Review of dental survival rates after periodontal treatment and supportive periodontal therapy in studies with at least 15 years of follow-up
DOI:
https://doi.org/10.7308/aodontol/2016.52.2.03Keywords:
Periodontal diseases, Tooth extractionAbstract
Aim: To check the percentage and the average tooth loss per patient as a result of periodontal disease after Active Periodontal Therapy (APT) and Supportive Periodontal Therapy (SPT) in studies with at least 15 years of follow-up.
Methods: The search for articles published on the topic was conducted in the electronic database MEDLINE (via PubMed), from 1978 to January 2014. All articles had a minimum follow-up time of 15 years, in which the expected result was the long-term survival of periodontically treated teeth.
Results: Eight studies were selected and discussed, including seven restrospective articles and one case-control article, which contained all of the inclusion criteria required for this literature review.
Conclusion: These studies reported a variation of 1.8% to 13.4% of tooth loss for periodontal reasons and an average of 0.04 to 3.49 missing teeth per patient. Therefore, the decision to keep periodontally compromised teeth for as long as possible appears to provide a feasible solution for dentists, while still preserving the philosophy of preventive dentistry.
Downloads
References
Drisko CH. Nonsurgical periodontal therapy. Periodontol 2000. 2001; 25(1):77-88.
Mcleod DE, Lainson PA, Spivey JD. The predictability of periodontal treatment as measured by tooth loss: a retrospective study. Quintessence Int. 1998; 29 (10):631–5.
Hirschfeld L, Wasserman B. A long-term survey of tooth loss in 600 treated periodontal patients. J Periodontol. 1978; 49(5):225-37.
Mcfall Júnior WT. Tooth loss in 100 treated patients with periodontal disease: a long-term study. J Periodontol. 1982; 53(9):539-49.
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(6):347-53.
Mcguire MK, Nunn ME. Prognosis versus actual outcome. III. The effectiveness of clinical parameters in accurately predicting tooth survival. J Periodontol. 1996;67(7):666–74.
Chambrone LA, Chambrone L. Tooth loss in well-maintained patients with chronic periodontitis during long-term supportive therapy in Brazil. J Clin Periodontol. 2006;33(10):759–64.
Graetz C, Dörfer CE, Kahl M, Kocher T, El-sayed KF, Wiebe JF, et al. Retention of questionable and hopeless teeth in compliant patients treated for aggressive periodontitis. J Clin Periodontol. 2011;38(8):707-14.
American Academy of Periodontology. Glossary of periodontal terms. 3. ed. Chicago, IL: American Academy of Periodontology; 1992.
Schätzle M, Faddy MJ, Cullinan MP, Seymour GJ, Lang NP, Bürgin W, et al. The clinical course of chronic periodontitis: V. Predictive factors in periodontal disease. J Clin Periodontol. 2009;36(5):365–71.
Mcguire MK, Nunn ME. Prognosis versus actual outcome. II. The effectiveness of clinical parameters in developing an accurate prognosis. J Periodontol. 1996;67(7):658–65.
Tomasi C, Wennström JL, Berglundh T. Longevity of teeth and implants: a systematic review. J Oral Rehabil. 2008;35 Suppl 1:23-32.
Machtei EE, Hirsch I. Retention of hopeless teeth: the effect on the adjacent proximal bone following periodontal surgery. J Periodontol. 2007;78(12):2246–52.
Greenwell H. Position paper: guidelines for periodontal therapy. J Periodontol. 2001;72(11):1624–8.
Matthews DC, Smith CG, Hanscom SL. Tooth loss in periodontal patients. J Can Dent Assoc. 2001;67(4):207-10.
Axelsson P, Nyström B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol. 2004;31(9):749–57.
Jansson L, Lagervall M. Periodontitis progression in patients subjected to supportive maintenance care. Swed Dent J. 2008;32(3):105-14.
Chambrone L, Chambrone D, Lima LA, Chambrone LA. Predictors of tooth loss during long-term periodontal maintenance: a systematic review of observational studies. J Clin Periodontol. 2010;37(7):675–84.
Gunsolley JC, Califano JV, Koertge TE, Burmeister JA, Cooper LC, Schenkein HA. Longitudinal assessment of early onset periodontitis. J Periodontol. 1995;66(5):321–8.
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(2):165–74.
Pretzl B, Kaltschmitt J, Kim TS, Reitmeir P, Eickholz P. Tooth loss after active periodontal therapy. 2: tooth-related factors. J Clin Periodontol. 2008;35(2):175–82.
Fardal Ø, Johannessen AC, Linden GJ. Tooth loss during maintenance following periodontal treatment in a periodontal practice in Norway. J Clin Periodontol. 2004;31(7):550–5.
Fardal, Ø, Linden, G. J. Tooth loss and implant outcomes in patients refractory to treatment in a periodontal practice. J Clin Periodontol. 2008;35(8):733–8.