|New Attempts to Modify Periodontal Risk Assessment for Generalized Aggressive Periodontitis: A Retrospective Study|
|Lu, Da1,2; Meng, Huanxin1; Xu, Li1; Lu, Ruifang1; Zhang, Li1; Chen, Zhibin1; Feng, Xianghui1; Shi, Dong1; Tian, Yu1; Wang, Xian′ e(1)|
|关键词||Aggressive periodontitis compliance risk factors tooth loss treatment outcome|
|刊名||JOURNAL OF PERIODONTOLOGY|
|WOS标题词||Science & Technology|
|类目[WOS]||Dentistry, Oral Surgery & Medicine|
|研究领域[WOS]||Dentistry, Oral Surgery & Medicine|
|关键词[WOS]||EARLY-ONSET PERIODONTITIS ; TOOTH LOSS ; ASSESSMENT MODEL ; SUPPORTIVE CARE ; FOLLOW-UP ; THERAPY ; DISEASE ; MAINTENANCE ; POPULATION ; FEATURES|
Background: Periodontal risk assessment (PRA) model was designed for risk evaluation of treated patients with periodontal disease. However, its use on generalized aggressive periodontitis (GAgP) had been scarcely reported. This study aims to investigate the association of original PRA/modified PRA (MPRA) and compliance of periodontal maintenance with long-term treatment outcomes of Chinese patients with GAgP.
Methods: Eighty-eight patients from a GAgP cohort, who completed active periodontal treatment (APT) and accepted reevaluation 3 to 11 years (mean of 5.5 years) afterward, were enrolled. PRA was modified (three strategies involving replacement of bleeding on probing with bleeding index >2, counting sites with probing depth >= 6 mm and changing method of bone loss [BL] calculation) to classify patients into different risk groups based on data at the first recall after APT. PRA and three MPRA models were investigated regarding long-term association with tooth loss (TL) and alteration of bone level (Delta BL).
Results: Based on original PRA, 87 patients (98.8%) had a high-risk profile. According to three MPRA models, annual TL per patient values were greater in high-risk groups than in low-to-moderate risk groups (MPRA-1, 0.20 +/- 0.33 versus 0.04 +/- 0.14; MPRA-2, 0.18 +/- 0.32 versus 0.05 +/- 0.14; MPRA-3, 0.17 +/- 0.32 versus 0.05 +/- 0.15; P <0.05). By MPRA-1, irregular compliers with low-to-moderate risk profile had greater Delta BL (0.027 +/- 0.031, indicating bone increment) than those with high risk (-0.012 +/- 0.064, tendency for BL). For regular compliers, no significant differences of annual TL or Delta BL were found between risk groups.
Conclusions: MPRA models could be used for evaluating the long-term outcomes of Chinese patients with severe GAgP, especially irregular compliers. High-risk patients of MPRAs exhibited more TL and less bone fill than low-to-moderate risk ones.
|作者单位||1.Peking Univ, Sch & Hosp Stomatol, Dept Periodontol, Beijing 100081, Peoples R China|
2.Peking Univ, Dept Stomatol, Shenzhen Hosp, Shenzhen, Guangdong, Peoples R China
|Lu, Da,Meng, Huanxin,Xu, Li,et al. New Attempts to Modify Periodontal Risk Assessment for Generalized Aggressive Periodontitis: A Retrospective Study[J]. JOURNAL OF PERIODONTOLOGY,2013,84(11):1536-1545.|
|APA||Lu, Da.,Meng, Huanxin.,Xu, Li.,Lu, Ruifang.,Zhang, Li.,...&e.(2013).New Attempts to Modify Periodontal Risk Assessment for Generalized Aggressive Periodontitis: A Retrospective Study.JOURNAL OF PERIODONTOLOGY,84(11),1536-1545.|
|MLA||Lu, Da,et al."New Attempts to Modify Periodontal Risk Assessment for Generalized Aggressive Periodontitis: A Retrospective Study".JOURNAL OF PERIODONTOLOGY 84.11(2013):1536-1545.|