Wilson T G
Curr Opin Periodontol. 1993:67-70.
Determining the prognosis for patients and individual sites with inflammatory periodontal diseases is difficult using present methods. Traditional approaches for predicting when disease activity will occur have proved inadequate in some cases. New diagnostic tests and updated methods of traditional tests will eventually allow clinicians to improve their skills in determining prognosis; however, most of these tests are not yet proved or economically feasible. At present, if a patient is currently healthy and has no past history of attachment loss, their prognosis is favorable. The probability of periodontal breakdown occurring in these patients before the next regularly scheduled maintenance visit is slim. A history of attachment loss is the best predictor of future loss, but determining when more loss will occur is problematic. Clinical signs of inflammation, especially bleeding on probing and the presence of suppuration, also appear to predict breakdown, but to a lesser degree than previous attachment loss. It appears that the future holds much promise for improving our ability to make accurate prognoses, especially in cases of aggressive periodontal problems, but until these advances are well tested, traditional methods continue to be the standard.
使用目前的方法来确定炎症性牙周病患者及其各个部位的预后是很困难的。事实证明，在某些情况下，预测疾病活动何时会发生的传统方法并不充分。新的诊断测试和传统测试的更新方法最终将使临床医生提高其确定预后的技能；然而，这些测试大多尚未得到验证或在经济上不可行。目前，如果患者目前健康且没有附着丧失的既往史，那么他们的预后良好。在下次定期维护就诊之前，这些患者发生牙周破坏的可能性很小。附着丧失史是未来丧失的最佳预测指标，但确定何时会发生更多丧失是个问题。炎症的临床体征，尤其是探诊出血和有化脓现象，似乎也能预测牙周破坏，但程度低于既往附着丧失。看来，未来在提高我们做出准确预后的能力方面有很大希望，特别是在侵袭性牙周问题的情况下，但在这些进展得到充分测试之前，传统方法仍然是标准方法。
