Effect of Discontinuation of Supportive Periodontal Therapy on Periodontal Status-A Retrospective Study.

annual tooth loss compliance periodontitis supportive periodontal therapy

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:
05 Sep 2024
Historique:
revised: 05 08 2024
received: 12 12 2023
accepted: 09 08 2024
medline: 6 9 2024
pubmed: 6 9 2024
entrez: 6 9 2024
Statut: aheadofprint

Résumé

To assess the impact of active (APT) and supportive periodontal therapy (SPT) on the change in probing depth (PD) and annual tooth loss in partially and fully compliant and drop-out patients. Data of 280 periodontally treated partially and fully compliant (regular supportive visits, SPT duration 5.5 ± 4.5 years) and 55 drop-out patients (SPT and drop-out duration 8.3 ± 3.8 years, only drop-out duration 5.3 ± 3.7 years) were recorded. PD data and the number of teeth present at the start of APT (T1) and at the start of SPT (T2) were taken from the patient files and evaluated at the time of the final examination (T3). Annual tooth loss during SPT was significantly higher (p < 0.001) in drop-out patients than in partially and fully compliant patients (0.31 ± 0.50 vs. 0.19 ± 0.55, respectively). In partially and fully compliant and drop-out patients, the mean PD (all available site data) decreased significantly between T1 (3.61 ± 0.82 vs. 3.70 ± 0.73 mm) and T2 (2.68 ± 0.40 vs. 2.76 ± 0.42 mm), while the values increased again slightly up to T3 (2.74 ± 0.41 vs. 2.99 ± 0.75 mm). In partially and fully compliant patients, SPT had a positive impact on PD stability and medium-term tooth preservation. In contrary to expectations, drop-out patients, PD did not return to baseline values, although PD stability was not achieved.

Identifiants

pubmed: 39238127
doi: 10.1111/jcpe.14062
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Ministry of Education and Research of the State of Mecklenburg-West Pomerania
Organisme : Federal Ministry of Education and Research
ID : 03IS2061A

Informations de copyright

© 2024 The Author(s). Journal of Clinical Periodontology published by John Wiley & Sons Ltd.

