Tooth loss in aggressive periodontitis: Results 25 years after active periodontal therapy in a private practice
Aim To assess tooth loss in patients with aggressive periodontitis (AgP) 10–35 years after active periodontal therapy (APT) in a private practice and to detect possible factors influencing tooth loss. Material and Methods In 100 patients with AgP, tooth loss was recorded over a median follow‐up peri...
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| Veröffentlicht in: | Journal of clinical periodontology 2020-02, Vol.47 (2), p.223-232 |
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| container_title | Journal of clinical periodontology |
| container_volume | 47 |
| creator | Bäumer, Amelie Weber, Dorothea Staufer, Sebastian Pretzl, Bernadette Körner, Gerd Wang, Yan |
| description | Aim
To assess tooth loss in patients with aggressive periodontitis (AgP) 10–35 years after active periodontal therapy (APT) in a private practice and to detect possible factors influencing tooth loss.
Material and Methods
In 100 patients with AgP, tooth loss was recorded over a median follow‐up period of 25.5 years after APT, retrospectively. Patient‐ and tooth‐level factors were assessed with a Cox frailty regression model.
Results
Of 2,380 teeth, 227 were lost during a median follow‐up time of 25.5 years (2.3 ± 3.6 teeth/patient, range 0–17 teeth), resulting in a mean tooth loss rate of 0.09 teeth/patient/year. At patient‐level, statistically significant factors for tooth loss were smoking (p = .039) and the baseline diagnosis generalized AgP (p |
| doi_str_mv | 10.1111/jcpe.13225 |
| format | Article |
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To assess tooth loss in patients with aggressive periodontitis (AgP) 10–35 years after active periodontal therapy (APT) in a private practice and to detect possible factors influencing tooth loss.
Material and Methods
In 100 patients with AgP, tooth loss was recorded over a median follow‐up period of 25.5 years after APT, retrospectively. Patient‐ and tooth‐level factors were assessed with a Cox frailty regression model.
Results
Of 2,380 teeth, 227 were lost during a median follow‐up time of 25.5 years (2.3 ± 3.6 teeth/patient, range 0–17 teeth), resulting in a mean tooth loss rate of 0.09 teeth/patient/year. At patient‐level, statistically significant factors for tooth loss were smoking (p = .039) and the baseline diagnosis generalized AgP (p < .001). Influencing factors at tooth‐level were location in the maxilla (p = .003), baseline bone loss (p < .001), molars (p < .001) and premolars (p < .001) as well as abutment teeth (p = .009).
Conclusion
Tooth loss occurred rarely in patients with AgP treated in a private practice over a long‐time period. Annual tooth loss rates are comparable with those described in university settings. Smoking, generalized form of AgP, location/type of tooth, baseline bone loss and abutment status could be detected as factors impacting upon tooth loss.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/jcpe.13225</identifier><identifier>PMID: 31782533</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>aggressive periodontitis ; Bone loss ; compliance ; Dentistry ; Gum disease ; Maxilla ; Molars ; Patients ; periodontal treatment ; Periodontitis ; Premolars ; Smoking ; Statistical analysis ; supportive periodontal treatment ; Teeth ; tooth loss ; Vitamin D</subject><ispartof>Journal of clinical periodontology, 2020-02, Vol.47 (2), p.223-232</ispartof><rights>2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>2019. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4595-7dc6107c67fcf08df32e9c1bc71c35f5fbf478b1e27066d5f5ea2188d9260bf3</citedby><cites>FETCH-LOGICAL-c4595-7dc6107c67fcf08df32e9c1bc71c35f5fbf478b1e27066d5f5ea2188d9260bf3</cites><orcidid>0000-0003-4230-593X ; 0000-0002-7608-3469</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjcpe.13225$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjcpe.13225$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31782533$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bäumer, Amelie</creatorcontrib><creatorcontrib>Weber, Dorothea</creatorcontrib><creatorcontrib>Staufer, Sebastian</creatorcontrib><creatorcontrib>Pretzl, Bernadette</creatorcontrib><creatorcontrib>Körner, Gerd</creatorcontrib><creatorcontrib>Wang, Yan</creatorcontrib><title>Tooth loss in aggressive periodontitis: Results 25 years after active periodontal therapy in a private practice</title><title>Journal of clinical periodontology</title><addtitle>J Clin Periodontol</addtitle><description>Aim
To assess tooth loss in patients with aggressive periodontitis (AgP) 10–35 years after active periodontal therapy (APT) in a private practice and to detect possible factors influencing tooth loss.
Material and Methods
In 100 patients with AgP, tooth loss was recorded over a median follow‐up period of 25.5 years after APT, retrospectively. Patient‐ and tooth‐level factors were assessed with a Cox frailty regression model.
Results
Of 2,380 teeth, 227 were lost during a median follow‐up time of 25.5 years (2.3 ± 3.6 teeth/patient, range 0–17 teeth), resulting in a mean tooth loss rate of 0.09 teeth/patient/year. At patient‐level, statistically significant factors for tooth loss were smoking (p = .039) and the baseline diagnosis generalized AgP (p < .001). Influencing factors at tooth‐level were location in the maxilla (p = .003), baseline bone loss (p < .001), molars (p < .001) and premolars (p < .001) as well as abutment teeth (p = .009).
