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

IF 5.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Clinical Periodontology Pub Date : 2024-09-05 DOI:10.1111/jcpe.14062

Thomas Kocher, Karoline Lösler, Christiane Pink, Hans Jörgen Grabe, Birte Holtfreter

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引用次数: 0

Abstract

Aim: 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.

Material and methods: 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).

Results: 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).

Conclusions: 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.

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停止牙周支持疗法对牙周状况的影响--一项回顾性研究。

目的：评估积极牙周治疗（APT）和支持性牙周治疗（SPT）对部分和完全达标以及辍学患者探诊深度（PD）变化和年牙齿脱落的影响：记录了280名牙周治疗部分达标和完全达标患者（定期支持性就诊，SPT持续时间为5.5 ± 4.5年）以及55名辍学患者（SPT和辍学持续时间为8.3 ± 3.8年，仅辍学持续时间为5.3 ± 3.7年）的数据。从患者档案中获取PD数据以及APT开始时（T1）和SPT开始时（T2）的牙齿数量，并在最终检查时（T3）进行评估：结果：SPT期间的年牙齿脱落率明显更高（p 结论：SPT期间的年牙齿脱落率明显高于APT期间：在部分和完全达标的患者中，SPT 对 PD 稳定性和中期牙齿保存有积极影响。与预期相反，退出的患者虽然没有达到 PD 稳定度，但 PD 没有恢复到基线值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Periodontology 医学-牙科与口腔外科

CiteScore

13.30

自引率

10.40%

发文量

175

审稿时长

3-8 weeks

期刊介绍： Journal of Clinical Periodontology was founded by the British, Dutch, French, German, Scandinavian, and Swiss Societies of Periodontology. The aim of the Journal of Clinical Periodontology is to provide the platform for exchange of scientific and clinical progress in the field of Periodontology and allied disciplines, and to do so at the highest possible level. The Journal also aims to facilitate the application of new scientific knowledge to the daily practice of the concerned disciplines and addresses both practicing clinicians and academics. The Journal is the official publication of the European Federation of Periodontology but wishes to retain its international scope. The Journal publishes original contributions of high scientific merit in the fields of periodontology and implant dentistry. Its scope encompasses the physiology and pathology of the periodontium, the tissue integration of dental implants, the biology and the modulation of periodontal and alveolar bone healing and regeneration, diagnosis, epidemiology, prevention and therapy of periodontal disease, the clinical aspects of tooth replacement with dental implants, and the comprehensive rehabilitation of the periodontal patient. Review articles by experts on new developments in basic and applied periodontal science and associated dental disciplines, advances in periodontal or implant techniques and procedures, and case reports which illustrate important new information are also welcome.