Problems of dental preservation and complex therapy of chronic generalized periodontitis

Cover Page

Abstract

Epidemiological studies have reported the prevalence of inflammatory periodontal diseases of 85%–90% in individuals aged >30 years. Predicting the possibility of preserving teeth is an important integral part of treatment planning for periodontitis. Traditionally, the prognosis is based on the likelihood of tooth loss. The article presents a review of the literature characterizing the factors that affect the prognosis of the service life of teeth in case of periodontitis. For the literature review, a literature search was performed on the MedLine, EMBASE, CyberLeninka, and eLibrary databases. The following factors should be considered when assessing the long-term prognosis in patients with the highest risk for tooth loss: severity of periodontitis, smoking, bruxism, number of abutment teeth, age, type of tooth, depth of probing the periodontal pocket, bone loss, furcation involvement, root mobility and proportions, and tooth crowns. Indicators for molar loss include furcation lesion, bone loss progression, endodontic treatment, persistent periodontal pocket, age, female sex, smoking, and diabetes mellitus. A favorable treatment result and preservation of teeth depend on the entire group of teeth, with the following values: 85% in single-rooted anterior teeth, 78% in premolars, and 47% in molars. The low accuracy of standard predictive tooth loss indices can be explained by the point that the indices are mainly based on factors related to teeth and do not take into account the influence of patient-related factors. Thus, predicting the service life of teeth with periodontitis is a difficult task and requires taking into account both individual indicators of periodontal status and general factors.

Full Text

Restricted Access

About the authors

Igor S. Kopetsky

N.I. Pirogov Russian National Research Medical University

Author for correspondence.
Email: kopetski@rambler.ru

MD, Dr. Sci. (Med.), Professor

Russian Federation, 1 Ostrovityanova, 117997, Moscow

Lyudmila V. Pobozhieva

N.I. Pirogov Russian National Research Medical University

Email: ludmila-stomatolog@mail.ru
ORCID iD: 0000-0002-6150-0282

MD, Cand. Sci. (Med.)

Russian Federation, 1 Ostrovityanova, 117997, Moscow

Alyona I. Kopetskaya

N.I. Pirogov Russian National Research Medical University

Email: alyonasom@gmail.ru
ORCID iD: 0000-0003-3199-5314
Russian Federation, 1 Ostrovityanova, 117997, Moscow

