Prognostic factors in the treatment of generalized aggressive periodontitis: I. Clinical features and initial outcome
| Autor: | Ian J. McKay, Francis J. Hughes, Nagihan Bostanci, Raymond E. Croucher, Valeria Cc Marinho, Mahnaz Syed, Michael A. Curtis, Wagner Marcenes, Bindhu Koshy |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Gingival and periodontal pocket Subgingival Curettage Dental Plaque Dentistry Logistic regression Root Planing Cohort Studies Internal medicine Periodontal Attachment Loss Medicine Aggressive periodontitis Humans Periodontal Pocket Longitudinal Studies Prospective Studies Prospective cohort study Periodontitis business.industry Furcation Defects Smoking Odds ratio medicine.disease Oral Hygiene Prognosis Treatment Outcome Clinical attachment loss Periodontics Dental Scaling Female Tooth Mobility business Gingival Hemorrhage Cohort study Follow-Up Studies |
| Zdroj: | Journal of clinical periodontology. 33(9) |
| ISSN: | 0303-6979 |
| Popis: | Aims: The aims of this study were to investigate prognostic factors for initial response to non-surgical periodontal treatment for generalized aggressive periodontitis. Methods: Seventy-nine patients with generalized aggressive periodontitis were included in this prospective follow-up intervention study. Patients' clinical and demographic parameters were collected at baseline and 10 weeks following a standard course of treatment (four visits of non-surgical root surface debridement together with OHI as required). The relationship between clinical variables and treatment outcome were analysed at site-specific level by χ2 analysis and for patient-specific variables by logistic regression. Results: In general, there was a good response to the treatment provided. In deep sites the mean pocket depth reduction was 2.11±2.01 mm. Site-specific analysis showed that the presence of plaque had a small but significant predictive effect on outcome (odds ratio 1.4). Sites on teeth with grade II/III mobility showed a significantly reduced response to treatment. Twenty-five patients were classified as “non-responders”. Current smoking was strongly associated with non-responding patients (odds ratio 3.8) in a logistic regression model; plaque, baseline bleeding and initial pocket depth were not significantly associated with treatment outcomes. Conclusions: Overall, the results emphasize the importance of smoking as a negative prognostic factor, and suggest that treatment outcomes may be determined by a wide range of different determinants requiring further study. |
| Databáze: | OpenAIRE |
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