Division of Periodontics, Department of Dentistry, National Taiwan University Hospital, Taipei 100, Taiwan.
Department of Dentistry, School of Dentistry, National Taiwan University, Taipei 100, Taiwan.
Int J Environ Res Public Health. 2019 Nov 7;16(22):4344. doi: 10.3390/ijerph16224344.
: Extraction of periodontally compromised or strategically non-important teeth is often an integral part of non-surgical periodontal treatment (NSPT). This study evaluated the association between the status of adjacent teeth and the outcome of NSPT on molars. : Charting data of patients with generalized chronic periodontitis receiving NSPT in 2012-2014 were included. The association between initial clinical parameters and significant clinical improvement, including the reductions of probing pocket depth (PPD) and clinical attachment loss (CAL), in molar teeth with severe periodontitis after NSPT was assessed by a generalized linear model and logistic regression. : ≥7 mm PPD and <2 mm gingival recession (REC) at the tooth level, and ≥7 mm PPD, ≥7 mm CAL and <2 mm REC at the site level, were associated with significant clinical improvement. Absence or extraction of an adjacent tooth achieved an additional 0.22-0.23 mm and 0.60-0.83 mm clinical improvement. Among the interproximal sites, ≥7 mm PPD, <2 mm REC, ≥7 mm CAL, <Degree II furcation involvement, and absence of an adjacent tooth were associated with significant clinical improvement. : Absence or extraction of teeth during NSPT significantly improves the PPD and CAL of the adjacent periodontal sites of molars.
: 牙周状况不佳或在策略上不重要的牙齿的拔除通常是非手术牙周治疗(NSPT)的一个组成部分。本研究评估了相邻牙齿的状况与磨牙 NSPT 治疗效果之间的关系。: 纳入了 2012-2014 年接受 NSPT 的广泛性慢性牙周炎患者的图表数据。通过广义线性模型和逻辑回归评估了磨牙重度牙周炎患者初始临床参数与显著临床改善(包括探诊袋深度[PPD]和临床附着丧失[CAL]的减少)之间的关系。: 牙水平上的 PPD ≥7mm 和 REC<2mm,以及位点水平上的 PPD≥7mm、CAL≥7mm 和 REC<2mm,与显著的临床改善相关。邻牙缺失或拔除可额外获得 0.22-0.23mm 和 0.60-0.83mm 的临床改善。在近中位点中,PPD≥7mm、REC<2mm、CAL≥7mm、无 II 度分叉受累和无邻牙与显著的临床改善相关。: NSPT 期间拔牙或拔除牙齿可显著改善磨牙牙周相邻部位的 PPD 和 CAL。