Conclusion
Tooth loss occurred rarely in patients with AgP treated in a private practice over a long‐time period. Annual tooth loss rates are comparable with those described in university settings. Smoking, generalized form of AgP, location/type of tooth, baseline bone loss and abutment status could be detected as factors impacting upon tooth loss.</description><subject>aggressive periodontitis</subject><subject>Bone loss</subject><subject>compliance</subject><subject>Dentistry</subject><subject>Gum disease</subject><subject>Maxilla</subject><subject>Molars</subject><subject>Patients</subject><subject>periodontal treatment</subject><subject>Periodontitis</subject><subject>Premolars</subject><subject>Smoking</subject><subject>Statistical analysis</subject><subject>supportive periodontal treatment</subject><subject>Teeth</subject><subject>tooth loss</subject><subject>Vitamin D</subject><issn>0303-6979</issn><issn>1600-051X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp90ctKAzEUBuAgitbLxgeQgBsRpubSTCbupHhFUKQLd0Mmc1KnTJsxySh9e1Orgi7M5kD4-EnOj9AhJUOaztnMdDCknDGxgQY0JyQjgj5vogHhhGe5kmoH7YYwI4RKzvk22uFUFkxwPkBu4lx8wa0LATcLrKdTDyE0b4A78I2r3SI2sQnn-AlC38aAmcBL0D5gbSN4rE38hXWL4wt43S0_43DnmzcdE_AraWAfbVndBjj4mntocnU5Gd9k9w_Xt-OL-8yMhBKZrE1OiTS5tMaSoracgTK0MpIaLqywlR3JoqLAJMnzOt2AZrQoasVyUlm-h07WsZ13rz2EWM6bYKBt9QJcH0rGGeFS5EolevyHzlzvF-lxSY0o5UoJktTpWhmfVuXBlulnc-2XJSXlqoVy1UL52ULCR1-RfTWH-od-rz0BugbvTQvLf6LKu_Hj5Tr0A2SPkwQ</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Bäumer, Amelie</creator><creator>Weber, Dorothea</creator><creator>Staufer, Sebastian</creator><creator>Pretzl, Bernadette</creator><creator>Körner, Gerd</creator><creator>Wang, Yan</creator><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4230-593X</orcidid><orcidid>https://orcid.org/0000-0002-7608-3469</orcidid></search><sort><creationdate>202002</creationdate><title>Tooth loss in aggressive periodontitis: Results 25 years after active periodontal therapy in a private practice</title><author>Bäumer, Amelie ; Weber, Dorothea ; Staufer, Sebastian ; Pretzl, Bernadette ; Körner, Gerd ; Wang, Yan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4595-7dc6107c67fcf08df32e9c1bc71c35f5fbf478b1e27066d5f5ea2188d9260bf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>aggressive periodontitis</topic><topic>Bone loss</topic><topic>compliance</topic><topic>Dentistry</topic><topic>Gum disease</topic><topic>Maxilla</topic><topic>Molars</topic><topic>Patients</topic><topic>periodontal treatment</topic><topic>Periodontitis</topic><topic>Premolars</topic><topic>Smoking</topic><topic>Statistical analysis</topic><topic>supportive periodontal treatment</topic><topic>Teeth</topic><topic>tooth loss</topic><topic>Vitamin D</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bäumer, Amelie</creatorcontrib><creatorcontrib>Weber, Dorothea</creatorcontrib><creatorcontrib>Staufer, Sebastian</creatorcontrib><creatorcontrib>Pretzl, Bernadette</creatorcontrib><creatorcontrib>Körner, Gerd</creatorcontrib><creatorcontrib>Wang, Yan</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bäumer, Amelie</au><au>Weber, Dorothea</au><au>Staufer, Sebastian</au><au>Pretzl, Bernadette</au><au>Körner, Gerd</au><au>Wang, Yan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tooth loss in aggressive periodontitis: Results 25 years after active periodontal therapy in a private practice</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2020-02</date><risdate>2020</risdate><volume>47</volume><issue>2</issue><spage>223</spage><epage>232</epage><pages>223-232</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Aim
To assess tooth loss in patients with aggressive periodontitis (AgP) 10–35 years after active periodontal therapy (APT) in a private practice and to detect possible factors influencing tooth loss.
Material and Methods
In 100 patients with AgP, tooth loss was recorded over a median follow‐up period of 25.5 years after APT, retrospectively. Patient‐ and tooth‐level factors were assessed with a Cox frailty regression model.
Results
Of 2,380 teeth, 227 were lost during a median follow‐up time of 25.5 years (2.3 ± 3.6 teeth/patient, range 0–17 teeth), resulting in a mean tooth loss rate of 0.09 teeth/patient/year. At patient‐level, statistically significant factors for tooth loss were smoking (p = .039) and the baseline diagnosis generalized AgP (p < .001). Influencing factors at tooth‐level were location in the maxilla (p = .003), baseline bone loss (p < .001), molars (p < .001) and premolars (p < .001) as well as abutment teeth (p = .009).
Conclusion
Tooth loss occurred rarely in patients with AgP treated in a private practice over a long‐time period. Annual tooth loss rates are comparable with those described in university settings. Smoking, generalized form of AgP, location/type of tooth, baseline bone loss and abutment status could be detected as factors impacting upon tooth loss.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>31782533</pmid><doi>10.1111/jcpe.13225</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-4230-593X</orcidid><orcidid>https://orcid.org/0000-0002-7608-3469</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | aggressive periodontitis Bone loss compliance Dentistry Gum disease Maxilla Molars Patients periodontal treatment Periodontitis Premolars Smoking Statistical analysis supportive periodontal treatment Teeth tooth loss Vitamin D |
| title | Tooth loss in aggressive periodontitis: Results 25 years after active periodontal therapy in a private practice |
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