牙周探查深度与牙齿脱落的10年随访

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

Journal of Clinical Periodontology Pub Date : 2025-01-02 DOI:10.1111/jcpe.14117

Peter Meisel, Henry Völzke, Thomas Kocher

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引用次数: 0

摘要

目的探讨10年随访后牙探牙深度（PD）排名数据能否转化为PD排名结果及相关的牙丢失。材料和方法来自波美拉尼亚健康研究（SHIP‐START），回顾性纳入所有参与者，包括1887名参与者，在基线和10年随访中进行了完整的PD测量。跟踪平均PD测量值的百分位数轨迹。结果基线时平均PD分位数与基线时牙数、10年后牙数和涉及的牙齿脱落风险呈剂量依赖关系。个体PD五分位数的成员轨迹表明，大多数参与者在达到10年结束分析后仍处于或接近其基线五分位数。在基线时评估的牙周危险因素继续影响PD的随访结果。牙缺失分为两类：1-2颗牙缺失和≥3颗牙缺失，并根据基线PD进行区分。结论：在这一人群中，pd的严重程度以剂量依赖的方式转化为多年后随访的牙齿脱落情况。这强调了口袋探测在牙科实践中的前瞻性重要性。排名PD提供了一种简单的方法来识别牙齿脱落的高风险患者。

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Periodontal Probing Depth Trajectory in 10 Years of Follow‐Up as Associated With Tooth Loss

AimTo elucidate whether ranked probing depth (PD) data translate into ranked PD outcomes after 10 years of follow‐up and the associated tooth loss.Materials and MethodsFrom the Study of Health in Pomerania (SHIP‐START), all participants were retrospectively included with complete PD measurements in both baseline and 10‐year follow‐up, comprising 1887 participants. The trajectory of percentile‐based quintiles of mean PD measurements was followed.ResultsQuintiles of mean PD at baseline were, in a dose dependent manner, associated with the number of teeth at baseline, number of teeth after 10 years and involved risk of tooth loss. The trajectory of membership to individual PD quintiles indicated that the majority of participants remained in or near their baseline quintile after reaching the 10‐year end analysis. Periodontal risk factors assessed at baseline continued to affect PD outcomes at follow‐up. Two categories of tooth loss were identified: 1–2 teeth lost versus ≥ 3 teeth and differentiated by baseline PD.ConclusionPD severity ranked within this population translates, in a dose‐dependent manner, to follow‐up tooth loss even after many years. This underlines the prospective importance of pocket probing in the dental practice. Ranked PD offers a simple measure to identify patients at high risk of tooth loss.

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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.