Herz Marco Michael, Braun Sandra, Hoffmann Nina, Lachmann Stefan, Bartha Valentin, Petsos Hari
Department for Conservative Dentistry and Periodontology, Tuebingen University, 72076 Tuebingen, Germany.
Private Practice, 72336 Balingen, Germany.
Dent J (Basel). 2025 Mar 27;13(4):146. doi: 10.3390/dj13040146.
Retrospective analysis of long-term periodontal tooth loss (PTL) during supportive periodontal care (SPC) in patients with Stage III/IV periodontitis who received strictly non-surgical periodontal treatment. Fully documented medical documentation of SPC > 5 years was analyzed at T0 (baseline), T1 (after Steps 1/2), and during SPC (T2). PTL, periodontal pocket depth (PD), bleeding on probing (BOP), tooth mobility (TM), furcation involvement (FI), and frequency of SPC were recorded. Each parameter was tested for significance in a bivariate analysis, before a multilevel logistic regression analysis was performed to identify possible factors with an impact on PTL during SPC. A total of 51 women/64 men (T1 mean age 55.4 ± 10.3 yrs) were surveilled after 9.0 ± 2.4 yrs; 2647 teeth were included. On average, patients attended 10.6 ± 3.8 SPC sessions between T1 and T2; 77 patients (67%) attended at least 1/year. At T1, 68 teeth were lost; 6.1% of the remaining teeth showed FI, and 13.8% showed TM. During SPC, the PTL range was 118 (1.03 ± 1.21/patient). TM, FI, mean PD, and Stage IV periodontitis proved to be statistically significantly associated with increased PTL. PTL was low in this cohort. Nevertheless, at T1, it may be beneficial to focus on stopping TM by splinting the mobile teeth and reducing the PD or treating FI appropriately, understanding that these precise applications of surgical procedures could positively affect long-term tooth retention.
对接受严格非手术牙周治疗的III/IV期牙周炎患者在支持性牙周治疗（SPC）期间长期牙周牙缺失（PTL）的回顾性分析。对SPC超过5年的完整病历资料在T0（基线）、T1（步骤1/2之后）和SPC期间（T2）进行分析。记录PTL、牙周袋深度（PD）、探诊出血（BOP）、牙齿松动度（TM）、根分叉病变（FI）和SPC频率。在进行多水平逻辑回归分析以确定SPC期间对PTL有影响的可能因素之前，对每个参数进行双变量分析的显著性检验。在9.0±2.4年之后，共监测了51名女性/64名男性（T1平均年龄55.4±10.3岁）；纳入2647颗牙齿。平均而言，患者在T1和T2之间参加了10.6±3.8次SPC治疗；77名患者（67%）至少每年参加1次。在T1时，有68颗牙齿缺失；其余牙齿中有6.1%显示有根分叉病变，13.8%显示有牙齿松动。在SPC期间，PTL范围为118（1.03±1.21/患者）。牙齿松动度、根分叉病变、平均牙周袋深度和IV期牙周炎被证明与PTL增加在统计学上显著相关。该队列中的PTL较低。然而，在T1时，通过固定松动牙齿来阻止牙齿松动、降低牙周袋深度或适当治疗根分叉病变可能是有益的，要明白这些精确的手术应用可以对长期牙齿保留产生积极影响。
