Clinical Treatment Endpoints After Active Periodontal Treatment and 10 Years of Supportive Periodontal Care: A Retrospective Cohort Study

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

Journal of Clinical Periodontology Pub Date : 2025-07-09 DOI:10.1111/jcpe.14179

Mario Schröder, Max Buchinger, Iulia Dahmer, Peter Eickholz, Hari Petsos

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引用次数: 0

Abstract

ObjectivesComparing periodontal stability following active periodontal treatment (APT/T1) and 120 ± 12 months of supportive periodontal care (SPC/T2) using four clinical endpoints (CEPs).MethodsCEP1: pocket probing depths (PPD) ≤ 4 mm, no sites with ≥ 4 mm with bleeding on probing (BOP), and total BOP < 10%; CEP2: no PPD > 4 mm with BOP or PPD ≥ 6 mm; CEP3: ≤ 4 sites with PPD ≥ 5 mm; CEP4: ≤ 5 teeth with PPD ≥ 5 mm. Assuming CEPs are mutually exclusive, patient‐ and tooth‐related parameters (e.g., periodontal tooth loss: PTL) were compared. Using receiver operating characteristic analysis for the prediction of PTL as a cutoff for CEP was assessed.ResultsFrom 128 patients (age 65.5 ± 10.5 years; 83 stage III, 45 stage IV; 47 grade B, 81 grade C), 7 achieved CEP1, 23 CEP2, 45 CEP3, 23 CEP4, 30 noCEP at T1. At T2, six patients reached CEP1, 37 CEP2, 38 CEP3, 35 CEP4, 12 noCEP. For noCEP, the number of sites with PPD > 5 mm increased significantly, and PTL was higher compared to CEP1, CEP2 and CEP3 (p < 0.001).ConclusionsWhile achieving CEP1 is possible through comprehensive APT, treating a chronic disease often leads to less ideal CEP2/CEP3. Achieving CEP1, CEP2 or CEP3 after APT made no observable difference regarding PTL.Trial Registration: The study is registered with the United States National Library of Medicine in the clinical trials database (URL: https://clinicaltrials.gov; NCT03048045)

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积极牙周治疗和10年支持牙周护理后的临床治疗终点：一项回顾性队列研究

目的采用4个临床终点（cep）比较主动牙周治疗（APT/T1）和支持牙周治疗（SPC/T2）后（120±12个月）的牙周稳定性。方法1：穿刺袋深度(PPD)≤4mm，无≥4mm处有穿刺出血（BOP），总BOP <；10%;CEP2：无PPD >；4 mm，防喷器或PPD≥6 mm；CEP3:≤4个位点，PPD≥5mm；CEP4:≤5齿，PPD≥5mm。假设cep是相互排斥的，比较患者和牙齿相关参数（如牙周牙齿脱落：PTL）。利用受者工作特征分析预测PTL作为CEP的截止值进行评估。结果128例患者(年龄65.5±10.5岁；III期83人，IV期45人；B级47人，C级81人)，达到CEP1者7人，达到CEP2者23人，达到CEP3者45人，达到CEP4者23人，达到noCEP者30人。T2时，6例达到CEP1, 37例达到CEP2, 38例达到CEP3, 35例达到CEP4, 12例达到noCEP。对于noCEP，具有PPD >；5 mm显著增高，PTL较CEP1、CEP2和CEP3增高(p <；0.001)。结论通过综合APT可以实现CEP1，但慢性疾病的治疗往往导致CEP2/CEP3不理想。APT后达到CEP1、CEP2或CEP3对PTL没有明显差异。试验注册：本研究已在美国国家医学图书馆临床试验数据库注册(URL: https://clinicaltrials.gov；NCT03048045)

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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.