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学科主题: 口腔医学
题名:
New Attempts to Modify Periodontal Risk Assessment for Generalized Aggressive Periodontitis: A Retrospective Study
作者: 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
发表日期: 2013-11-01
DOI: 10.1902/jop.2013.120427
卷: 84, 期:11, 页:1536-1545
收录类别: SCI
文章类型: Article
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
英文摘要:

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.

语种: 英语
所属项目编号: 30271411 ; 30471882 ; 30973319 ; 2002AA217091 ; 2007BAZ18B02
项目资助者: National Natural Science Foundations of China ; National Key Project of Scientific and Technical Supporting Programs of China ; Clinical Research Fund, Ministry of Health of China
WOS记录号: WOS:000328686100005
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/66100
Appears in Collections:北京大学口腔医学院_牙周科_期刊论文

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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

Recommended Citation:
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.
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