Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults

  • Kim, Sang-Yul (Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry) ;
  • Lee, Jae-Kwan (Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry) ;
  • Chang, Beom-Seok (Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry) ;
  • Um, Heung-Sik (Department of Periodontology, Research Institute of Oral Sciences, Gangneung-Wonju National University College of Dentistry)
  • Received : 2013.11.26
  • Accepted : 2014.03.27
  • Published : 2014.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this retrospective study was to evaluate the effect of patient compliance with supportive periodontal therapy (SPT) on tooth loss in Korean adults. Methods: The periodontal records of 134 patients were reviewed for this study. They completed active periodontal treatment from 1999 to 2001 and were placed on a schedule of periodic follow-up visits for SPT. Patient compliance was classified into complete compliance (CC), erratic compliance (EC), and noncompliance (NC) groups. Re-examinations were carried out $11.0{{\pm}}0.8$ years after the active periodontal treatment. The prognosis for each tooth was determined as good, questionable, or hopeless according to the bone loss observed in pretreatment radiographs. Results: The rate of tooth loss of the CC group was significantly lower than that of the NC group. The tooth loss/patient and the tooth loss/patient/year were not significantly different between the three groups. The rates of tooth loss in the good, questionable, and hopeless prognosis groups were 6.7%, 9.5%, and 13.2%, respectively. For the teeth with a good prognosis, the rate of tooth loss of the CC group was significantly lower than that of the NC group (0.4% vs. 5.1%). For the teeth with a questionable prognosis, the CC group showed a significantly lower rate of tooth loss than did the EC group (4.1% vs. 30.7%) or the NC group (4.1% vs. 25.6%). For the teeth with a hopeless prognosis, the rates of tooth loss were not significantly different among the three groups. Conclusions: Within the limits of this study, the patients who showed a poor compliance with SPT were more likely to lose teeth than were the regularly compliant patients. However, the risk of tooth loss with a hopeless prognosis was high irrespective of the compliance.

