documented patient data before periodontal therapy (baseline, T0), after active periodontal therapy (APT, T1) and during SPC (T2). PPD changes were classified into deteriorated or unchanged/improved at the site level. Multi-level logistic regression analysis was performed to identify factors influencing PPD changes during SPC. This retrospective study included 51 females and 65 males (mean T0 age: 54.8 ± 10.1 years, 25 smokers, 12 diabetics) suffering from Stage III/IV periodontitis. Evaluation outcome: T0/16,044 sampling sites/2674 teeth; T1/15,636/2606; T2/14,754/2459. During 9.0 ± 2.3 years SPC, PPD decreased (-1.33 ± 0.70 mm) by 21.8% of the sites, remained unchanged by 41.4% and increased (1.40 ± 0.78 mm) by 36.8%. Distopalatal FI (p < .001, odds ratio [OR]: 0.252, 95% confidence interval [CI] for OR: 0.118-0.540), residual pockets (p < .001, OR: 0.503, 95% CI: 0.429-0.590) and TM Degrees I-III (Degree I: p = .002, OR: 0.765, 95% CI: 0.646-0.905; Degree II: p = .006, OR: 0.658, 95% CI: 0.489-0.886; Degree III: p = .023, OR: 0.398, 95% CI: 0.180-0.879) correlated significantly with increasing PPD. Over 75% of PPD remained unchanged or increased during SPC. Distopalatal FI, TM Degrees I-III and residual pockets after APT lead to worsening of periodontal pockets.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.
Références
Al-Shammari, K. F., Kazor, C. E., & Wang, H. L. (2001). Molar root anatomy and management of furcation defects. Journal of Clinical Periodontology, 28(8), 730-740. https://doi.org/10.1034/j.1600-051x.2001.280803.x
Armitage, G. C. (1999). Development of a classification system for periodontal diseases and conditions. Annals of Periodontology, 4(1), 1-6. https://doi.org/10.1902/annals.1999.4.1.1
Bartha, V., Exner, L., Meyer, A. L., Basrai, M., Schweikert, D., Adolph, M., Bruckner, T., Meller, C., Woelber, J. P., & Wolff, D. (2022). How to measure adherence to a Mediterranean diet in dental studies: Is a short adherence screener enough? A comparative analysis. Nutrients, 14(6), 1300. https://doi.org/10.3390/nu14061300
Bartha, V., Mohr, J., Krumm, B., Herz, M. M., Wolff, D., & Petsos, H. (2022). Minimal periodontal basic care - No surgery, no antibiotics, low adherence. What can be expected? A retrospective data analysis. Quintessence International, 53(8), 666-675. https://doi.org/10.3290/j.qi.b3149423
Baumgartner, S., Imfeld, T., Schicht, O., Rath, C., Persson, R. E., & Persson, G. R. (2009). The impact of the stone age diet on gingival conditions in the absence of oral hygiene. Journal of Periodontology, 80(5), 759-768. https://doi.org/10.1902/jop.2009.080376
Brayer, W. K., Mellonig, J. T., Dunlap, R. M., Marinak, K. W., & Carson, R. E. (1989). Scaling and root planing effectiveness: The effect of root surface access and operator experience. Journal of Periodontology, 60(1), 67-72. https://doi.org/10.1902/jop.1989.60.1.67
Citterio, F., Gualini, G., Chang, M., Piccoli, G. M., Giraudi, M., Manavella, V., Baima, G., Mariani, G. M., Romano, F., & Aimetti, M. (2022). Pocket closure and residual pockets after non-surgical periodontal therapy: A systematic review and meta-analysis. Journal of Clinical Periodontology, 49(1), 2-14. https://doi.org/10.1111/jcpe.13547
Costa, F. O., Lages, E. J., Cota, L. O., Lorentz, T. C., Soares, R. V., & Cortelli, J. R. (2014). Tooth loss in individuals under periodontal maintenance therapy: 5-year prospective study. Journal of Periodontal Research, 49(1), 121-128. https://doi.org/10.1111/jre.12087
Deinzer, R., Ebel, S., Blättermann, H., Weik, U., & Margraf-Stiksrud, J. (2018). Toothbrushing: To the best of one's abilities is possibly not good enough. BMC Oral Health, 18(1), 167. https://doi.org/10.1186/s12903-018-0633-0
Eickholz, P., Kaltschmitt, J., Berbig, J., Reitmeir, P., & Pretzl, B. (2008). Tooth loss after active periodontal therapy. 1: Patient-related factors for risk, prognosis, and quality of outcome. Journal of Clinical Periodontology, 35(2), 165-174. https://doi.org/10.1111/j.1600-051X.2007.01184.x
