Periodontitis progression and prognostic factors in questionable teeth during supportive periodontal therapy
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Abstract
This retrospective study aimed to determine the incidence rate of periodontitis progression in questionable teeth of chronic periodontitis patients, and to identify the relevant prognostic factors during supportive periodontal therapy. Continued chronic periodontitis patients in supportive periodontal therapy program in the post-graduate clinic, Department of Periodontology, Faculty of Dentistry, Chulalongkorn University, within year 2013-2014 were collected. Patients who had at least one questionable tooth during the maintenance phase were included. Treatment records were comprehensively reviewed and collected. Based on the tooth-level analysis, the Kaplan-Meier curves of having additional loss of clinical attachment level ³ 3 mm was estimated. Prognostic factors including age, gender, smoking habits, diabetes mellitus, parafunctional habits, posterior tooth support, oral hygiene level, full-mouth bleeding score, tooth type, residual periodontal pocket depth, clinical attachment level, furcation involvement, bone level, and tooth mobility were assessed by the Cox proportional hazards regression model. Of all the 358 treated questionable teeth from 123 patients, 178 (49.7%) teeth demonstrated disease progression during supportive periodontal therapy. The incidence rate of disease progression among questionable teeth was 14.5 teeth per 100 teeth-years. The median progression-free survival time was 4.93 years. The prognostic factors that significantly increased the risk of progression were 1)³ 30% full-mouth bleeding score and 2)³ 7 mm residual periodontal pocket depth with adjusted hazards ratio of 2.45 (95%CI: 1.60, 3.75) and 1.87 (95%CI: 1.14, 3.07), respectively. In conclusion, almost half of treated questionable teeth had periodontal progression. Strictly monitoring and maintenance recall should be emphasized in periodontitis patients with deep residual periodontal pocket depth and persisting gingival inflammation.
Article Details
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
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