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- Title
Tooth loss during supportive periodontal care: A prospective study.
- Authors
Hasan, Fatemah; Magan‐Fernandez, Antonio; Akcalı, Aliye; Sun, Chuanming; Donos, Nikos; Nibali, Luigi
- Abstract
Aim: To assess periodontal stability and the association between tooth‐ and patient‐related factors and tooth loss during supportive periodontal care (SPC). Materials and Methods: A prospective observational study was carried out on previously treated periodontitis patients followed up for 5 years in SPC. The risk profile (low, moderate, high) of each patient based on periodontal risk assessment (PRA) scoring at baseline was evaluated, and tooth loss rates were analysed. Results: Two hundred patients were included in the study, and 143 had 5‐year follow‐up data available for analysis. The overall annual tooth loss per patient was 0.07 ± 0.14 teeth/patient/year. Older age, smoking, staging and grading were associated with increased tooth loss rates. Most patients whose teeth were extracted belonged to the PRA high‐risk group. Both PRA and a tooth prognosis system used at baseline showed high negative predictive value but low positive predictive value for tooth loss during SPC. Conclusions: Overall, the tooth loss rate of periodontitis patients in this prospective cohort study under SPC in private practice was low. Both tooth‐based and patient‐based prognostic systems can identify high‐risk cases, but their positive predictive value should be improved.
- Subjects
EVALUATION of dental services; RISK assessment; SELF-evaluation; RESEARCH funding; SCIENTIFIC observation; SMOKING; DESCRIPTIVE statistics; LONGITUDINAL method; AGING; PERIODONTITIS; TOOTH loss; DISEASE progression; PREDICTIVE validity; MEDICAL practice; DISEASE risk factors; DISEASE complications
- Publication
Journal of Clinical Periodontology, 2024, Vol 51, Issue 5, p583
- ISSN
0303-6979
- Publication type
Article
- DOI
10.1111/jcpe.13943