Essalat, M., Morrison, D., Kak, S., Chang, E. J., Penso, I. R., Kulchar, R. J., Padilla, O. H. M., & Shetty, V. (2022). A naturalistic study of brushing patterns using powered toothbrushes. PLoS One, 17(5), e0263638. https://doi.org/10.1371/journal.pone.0263638
Figuero, E., Roldan, S., Serrano, J., Escribano, M., Martin, C., & Preshaw, P. M. (2020). Efficacy of adjunctive therapies in patients with gingival inflammation: A systematic review and meta-analysis. Journal of Clinical Periodontology, 47(Suppl 22), 125-143. https://doi.org/10.1111/jcpe.13244
Fleischer, H. C., Mellonig, J. T., Brayer, W. K., Gray, J. L., & Barnett, J. D. (1989). Scaling and root planing efficacy in multirooted teeth. Journal of Periodontology, 60(7), 402-409. https://doi.org/10.1902/jop.1989.60.7.402
Graetz, C., Bäumer, A., Eickholz, P., Kocher, T., Petsos, H., Pretzl, B., Schwendicke, F., & Holtfreter, B. (2020). Long-term tooth retention in periodontitis patients in four German university centres. Journal of Dentistry, 94, 103307. https://doi.org/10.1016/j.jdent.2020.103307
Graetz, C., Plaumann, A., Schlattmann, P., Kahl, M., Springer, C., Sälzer, S., Gomer, K., Dörfer, C., & Schwendicke, F. (2017). Long-term tooth retention in chronic periodontitis - results after 18 years of a conservative periodontal treatment regimen in a university setting. Journal of Clinical Periodontology, 44(2), 169-177. https://doi.org/10.1111/jcpe.12680
Graetz, C., Sälzer, S., Plaumann, A., Schlattmann, P., Kahl, M., Springer, C., Dörfer, C., & Schwendicke, F. (2017). Tooth loss in generalized aggressive periodontitis: Prognostic factors after 17 years of supportive periodontal treatment. Journal of Clinical Periodontology, 44(6), 612-619. https://doi.org/10.1111/jcpe.12725
Graziani, F., Discepoli, N., Gennai, S., Karapetsa, D., Nisi, M., Bianchi, L., Rosema, N. A. M., & Van der Velden, U. (2018). The effect of twice daily kiwifruit consumption on periodontal and systemic conditions before and after treatment: A randomized clinical trial. Journal of Clinical Periodontology, 89(3), 285-293. https://doi.org/10.1002/jper.17-0148
Graziani, F., Karapetsa, D., Mardas, N., Leow, N., & Donos, N. (2018). Surgical treatment of the residual periodontal pocket. Periodontology 2000, 76(1), 150-163. https://doi.org/10.1111/prd.12156
Hamp, S. E., Nyman, S., & Lindhe, J. (1975). Periodontal treatment of multirooted teeth. Results after 5 years. Journal of Clinical Periodontology, 2(3), 126-135.
Helal, O., Gostemeyer, G., Krois, J., Fawzy El Sayed, K., Graetz, C., & Schwendicke, F. (2019). Predictors for tooth loss in periodontitis patients: Systematic review and meta-analysis. Journal of Clinical Periodontology, 46(7), 699-712. https://doi.org/10.1111/jcpe.13118
Herrera, D., Sanz, M., Kebschull, M., Jepsen, S., Sculean, A., Berglundh, T., Papapanou, P. N., Chapple, I., & Tonetti, M. S.; Participants, EFP Workshop Participants and Methodological Consultants. (2022). Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline. Journal of Clinical Periodontology, 49(Suppl 24), 4-71. https://doi.org/10.1111/jcpe.13639
Jepsen, S., Gennai, S., Hirschfeld, J., Kalemaj, Z., Buti, J., & Graziani, F. (2020). Regenerative surgical treatment of furcation defects: A systematic review and Bayesian network meta-analysis of randomized clinical trials. Journal of Clinical Periodontology, 47(Suppl 22), 352-374. https://doi.org/10.1111/jcpe.13238
Kaldahl, W. B., Kalkwarf, K. L., Patil, K. D., Molvar, M. P., & Dyer, J. K. (1996). Long-term evaluation of periodontal therapy: I. Response to 4 therapeutic modalities. Journal of Periodontology, 67(2), 93-102. https://doi.org/10.1902/jop.1996.67.2.93
Lang, N. P., Joss, A., Orsanic, T., Gusberti, F. A., & Siegrist, B. E. (1986). Bleeding on probing. A predictor for the progression of periodontal disease? Journal of Clinical Periodontology, 13(6), 590-596. https://doi.org/10.1111/j.1600-051x.1986.tb00852.x
Lang, N. P., & Tonetti, M. S. (2003). Periodontal risk assessment (PRA) for patients in supportive periodontal therapy (SPT). Oral Health & Preventive Dentistry, 1(1), 7-16.