Keywords

References

  1. Hujoel PP, Leroux BG, Selipsky H, White BA. Non-surgical periodontal therapy and tooth loss: a cohort study. J Periodontol 2000;71:736-42. https://doi.org/10.1902/jop.2000.71.5.736
  2. Pihlstrom BL, McHugh RB, Oliphant TH, Ortiz-Campos C. Comparison of surgical and nonsurgical treatment of periodontal disease: a review of current studies and additional results after 61/2 years. J Clin Periodontol 1983;10:524-41. https://doi.org/10.1111/j.1600-051X.1983.tb02182.x
  3. American Academy of Periodontology. Glossary of periodontal terms. Chicago: American Academy of Periodontology; 2001.
  4. Sackett DL, Haynes RB. Compliance with therapeutic regimens. Baltimore; Johns Hopkins University Press; 1977.
  5. Wilson TG Jr, Glover ME, Schoen J, Baus C, Jacobs T. Compliance with maintenance therapy in a private periodontal practice. J Periodontol 1984;55:468-73. https://doi.org/10.1902/jop.1984.55.8.468
  6. Mendoza AR, Newcomb GM, Nixon KC. Compliance with supportive periodontal therapy. J Periodontol 1991;62:731-6. https://doi.org/10.1902/jop.1991.62.12.731
  7. Demetriou N, Tsami-Pandi A, Parashis A. Compliance with supportive periodontal treatment in private periodontal practice. A 14-year retrospective study. J Periodontol 1995;66:145-9. https://doi.org/10.1902/jop.1995.66.2.145
  8. Novaes AB, Novaes AB Jr, Moraes N, Campos GM, Grisi MF. Compliance with supportive periodontal therapy. J Periodontol 1996; 67:213-6. https://doi.org/10.1902/jop.1996.67.3.213
  9. Park WK, Lee JK, Chang BS, Um HS. A retrospective study on patients' compliance with supportive periodontal therapy. J Korean Acad Periodontol 2009;39:59-70. https://doi.org/10.5051/jkape.2009.39.1.59
  10. Costa FO, Miranda Cota LO, Pereira Lages EJ, Vilela Camara GC, Cortelli SC, Cortelli JR, et al. Oral impact on daily performance, personality traits, and compliance in periodontal maintenance therapy. J Periodontol 2011;82:1146-54. https://doi.org/10.1902/jop.2011.100515
  11. Miyamoto T, Kumagai T, Jones JA, Van Dyke TE, Nunn ME. Compliance as a prognostic indicator: retrospective study of 505 pa tients treated and maintained for 15 years. J Periodontol 2006; 77:223-32. https://doi.org/10.1902/jop.2006.040349
  12. Ramfjord SP, Morrison EC, Burgett FG, Nissle RR, Shick RA, Zann GJ, et al. Oral hygiene and maintenance of periodontal support. J Periodontol 1982;53:26-30. https://doi.org/10.1902/jop.1982.53.1.26
  13. Konig J, Plagmann HC, Langenfeld N, Kocher T. Retrospective comparison of clinical variables between compliant and non-compliant patients. J Clin Periodontol 2001;28:227-32. https://doi.org/10.1034/j.1600-051x.2001.028003227.x
  14. Fardal O, Johannessen AC, Linden GJ. Tooth loss during maintenance following periodontal treatment in a periodontal practice in Norway. J Clin Periodontol 2004;31:550-5. https://doi.org/10.1111/j.1600-051X.2004.00519.x
  15. Checchi L, Montevecchi M, Gatto MR, Trombelli L. Retrospective study of tooth loss in 92 treated periodontal patients. J Clin Periodontol 2002;29:651-6. https://doi.org/10.1034/j.1600-051X.2002.290710.x
  16. Eickholz P, Kaltschmitt J, Berbig J, Reitmeir P, Pretzl B. Tooth loss after active periodontal therapy. 1: patient-related factors for risk, prognosis, and quality of outcome. J Clin Periodontol 2008;35:165-74. https://doi.org/10.1111/j.1600-051X.2007.01184.x
  17. Wilson TG Jr, Glover ME, Malik AK, Schoen JA, Dorsett D. Tooth loss in maintenance patients in a private periodontal practice. J Periodontol 1987;58:231-5. https://doi.org/10.1902/jop.1987.58.4.231
  18. Shick RA. Maintenance phase of periodontal therapy. J Periodontol 1981;52:576-83. https://doi.org/10.1902/jop.1981.52.9.576
  19. Lindhe J, Nyman S. Long-term maintenance of patients treated for advanced periodontal disease. J Clin Periodontol 1984;11: 504-14. https://doi.org/10.1111/j.1600-051X.1984.tb00902.x
  20. Hirschfeld L, Wasserman B. A long-term survey of tooth loss in 600 treated periodontal patients. J Periodontol 1978;49:225-37. https://doi.org/10.1902/jop.1978.49.5.225
  21. Tsami A, Pepelassi E, Kodovazenitis G, Komboli M. Parameters affecting tooth loss during periodontal maintenance in a Greek population. J Am Dent Assoc 2009;140:1100-7. https://doi.org/10.14219/jada.archive.2009.0336
  22. Ng MC, Ong MM, Lim LP, Koh CG, Chan YH. Tooth loss in compliant and non-compliant periodontally treated patients: 7 years after active periodontal therapy. J Clin Periodontol 2011;38:499-508. https://doi.org/10.1111/j.1600-051X.2011.01708.x
  23. McFall WT Jr. Tooth loss in 100 treated patients with periodontal disease: a long-term study. J Periodontol 1982;53:539-49. https://doi.org/10.1902/jop.1982.53.9.539
  24. Goldman MJ, Ross IF, Goteiner D. Effect of periodontal therapy on patients maintained for 15 years or longer: a retrospective study. J Periodontol 1986;57:347-53. https://doi.org/10.1902/jop.1986.57.6.347
  25. Kwok V, Caton JG. Commentary: prognosis revisited: a system for assigning periodontal prognosis. J Periodontol 2007;78:2063-71. https://doi.org/10.1902/jop.2007.070210
  26. Becker W, Becker BE, Berg LE. Periodontal treatment without maintenance: a retrospective study in 44 patients. J Periodontol 1984;55:505-9. https://doi.org/10.1902/jop.1984.55.9.505
  27. McGuire MK. Prognosis versus actual outcome: a long-term survey of 100 treated periodontal patients under maintenance care. J Periodontol 1991;62:51-8. https://doi.org/10.1902/jop.1991.62.1.51
  28. Avila G, Galindo-Moreno P, Soehren S, Misch CE, Morelli T, Wang HL. A novel decision-making process for tooth retention or extraction. J Periodontol 2009;80:476-91. https://doi.org/10.1902/jop.2009.080454
  29. Miyamoto T, Kumagai T, Lang MS, Nunn ME. Compliance as a prognostic indicator. II. Impact of patient's compliance to the individual tooth survival. J Periodontol 2010;81:1280-8. https://doi.org/10.1902/jop.2010.100039
  30. Baumer A, Pretzl B, Cosgarea R, Kim TS, Reitmeir P, Eickholz P, et al. Tooth loss in aggressive periodontitis after active periodontal therapy: patient-related and tooth-related prognostic factors. J Clin Periodontol 2011;38:644-51. https://doi.org/10.1111/j.1600-051X.2011.01733.x
  31. Fardal O, Linden GJ. Tooth loss and implant outcomes in patients refractory to treatment in a periodontal practice. J Clin Periodontol 2008;35:733-8. https://doi.org/10.1111/j.1600-051X.2008.01247.x
  32. Hujoel PP. Endpoints in periodontal trials: the need for an evidence-based research approach. Periodontol 2000 2004;36:196-204. https://doi.org/10.1111/j.1600-0757.2004.03681.x
  33. Ong G. Periodontal disease and tooth loss. Int Dent J 1998;48(3 Suppl 1):233-8. https://doi.org/10.1111/j.1875-595X.1998.tb00711.x
  34. Papapanou PN, Lindhe J. Epidemiology of periodontal disease. In: Lindhe J, Lang NP, Karring T, editors. Clinical periodontology and implant dentistry. 5th ed. Oxford: Blackwell Munksgaard; 2008. p. 129-79.

