Clinical Professor, Periodontology and Implantology, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania; Private Practice, Pennsylvania Center for Dental Implants and Periodontics, Philadelphia, Pennsylvania.
Former Clinical Professor of Periodontics, University of South Carolina, Charleston, South Carolina.
Compend Contin Educ Dent. 2023 Jan;44(1):18-24; quiz 25.
Periodontitis is a chronic, multifactorial inflammatory disease characterized by progressive destruction of the tooth-supporting apparatus. Determining tooth prognosis is of central importance in clinical practice to help both the clinician and patient understand the risks and benefits of treatment while shedding light on the patient's long-term periodontal prognosis and aiding in the development of an individualized treatment plan. Several indexing-type systems have been proposed for determining the prognosis of periodontally involved teeth. The periodontal risk score (PRS) is a simple, evidence-based, motivational tool that can be used in daily clinical practice in both healthy and periodontally involved patients. The PRS incorporates systemic and lifestyle prognostic factors to achieve superior predictive accuracy. With the PRS, patients are encouraged to achieve a target score (representing an "excellent" prognosis) that can be realistically attained through compliance with a periodontal maintenance plan. The purpose of this article is to present to clinicians how to implement this evidence-based tool into their daily practices and thus help patients improve their long-term periodontal prognosis.
牙周炎是一种慢性、多因素的炎症性疾病，其特征是牙齿支持组织的进行性破坏。确定牙齿的预后在临床实践中至关重要，有助于临床医生和患者了解治疗的风险和益处，同时揭示患者的长期牙周预后，并有助于制定个体化的治疗计划。已经提出了几种用于确定牙周炎受累牙齿预后的指数型系统。牙周风险评分（PRS）是一种简单、基于证据的激励工具，可在健康和牙周炎受累患者的日常临床实践中使用。PRS 纳入了系统和生活方式的预后因素，以实现更高的预测准确性。通过 PRS，鼓励患者达到目标评分（代表“良好”的预后），通过遵守牙周维护计划，可以实际达到该评分。本文的目的是向临床医生介绍如何将这一基于证据的工具应用于日常实践，从而帮助患者改善其长期牙周预后。