Leung, W. K., Ng, D. K., Jin, L., & Corbet, E. F. (2006). Tooth loss in treated periodontitis patients responsible for their supportive care arrangements. Journal of Clinical Periodontology, 33(4), 265-275. https://doi.org/10.1111/j.1600-051X.2006.00903.x
Lindhe, J., & Nyman, S. (1977). The role of occlusion in periodontal disease and the biological rationale for splinting in treatment of periodontitis. Oral Sciences Reviews, 10, 11-43.
Marruganti, C., Romandini, M., Gaeta, C., Cagidiaco, E. F., Discepoli, N., Parrini, S., Graziani, F., & Grandini, S. (2023). Healthy lifestyles are associated with a better response to periodontal therapy: A prospective cohort study. Journal of Clinical Periodontology, 50(8), 1089-1100. https://doi.org/10.1111/jcpe.13813
Matuliene, G., Pjetursson, B. E., Salvi, G. E., Schmidlin, K., Bragger, U., Zwahlen, M., & Lang, N. P. (2008). Influence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance. Journal of Clinical Periodontology, 35(8), 685-695. https://doi.org/10.1111/j.1600-051X.2008.01245.x
Muller, H. P., & Eger, T. (1999). Furcation diagnosis. Journal of Clinical Periodontology, 26(8), 485-498. https://doi.org/10.1034/j.1600-051x.1999.260801.x
Nibali, L., Zavattini, A., Nagata, K., Di Iorio, A., Lin, G. H., Needleman, I., & Donos, N. (2016). Tooth loss in molars with and without furcation involvement - A systematic review and meta-analysis. Journal of Clinical Periodontology, 43(2), 156-166. https://doi.org/10.1111/jcpe.12497
O'Leary, T. J., Drake, R. B., & Naylor, J. E. (1972). The plaque control record. Journal of Periodontology, 43(1), 38. https://doi.org/10.1902/jop.1972.43.1.38
Petsos, H., Ramich, T., Nickles, K., Dannewitz, B., Pfeifer, L., Zuhr, O., & Eickholz, P. (2021). Tooth loss in periodontally compromised patients: Retrospective long-term results 10 years after active periodontal therapy - Tooth-related outcomes. Journal of Periodontology, 92(12), 1761-1775. https://doi.org/10.1002/jper.21-0056
Petsos, H., Schacher, B., Ramich, T., Nickles, K., Dannewitz, B., Arendt, S., Seidel, K., & Eickholz, P. (2020). Retrospectively analysed tooth loss in periodontally compromised patients: Long-term results 10 years after active periodontal therapy-Patient-related outcomes. Journal of Periodontal Research, 55(6), 946-958. https://doi.org/10.1111/jre.12786
Ramseier, C. A., Nydegger, M., Walter, C., Fischer, G., Sculean, A., Lang, N. P., & Salvi, G. E. (2019). Time between recall visits and residual probing depths predict long-term stability in patients enrolled in supportive periodontal therapy. Journal of Clinical Periodontology, 46(2), 218-230. https://doi.org/10.1111/jcpe.13041
Roussa, E. (1998). Anatomic characteristics of the furcation and root surfaces of molar teeth and their significance in the clinical management of marginal periodontitis. Clinical Anatomy, 11(3), 177-186. https://doi.org/10.1002/(SICI)1098-2353(1998)11:3<177::AID-CA5>3.0.CO;2-Q
Sanz, M., Herrera, D., Kebschull, M., Chapple, I., Jepsen, S., Beglundh, T., Sculean, A., & Tonetti, M. S.; EFP Workshop Participants and Methodological Consultants. (2020). Treatment of stage I-III periodontitis - The EFP S3 level clinical practice guideline. Journal of Clinical Periodontology, 47(Suppl 22), 4-60. https://doi.org/10.1111/jcpe.13290
Saxer, U. P., & Mühlemann, H. R. (1975). Motivation and education. SSO Schweiz Monatsschr Zahnheilkd, 85(9), 905-919.
