Abstract | AIM: To investigate risk factors for the loss of multi-rooted teeth (MRT) in subjects treated for periodontitis and enrolled in supportive periodontal therapy (SPT). MATERIAL AND METHODS: A total of 172 subjects were examined before (T0) and after active periodontal therapy ( APT)(T1) and following a mean of 11.5 ± 5.2 (SD) years of SPT (T2). The association of risk factors with loss of MRT was analysed with multilevel logistic regression. The tooth was the unit of analysis. RESULTS: Furcation involvement (FI) = 1 before APT was not a risk factor for tooth loss compared with FI = 0 (p = 0.37). Between T0 and T2, MRT with FI = 2 (OR: 2.92, 95% CI: 1.68, 5.06, p = 0.0001) and FI = 3 (OR: 6.85, 95% CI: 3.40, 13.83, p < 0.0001) were at a significantly higher risk to be lost compared with those with FI = 0. During SPT, smokers lost significantly more MRT compared with non-smokers (OR: 2.37, 95% CI: 1.05, 5.35, p = 0.04). Non-smoking and compliant subjects with FI = 0/1 at T1 lost significantly less MRT during SPT compared with non-compliant smokers with FI = 2 (OR: 10.11, 95% CI: 2.91, 35.11, p < 0.0001) and FI = 3 (OR: 17.18, 95% CI: 4.98, 59.28, p < 0.0001) respectively. CONCLUSIONS: FI = 1 was not a risk factor for tooth loss compared with FI = 0. FI = 2/3, smoking and lack of compliance with regular SPT represented risk factors for the loss of MRT in subjects treated for periodontitis.
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Authors | Giovanni E Salvi, Daniel C Mischler, Kurt Schmidlin, Giedre Matuliene, Bjarni E Pjetursson, Urs Brägger, Niklaus P Lang |
Journal | Journal of clinical periodontology
(J Clin Periodontol)
Vol. 41
Issue 7
Pg. 701-7
(Jul 2014)
ISSN: 1600-051X [Electronic] United States |
PMID | 24766602
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. |
Topics |
- Adolescent
- Adult
- Aged
- Aggressive Periodontitis
(therapy)
- Bicuspid
(pathology)
- Chronic Periodontitis
(therapy)
- Cohort Studies
- Female
- Follow-Up Studies
- Furcation Defects
(therapy)
- Humans
- Longitudinal Studies
- Male
- Middle Aged
- Molar
(pathology)
- Patient Compliance
- Periodontal Pocket
(therapy)
- Periodontitis
(therapy)
- Retrospective Studies
- Risk Factors
- Smoking
- Survival Rate
- Tooth Loss
(etiology)
- Treatment Outcome
- Young Adult
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