Références

Amerio, E., G. Mainas, D. Petrova, L. Giner Tarrida, J. Nart, and A. Monje. 2020. “Compliance With Supportive Periodontal/Peri‐Implant Therapy: A Systematic Review.” Journal of Clinical Periodontology 47, no. 1: 81–100. https://doi.org/10.1111/jcpe.13204.
Armitage, G. 1999. “Development of a Classification System for Periodontal Diseases and Conditions.” Annals of Periodontology 4: 1–6.
Axelsson, P., and J. Lindhe. 1981. “Effect of Controlled Oral Hygiene Procedures on Caries and Periodontal Disease in Adults. Results After 6 Years.” Journal of Clinical Periodontology 8, no. 3: 239–248. https://doi.org/10.1111/j.1600‐051x.1981.tb02035.x.
Becker, W., B. E. Becker, and L. E. Berg. 1984. “Periodontal Treatment Without Maintenance. A Retrospective Study in 44 Patients.” Journal of Periodontology 55, no. 9: 505–509. https://doi.org/10.1902/jop.1984.55.9.505.
Botelho, J., V. Machado, L. Proenca, et al. 2020. “The Impact of Nonsurgical Periodontal Treatment on Oral Health‐Related Quality of Life: A Systematic Review and Meta‐Analysis.” Clinical Oral Investigations 24, no. 2: 585–596. https://doi.org/10.1007/s00784‐019‐03188‐1.
Carvalho, R., J. Botelho, V. Machado, et al. 2021. “Predictors of Tooth Loss During Long‐Term Periodontal Maintenance: An Updated Systematic Review.” Journal of Clinical Periodontology 48, no. 8: 1019–1036. https://doi.org/10.1111/jcpe.13488.
Chambrone, L., D. Chambrone, L. A. Lima, and L. A. Chambrone. 2010. “Predictors of Tooth Loss During Long‐Term Periodontal Maintenance: A Systematic Review of Observational Studies.” Journal of Clinical Periodontology 37, no. 7: 675–684. https://doi.org/10.1111/j.1600‐051X.2010.01587.x.
De Wet, L. M., D. E. Slot, and G. A. Van der Weijden. 2018. “Supportive Periodontal Treatment: Pocket Depth Changes and Tooth Loss.” International Journal of Dental Hygiene 16, no. 2: 210–218. https://doi.org/10.1111/idh.12290.
Echeverria, J. J., A. Echeverria, and R. G. Caffesse. 2019. “Adherence to Supportive Periodontal Treatment.” Periodontology 2000 79, no. 1: 200–209. https://doi.org/10.1111/prd.12256.
Goh, V., P. P. Hackmack, E. F. Corbet, and W. K. Leung. 2017. “Moderate‐ To Long‐Term Periodontal Outcomes of Subjects Failing to Complete a Course of Periodontal Therapy.” Australian Dental Journal 62, no. 2: 152–160. https://doi.org/10.1111/adj.12440.
Grabe, H. J., H. Assel, T. Bahls, et al. 2014. “Cohort Profile: Greifswald Approach to Individualized Medicine (GANI_MED).” Journal of Translational Medicine 12: 144. https://doi.org/10.1186/1479‐5876‐12‐144.
Graetz, C., A. Baumer, P. Eickholz, et al. 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.
Helal, O., G. Gostemeyer, J. Krois, K. Fawzy El Sayed, C. Graetz, and F. Schwendicke. 2019. “Predictors for Tooth Loss in Periodontitis Patients: Systematic Review and Meta‐Analysis.” Journal of Clinical Periodontology 46, no. 7: 699–712. https://doi.org/10.1111/jcpe.13118.
Kim, S. Y., J. K. Lee, B. S. Chang, and H. S. Um. 2014. “Effect of Supportive Periodontal Therapy on the Prevention of Tooth Loss in Korean Adults.” Journal of Periodontal and Implant Science 44, no. 2: 65–70. https://doi.org/10.5051/jpis.2014.44.2.65.
Kocher, T., B. Holtfreter, H. W. Priess, et al. 2022. “Tooth Loss in Periodontally Treated Patients: A Registry‐ and Observation‐Based Analysis.” Journal of Clinical Periodontology 49, no. 8: 749–757. https://doi.org/10.1111/jcpe.13668.
Kocher, T., J. Konig, U. Dzierzon, H. Sawaf, and H. C. Plagmann. 2000. “Disease Progression in Periodontally Treated and Untreated Patients – A Retrospective Study.” Journal of Clinical Periodontology 27, no. 11: 866–872. https://doi.org/10.1034/j.1600‐051x.2000.027011866.x.
Konig, J., H. C. Plagmann, N. Langenfeld, and T. Kocher. 2001. “Retrospective Comparison of Clinical Variables Between Compliant and Non‐Compliant Patients.” Journal of Clinical Periodontology 28, no. 3: 227–232. https://doi.org/10.1034/j.1600‐051x.2001.028003227.x.
Lee, C. T., H. Y. Huang, T. C. Sun, and N. Karimbux. 2015. “Impact of Patient Compliance on Tooth Loss During Supportive Periodontal Therapy: A Systematic Review and Meta‐Analysis.” Journal of Dental Research 94, no. 6: 777–786. https://doi.org/10.1177/0022034515578910.
Leow, N. M., F. Moreno, D. Marletta, et al. 2021. “Recurrence and Progression of Periodontitis and Methods of Management in Long‐Term Care: A Systematic Review and Meta‐Analysis.” Journal of Clinical Periodontology 49, no. S24: 291–313. https://doi.org/10.1111/jcpe.13553.