Juliya V. Shevelyuk

I.M. Sechenov First Moscow Medicine State University

Email: Ulija.med5@gmail.com
ORCID iD: 0000-0002-3854-456X

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

References

  1. Checchi L, Montevecchi M, Gatto MR, Trombelli L. Retrospective study of tooth loss in 92 treated periodontal patients. J Clin Periodontol. 2002;29(7):651–656.doi: 10.1034/j.1600–051x.2002.290710.x
  2. Fardal O, Grytten J, Martin J, et al. Using prognostic factors from case series and cohort studies to identify individuals with poor long-term outcomes during periodontal maintenance. J Clin Periodontol. 2016;43(9):789–796. doi: 10.1111/jcpe.12573
  3. Fardal O, Johannessen AC, Linden GJ. Tooth loss during maintenance following periodontal treatment in a periodontal practice in Norway. J Clin Periodontol. 2004;31(7):550–555.doi: 10.1111/j.1600–051X.2004.00519.x
  4. Lindskog S, Blomlof J, Persson I, et al. Validation of an algorithm for chronic periodontitis risk assessment and prognostication: risk predictors, explanatory values, measures of quality, and clinical use. J Periodontol. 2010;81(4):584–593. doi: 10.1902/jop.2010.090529
  5. Martinez–Canut P, Llobell A, Romero A. Predictors of long-term outcomes in patients undergoing periodontal maintenance. J Clin Periodontol. 2017;44(6):620–631. doi: 10.1111/jcpe.12730
  6. Lee CT, Huang HY, Sun TC, Karimbux N. Impact of Patient Compliance on Tooth Loss during Supportive Periodontal Therapy: A Systematic Review and Meta–analysis. J Dent Res. 2015;94(6): 777–786. doi: 10.1177/0022034515578910
  7. Pacheco–Pereira C, Spivakovsky S. Patient compliance and periodontal outcomes. Evid Based Dent. 2016;17(1):21–22.doi: 10.1038/sj.ebd.6401153
  8. Grudyanov AI. Periodontal diseases. Moscow: Moskovskoe informatsionnoe agenstvo; 2009. (In Russ).
  9. Kwok V, Caton JG. Commentary: prognosis revisited: a system for assigning periodontal prognosis. J Periodontol. 2007;78(11): 2063–2071. doi: 10.1902/jop.2007.070210
  10. Pihlstrom BL. Periodontal risk assessment, diagnosis and treatment planning. Periodontol 2000. 2001;25:37–58.doi: 10.1034/j.1600–0757.2001.22250104.x
  11. Petrukhina NB, Zorina OA, Shikh EV, et al. Prognostic model for assessing chronic generalized periodontitis in patients with metabolic syndrome. Bulletin of RSMU. 2019;(2):48–51. (In Russ).
  12. Grigorovich ESh, Pomorgailo EG. Prognosis for development of severe forms of chronic generalized periodontitis in patients by finding the relationship between individual polymorphic alleles or haplotypes cytokine genes. Omskii nauchnyi vestnik. 2008;(1):48–52. (In Russ).
  13. Martinez–Canut P, Llobell A. A comprehensive approach to assigning periodontal prognosis. J Clin Periodontol. 2018;45(4): 431–439. doi: 10.1111/jcpe.12857
  14. Martinez–Canut P, Alcaraz J, Alcaraz J, Jr., et al. Introduction of a prediction model to assigning periodontal prognosis based on survival time. J Clin Periodontol. 2018;45(1):46–55.doi: 10.1111/jcpe.12810
  15. Page RC, Krall EA, Martin J, et al. Validity and accuracy of a risk calculator in predicting periodontal disease. J Am Dent Assoc. 2002;133(5):569–576. doi: 10.14219/jada.archive.2002.0232
  16. Martinez-Canut P, Llobell A, Romero A. Predictors of long-term outcomes in patients undergoing periodontal maintenance. J Clin Periodontol. 2017;44(6):620–631. doi: 10.1111/jcpe.12730
  17. Nibali L, Zavattini A, Nagata K, et al. Tooth loss in molars with and without furcation involvement – a systematic review and meta-analysis. J Clin Periodontol. 2016;43(2):156–166.doi: 10.1111/jcpe.12497
  18. Schonfeld SE. The art and science of periodontal prognosis. J Calif Dent Assoc. 2008;36(3):175–179.
  19. De Wet LM, Slot DE, Van der Weijden GA. Supportive periodontal treatment: Pocket depth changes and tooth loss. Int J Dent Hyg. 2018;16(2):210–218. doi: 10.1111/idh.12290
  20. Dannewitz B, Zeidler A, Husing J, et al. Loss of molars in periodontally treated patients: results 10 years and more after active periodontal therapy. J Clin Periodontol. 2016;43(1):53–62.doi: 10.1111/jcpe.12488
  21. Saminsky M, Halperin–Sternfeld M, Machtei EE, Horwitz J. Variables affecting tooth survival and changes in probing depth: a long-term follow-up of periodontitis patients. J Clin Periodontol. 2015;42(6):513–519. doi: 10.1111/jcpe.12419
  22. Nibali L, Sun C, Akcali A, et al. The effect of horizontal and vertical furcation involvement on molar survival: A retrospective study. J Clin Periodontol. 2018;45(3):373–381. doi: 10.1111/jcpe.12850
  23. Rudiger SG, Dahlen G, Emilson CG. The furcation tunnel preparation–A prospective 5-year follow-up study. J Clin Periodontol. 2019;46(6):659–668. doi: 10.1111/jcpe.13120
  24. Larsen T, Fiehn NE. Dental biofilm infections – an update. APMIS. 2017;125(4):376–384. doi: 10.1111/apm.12688
  25. Eshraghi VT, Malloy KA, Tahmasbi M. Role of Cone-Beam Computed Tomography in the Management of Periodontal Disease. Dent J (Basel). 2019;7(2). doi: 10.3390/dj7020057
  26. Graetz C, Salzer S, Plaumann A, et al. Tooth loss in generalized aggressive periodontitis: Prognostic factors after 17 years of supportive periodontal treatment. J Clin Periodontol. 2017;44(6): 612–619. doi: 10.1111/jcpe.12725
  27. Salvi GE, Mischler DC, Schmidlin K, et al. Risk factors associated with the longevity of multi–rooted teeth. Long-term outcomes after active and supportive periodontal therapy. J Clin Periodontol. 2014;41(7):701–707. doi: 10.1111/jcpe.12266
  28. Matuliene G, Pjetursson BE, Salvi GE, et al. Influence of residual pockets on progression of periodontitis and tooth loss: results after 11 years of maintenance. J Clin Periodontol. 2008;35(8):685–695. doi: 10.1111/j.1600–051X.2008.01245.x
  29. Van der Weijden GAF, Dekkers GJ, Slot DE. Success of non-surgical periodontal therapy in adult periodontitis patients: A retrospective analysis. Int J Dent Hyg. 2019;17(4):309–317.doi: 10.1111/idh.12399
  30. Miller PD, Jr., McEntire ML, Marlow NM, Gellin RG. An evidenced–based scoring index to determine the periodontal prognosis on molars. J Periodontol. 2014;85(2):214–225.doi: 10.1902/jop.2013.120675

Statistics

Views

Abstract: 46

PDF (Russian): 2

Article Metrics

Metrics Loading ...

Refbacks

  • There are currently no refbacks.

Copyright (c) 2021 Eco-Vector



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies