Does adherence to supportive periodontal care lower the risk of caries and related tooth loss? A systematic review and meta-analysis.

IF 17.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Periodontology 2000 Pub Date : 2026-06-23 DOI:10.1111/prd.70060

David Donnermeyer,Hendrik Meyer-Lückel,Alexandra Stähli,Raluca Cosgarea,Richard Johannes Wierichs

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Abstract

OBJECTIVES The present systematic review critically summarizes the results of clinical studies investigating the risk of crown or root caries and tooth loss in adult patients suffering from periodontitis in relation to their adherence to supportive periodontal care (SPC). MATERIALS AND METHODS Five electronic databases were searched for studies from 1947 to 2025. Odds ratios (or) were calculated for continuous outcome data (e.g., the number of new caries lesions or lost teeth) in a fixed or random-effects model. RESULTS Thirty-nine articles, reporting 34 studies with 9685 patients at baseline with at least 157 779 teeth, were included. One study investigated the development of root caries at tooth level, 25 examined tooth loss at patient level, and 13 tooth loss at tooth level. A meta-analysis was not feasible for the outcome root caries. At patient level, significantly more less-adherent patients experienced tooth loss compared with adherent patients (OR = 1.50, 95% CI: 1.11-2.01). At tooth level, adherent patients showed significantly fewer lost teeth than less-adherent patients (OR = 1.64, 95% CI: 1.17-2.29). CONCLUSIONS Adhering to SPC reduces the risk of tooth loss in periodontitis patients. In contrast, evidence on root caries prevention is limited, with only one study addressing this outcome. CLINICAL RELEVANCE Prevention of caries and subsequent tooth loss is highly relevant for patients undergoing SPC. However, it remains insufficiently addressed in the current literature, underscoring the need for further well-designed studies investigating caries progression in periodontally compromised patients.

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坚持支持牙周护理能降低龋齿和相关牙齿脱落的风险吗？系统回顾和荟萃分析。

目的：本系统综述批判性地总结了临床研究的结果，这些研究调查了患有牙周炎的成年患者冠或根龋和牙齿脱落的风险与他们坚持支持牙周护理（SPC）的关系。材料与方法检索1947 ~ 2025年的5个电子数据库。在固定或随机效应模型中计算连续结果数据（例如，新龋齿病变或脱落牙齿的数量）的优势比（or）。结果纳入39篇文章，报告34项研究，9685例基线患者至少15779颗牙齿。1项研究在牙齿水平调查牙根龋的发展，25项研究在患者水平调查牙齿脱落情况，13项研究在牙齿水平调查牙齿脱落情况。对结果进行荟萃分析是不可行的。在患者水平上，较少黏贴的患者与黏贴患者相比，出现牙齿脱落的患者明显更多（OR = 1.50, 95% CI: 1.11-2.01）。在牙齿水平上，黏附患者的牙齿脱落明显少于非黏附患者（OR = 1.64, 95% CI: 1.17-2.29）。结论坚持SPC可降低牙周炎患者牙齿脱落的风险。相比之下，预防牙根龋的证据有限，只有一项研究涉及这一结果。预防龋齿和随后的牙齿脱落与SPC患者高度相关。然而，在目前的文献中，它仍然没有得到充分的解决，强调需要进一步精心设计的研究来调查牙周受损患者的龋齿进展。

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

Periodontology 2000 医学-牙科与口腔外科

CiteScore

34.10

自引率

2.20%

发文量

审稿时长

>12 weeks

期刊介绍： Periodontology 2000 is a series of monographs designed for periodontists and general practitioners interested in periodontics. The editorial board selects significant topics and distinguished scientists and clinicians for each monograph. Serving as a valuable supplement to existing periodontal journals, three monographs are published annually, contributing specialized insights to the field.