Leung, W. K., D. K. Ng, L. Jin, and E. F. Corbet. 2006. “Tooth Loss in Treated Periodontitis Patients Responsible for Their Supportive Care Arrangements.” Journal of Clinical Periodontology 33, no. 4: 265–275. https://doi.org/10.1111/j.1600‐051X.2006.00903.x.
Matuliene, G., B. E. Pjetursson, G. E. Salvi, et al. 2008. “Influence of Residual Pockets on Progression of Periodontitis and Tooth Loss: Results After 11 Years of Maintenance.” Journal of Clinical Periodontology 35, no. 8: 685–695. https://doi.org/10.1111/j.1600‐051X.2008.01245.x.
Ng, M. C., M. M. Ong, L. P. Lim, C. G. Koh, and Y. H. Chan. 2011. “Tooth Loss in Compliant and Non‐Compliant Periodontally Treated Patients: 7 Years After Active Periodontal Therapy.” Journal of Clinical Periodontology 38, no. 5: 499–508. https://doi.org/10.1111/j.1600‐051X.2011.01708.x.
Pitchika, V., R. Jordan, W. Micheelis, A. Welk, T. Kocher, and B. Holtfreter. 2021. “Impact of Powered Toothbrush Use and Interdental Cleaning on Oral Health.” Journal of Dental Research 100, no. 5: 487–495. https://doi.org/10.1177/0022034520973952.
Pitchika, V., C. Pink, H. Volzke, A. Welk, T. Kocher, and B. Holtfreter. 2019. “Long‐Term Impact of Powered Toothbrush on Oral Health: 11‐Year Cohort Study.” Journal of Clinical Periodontology 46, no. 7: 713–722. https://doi.org/10.1111/jcpe.13126.
Ramseier, C. A., M. Nydegger, C. Walter, et al. 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, no. 2: 218–230. https://doi.org/10.1111/jcpe.13041.
Rattu, V., D. Raindi, G. Antonoglou, and L. Nibali. 2023. “Prevalence of Stable and Successfully Treated Periodontitis Subjects and Incidence of Subsequent Tooth Loss Within Supportive Periodontal Care: A Systematic Review with Meta‐Analyses.” Journal of Clinical Periodontology 50, no. 10: 1371–1389. https://doi.org/10.1111/jcpe.13835.
Ravida, A., M. Galli, M. H. A. Saleh, et al. 2021. “Maintenance Visit Regularity Has a Different Impact on Periodontitis‐Related Tooth Loss Depending on Patient Staging and Grading.” Journal of Clinical Periodontology 48, no. 8: 1008–1018. https://doi.org/10.1111/jcpe.13489.
Rosen, B., G. Olavi, A. Badersten, A. Ronstrom, G. Soderholm, and J. Egelberg. 1999. “Effect of Different Frequencies of Preventive Maintenance Treatment on Periodontal Conditions. 5‐Year Observations in General Dentistry Patients.” Journal of Clinical Periodontology 26, no. 4: 225–233. https://doi.org/10.1034/j.1600‐051x.1999.260405.x.
Sanz, M., D. Herrera, M. Kebschull, et al. 2020. “Treatment of Stage I‐III Periodontitis‐The EFP S3 Level Clinical Practice Guideline.” Journal of Clinical Periodontology 47 Suppl 22, no. Suppl 22: 4–60. https://doi.org/10.1111/jcpe.13290.
Singh, V. P., A. S. Uppoor, D. G. Nayak, and D. Shah. 2013. “Black Triangle Dilemma and Its Management in Esthetic Dentistry.” Dental Research Journal 10, no. 3: 296–301.
StataCorp. 2021. Stata Statistical Software: Release 17. College Station, TX: StataCorp LLC.
Tomasi, C., A. H. Leyland, and J. L. Wennström. 2007. “Factors Influencing the Outcome of Non‐Surgical Periodontal Treatment: A Multilevel Approach.” Journal of Clinical Periodontology 34, no. 8: 682–690. https://doi.org/10.1111/j.1600‐051X.2007.01111.x.
Trombelli, L., G. Franceschetti, and R. Farina. 2015. “Effect of Professional Mechanical Plaque Removal Performed on a Long‐Term, Routine Basis in the Secondary Prevention of Periodontitis: A Systematic Review.” Journal of Clinical Periodontology 42, no. Suppl 16: S221–S236. https://doi.org/10.1111/jcpe.12339.
Wong, L. B., A. U. Yap, and P. F. Allen. 2021. “Periodontal Disease and Quality of Life: Umbrella Review of Systematic Reviews.” Journal of Periodontal Research 56, no. 1: 1–17. https://doi.org/10.1111/jre.12805.

Auteurs

Thomas Kocher (T)

Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, Greifswald, Germany.

Karoline Lösler (K)

Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, Greifswald, Germany.

Christiane Pink (C)

Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, Greifswald, Germany.
Department of Orthodontics, University Medicine Greifswald, Greifswald, Germany.

Hans Jörgen Grabe (HJ)

German Center for Neurodegenerative Diseases, Rostock/Greifswald, Germany.
Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany.

Birte Holtfreter (B)

Department of Restorative Dentistry, Periodontology and Endodontology, University Medicine Greifswald, Greifswald, Germany.

Classifications MeSH