Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec;55(6):946-958.
doi: 10.1111/jre.12786. Epub 2020 Jul 22.

Retrospectively analysed tooth loss in periodontally compromised patients: Long-term results 10 years after active periodontal therapy-Patient-related outcomes

Hari Petsos  1   2 , Beate Schacher  1 , Tatjana Ramich  1 , Katrin Nickles  1   3 , Bettina Dannewitz  1   4 , Susanne Arendt  4 , Kathrin Seidel  5 , Peter Eickholz  1
Affiliations

Retrospectively analysed tooth loss in periodontally compromised patients: Long-term results 10 years after active periodontal therapy-Patient-related outcomes

Hari Petsos et al. J Periodontal Res. 2020 Dec.

Abstract

Background and objective: Long-term tooth retention is the ultimate goal of periodontal therapy. Aim of this study was to evaluate tooth loss (TL) during 10 years of supportive periodontal therapy (SPT) in periodontal compromised patients and to identify factors influencing TL on patient level.

Material and methods: Patients were re-examined 120 ± 12 months after active periodontal therapy. TL and risk factors [smoking, initial diagnosis, SPT adherence, interleukin-1 polymorphism, cardiovascular diseases, age at baseline, bleeding on probing (BOP), change of practitioner, insurance status, number of SPT, marital and educational status] influencing TL on patient level were assessed.

Results: One-hundred patients (52 female, mean age 65.6 ± 11 years) lost 121 of 2428 teeth (1.21 teeth/patient; 0.12 teeth/patient/y) during 10 years of SPT. Forty-two of these were lost for periodontal reasons (0.42 teeth/patient; 0.04 teeth/patient/y). Significantly more teeth were lost due to other reasons (P < .001). Smoking, baseline severity of periodontitis, non-adherent SPT, positive interleukin-1 polymorphism, marital and educational status, private insurance, older age at baseline and BOP, small number of SPT were identified as patient-related risk factors for TL (P < .05).

Conclusion: During 120 ± 12 months of SPT, only a small number of teeth was lost in periodontally compromised patients showing the positive effect of a well-established periodontal treatment concept. The remaining risk for TL should be considered using risk-adopted SPT allocation.

Keywords: long-term success; periodontal risk factors; supportive periodontal therapy; tooth loss.

PubMed Disclaimer

References

REFERENCES

    1. Dye BA. Global periodontal disease epidemiology. Periodontol 2000. 2012;58(1):10-25.
    1. Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression. J Dent Res. 2014;93(11):1045-1053.
    1. Ramseier CA, Anerud A, Dulac M, et al. Natural history of periodontitis: Disease progression and tooth loss over 40 years. J Clin Periodontol. 2017;44(12):1182-1191.
    1. Tonetti MS, Jepsen S, Jin L, Otomo-Corgel J. Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: A call for global action. J Clin Periodontol. 2017;44(5):456-462.
    1. Baumer A, Kappesz D, Ozga AK, Mertens C, Eickholz P, Pretzl B. Oral health-related quality of life and standard of treatment in aggressive periodontitis patients more than 5 years after therapy. J Clin Periodontol. 2018;45(11):1347-1355.

LinkOut - more resources