Cited by

  1. Impact of Patient Compliance on Tooth Loss during Supportive Periodontal Therapy : A Systematic Review and Meta-analysis vol.94, pp.6, 2014, https://doi.org/10.1177/0022034515578910
  2. Surgical and Non-Surgical Procedures Associated with Recurrence of Periodontitis in Periodontal Maintenance Therapy: 5-Year Prospective Study vol.10, pp.10, 2014, https://doi.org/10.1371/journal.pone.0140847
  3. Post‐treatment supportive care for the natural dentition and dental implants vol.71, pp.1, 2014, https://doi.org/10.1111/prd.12122
  4. Tooth Loss in Patients under Periodontal Maintenance in a Private Practice: A Retrospective Study vol.28, pp.4, 2014, https://doi.org/10.1590/0103-6440201701476
  5. Evaluation of prognosis related to compliance with supportive periodontal treatment in patients with chronic periodontitis: a clinical retrospective study vol.49, pp.2, 2014, https://doi.org/10.5051/jpis.2019.49.2.76
  6. Compliance with supportive periodontal/peri‐implant therapy: A systematic review vol.47, pp.1, 2014, https://doi.org/10.1111/jcpe.13204
  7. What periodontal recall interval is supported by evidence? vol.84, pp.1, 2014, https://doi.org/10.1111/prd.12340
  8. Long-term outcomes of adjacent and antagonistic teeth after implant restoration: a focus on patient-related factors vol.51, pp.2, 2014, https://doi.org/10.5051/jpis.2005100255
  9. Predictors of tooth loss during long‐term periodontal maintenance: An updated systematic review vol.48, pp.8, 2014, https://doi.org/10.1111/jcpe.13488