Schmid, M. O., Lutz, F., & Imfeld, T. (1979). A new reinforced intracoronal composite resin splint. Clinical results after 1 year. Journal of Periodontology, 50(9), 441-444. https://doi.org/10.1902/jop.1979.50.9.441
Schoenmakers, M. G. P., Willems, E. J. S., Slot, D. E., & Van der Weijden, G. A. (2022). Success of supportive periodontal therapy in periodontitis patients-A retrospective analysis. International Journal of Dental Hygiene, 20(2), 318-327. https://doi.org/10.1111/idh.12521
Serio, F. G. (1999). Clinical rationale for tooth stabilization and splinting. Dental Clinics of North America, 43(1), 1-6. v.
Slot, D. E., Dorfer, C. E., & Van der Weijden, G. A. (2008). The efficacy of interdental brushes on plaque and parameters of periodontal inflammation: A systematic review. International Journal of Dental Hygiene, 6(4), 253-264. https://doi.org/10.1111/j.1601-5037.2008.00330.x
Sonnenschein, S. K., Betzler, C., Rütters, M. A., Krisam, J., Saure, D., & Kim, T. S. (2017). Long-term stability of splinted anterior mandibular teeth during supportive periodontal therapy. Acta Odontologica Scandinavica, 75(7), 475-482. https://doi.org/10.1080/00016357.2017.1340668
Sonnenschein, S. K., Ziegler, P., Ciardo, A., Ruetters, M., Krisam, J., & Kim, T. S. (2021). The impact of splinting mobile mandibular incisors on Oral Health-Related Quality of Life-Preliminary observations from a randomized clinical trial. Journal of Clinical Periodontology, 48(6), 816-825. https://doi.org/10.1111/jcpe.13454
Tomasi, C., Leyland, A. H., & Wennström, J. L. (2007). Factors influencing the outcome of non-surgical periodontal treatment: A multilevel approach. Journal of Clinical Periodontology, 34(8), 682-690. https://doi.org/10.1111/j.1600-051X.2007.01111.x
Tonetti, M. S., Greenwell, H., & Kornman, K. S. (2018). Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of Periodontology, 89(Suppl 1), S159-s172. https://doi.org/10.1002/jper.18-0006
Tonetti, M. S., Muller-Campanile, V., & Lang, N. P. (1998). Changes in the prevalence of residual pockets and tooth loss in treated periodontal patients during a supportive maintenance care program. Journal of Clinical Periodontology, 25(12), 1008-1016. https://doi.org/10.1111/j.1600-051x.1998.tb02406.x
Trullenque-Eriksson, A., Tomasi, C., Petzold, M., Berglundh, T., & Derks, J. (2023). Furcation involvement and tooth loss: A registry-based retrospective cohort study. Journal of Clinical Periodontology, 50(3), 339-347. https://doi.org/10.1111/jcpe.13754
Van der Weijden, G. A., Timmerman, M. F., Danser, M. M., & Van der Velden, U. (1998). Relationship between the plaque removal efficacy of a manual toothbrush and brushing force. Journal of Clinical Periodontology, 25(5), 413-416. https://doi.org/10.1111/j.1600-051X.1998.tb02464.x
Van der Weijden, G. A. F., Dekkers, G. J., & Slot, D. E. (2019). Success of non-surgical periodontal therapy in adult periodontitis patients: A retrospective analysis. International Journal of Dental Hygiene, 17(4), 309-317. https://doi.org/10.1111/idh.12399
Woelber, J. P., Gartner, M., Breuninger, L., Anderson, A., Konig, D., Hellwig, E., Al-Ahmad, A., Vach, K., Dotsch, A., Ratka-Kruger, P., & Tennert, C. (2019). The influence of an anti-inflammatory diet on gingivitis. A randomized controlled trial. Journal of Clinical Periodontology, 46(4), 481-490. https://doi.org/10.1111/jcpe.13094