Baseline probing depth and interproximal sites predict treatment outcomes of non-surgical periodontal therapy
| Autor: | Huei-Jyun Yin, Chen Mf, Hsuan-Hao Chang, Yi-Wen Chen, Che-Chang Tu, Chih-Ting Kao |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Periodontal treatment
business.industry Periodontal examination Radiography Non-surgical periodontal therapy Treatment outcome Dentistry Attachment level Radiographic defect angle 030206 dentistry Baseline data Logistic regression Interproximal site 03 medical and health sciences 0302 clinical medicine Probing depth 030220 oncology & carcinogenesis Generalized chronic periodontitis Medicine Original Article business General Dentistry |
| Zdroj: | Journal of Dental Sciences |
| ISSN: | 2213-8862 1991-7902 |
| Popis: | Background/purpose The efficacy of non-surgical periodontal therapy (NSPT) has been well discussed. The aim of this study was to investigate whether the baseline clinical periodontal parameters, radiographic defect angle, and interproximal site predict the treatment outcome of NSPT. Materials and methods A total of 39 patients who were diagnosed with generalized chronic periodontitis and met the inclusion criteria were enrolled in this study. All patients received full-mouth periodontal examination by two well-trained periodontists. Clinical periodontal parameters, including probing depth (PD), recession (Rec), and clinical attachment level (CAL), were recorded, and vertical bitewing radiographs were taken as baseline data. Revaluation was performed after 4 weeks of non-surgical periodontal treatment. Pearson's correlation coefficient and multivariate logistic regression were performed to examine the association between favorable treatment outcome (PD reduction ≥ 3 mm) and various clinical parameters. Results A significant improvement was observed in PD reduction and CAL gain after NSPT. The radiographic defect angle was strongly correlated with baseline Rec, baseline CAL, and interproximal sites in teeth with a deeper PD. Baseline PD and interproximal sites emerged as significant prediction factors for favorable treatment outcome with a PD reduction of ≥3 mm. Conclusion Our study is the first to report that distal sites show wider radiographic angles with shallow infrabony defects and that pocket reduction is more obvious at distal sites than at mesial sites. These data provide evidence that baseline PD and interproximal sites may predict the treatment outcome of NSPT. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|