Endpoints of Periodontal Therapy in Elderly Patients With Stage III/IV Periodontitis and Their Oral Health–Related Quality of Life Following 10 Years of Supportive Periodontal Therapy

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

Journal of Clinical Periodontology Pub Date : 2025-07-07 DOI:10.1111/jcpe.14198

Caspar Victor Bumm, Sophie Gaenesch, Florian Nagler, Iris Frasheri, Falk Schwendicke, Vinay Pitchika, Christina Ern, Richard Heym, Charlotte Wetzel, Matthias Folwaczny, Nils Werner

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Abstract

AimTo investigate clinical endpoints of periodontal therapy after steps 1 and 2 of therapy and their association with oral health–related quality of life (OHRQoL) following long‐term supportive periodontal therapy (SPT).Materials and MethodsForty‐seven patients receiving SPT for 126 ± 30 months were included. Clinical endpoints of therapy, as proposed by the EFP (PPD ≤ 3 mm, ≤ 5 mm without bleeding on probing), and a treat‐to‐target endpoint (T2T; ≤ 4 sites with PPD of ≥ 5 mm) were determined following steps 1 and 2 of therapy (T1) and were associated with patients' OHRQoL using the Oral Health Impact Profile (OHIP)‐14 as well as tooth loss (TL) and self‐reported tooth migration 126 ± 30 months after step 2 (T2).ResultsOne patient achieved the EFP endpoint and 16 achieved T2T, and 30 patients failed to achieve any endpoint at T1. OHRQoL at T2 did not differ significantly between patients achieving or not achieving the endpoints (p = 0.485). Self‐reported tooth migration during the examination period was significantly associated with poorer OHRQoL (p = 0.009).ConclusionsOHRQoL has become a major subject of periodontal research. Within the limitations of this study, achieving clinical endpoints does not seem to affect patients' OHRQoL following long‐term SPT. Patients reporting on tooth migration, however, showed significantly reduced OHRQoL. Besides clinical endpoints, functional and aesthetic complaints of periodontally compromised patients should be considered when evaluating the success of therapy.

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老年III/IV期牙周炎患者的牙周治疗终点及10年牙周支持性治疗后口腔健康相关生活质量

目的探讨牙周治疗第1步和第2步治疗后的临床终点及其与长期支持牙周治疗（SPT）后口腔健康相关生活质量（OHRQoL）的关系。材料和方法纳入47例接受SPT治疗126±30个月的患者。治疗的临床终点，如EFP提出的（PPD≤3mm,≤5mm，穿刺时不出血）和治疗至目标终点(T2T；在治疗第1步和第2步（T1）后确定PPD≥5 mm的≤4个位点，并通过口腔健康影响量表（OHIP）‐14以及第2步（T2）后126±30个月的牙齿脱落（TL）和自我报告的牙齿迁移与患者的OHRQoL相关。结果1例患者达到EFP终点，16例患者达到T2T， 30例患者在T1时未达到任何终点。达到或未达到终点的患者在T2时的OHRQoL无显著差异（p = 0.485）。检查期间自我报告的牙齿移位与较差的OHRQoL显著相关（p = 0.009）。结论hrqol已成为牙周病研究的重要课题。在本研究的局限性内，达到临床终点似乎并不影响长期SPT后患者的OHRQoL。然而，报告牙齿移位的患者显示OHRQoL显着降低。除了临床终点外，在评估治疗成功时还应考虑牙周受损患者的功能和美观问题。

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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.