치주 치료 후 치아 상실에 관한 연구

Study on tooth mortality after periodontal therapy

  • 김형섭 (전북대학교 치과대학 치주과학교실, 전북대학교 구강생체과학연구소) ;
  • 석정진 (전북대학교 치과대학 치주과학교실, 전북대학교 구강생체과학연구소) ;
  • 김현철 (전북대학교 치과대학 치주과학교실, 전북대학교 구강생체과학연구소) ;
  • 이수정 (전북대학교 치과대학 치주과학교실, 전북대학교 구강생체과학연구소) ;
  • 최승환 (전북대학교 치과대학 치주과학교실, 전북대학교 구강생체과학연구소)
  • Kim, Hyung-Seop (Department of Periodontology and Research Institute of Oral Bio-Science, College of Dentistry, Chonbuk National University) ;
  • Seok, Jeong-Jin (Department of Periodontology and Research Institute of Oral Bio-Science, College of Dentistry, Chonbuk National University) ;
  • Kim, Hyun-Chul (Department of Periodontology and Research Institute of Oral Bio-Science, College of Dentistry, Chonbuk National University) ;
  • Lee, Su-Jeong (Department of Periodontology and Research Institute of Oral Bio-Science, College of Dentistry, Chonbuk National University) ;
  • Choi, Seoung-Hwan (Department of Periodontology and Research Institute of Oral Bio-Science, College of Dentistry, Chonbuk National University)
  • 발행 : 2003.06.30

초록

The main goal of periodontal treatment is the long-term maintenance of teeth. Periodic maintenance program is need to prevent periodontal disease and maintain healthy periodontium. Hirschfeld and Wasserman(1978) studied 600 treated periodontal patients. This study categorized periodontal patients using well-maintained, downhill, extreme downhill groups. The purpose of our study is to evaluate effect of periodontal treatment and analyse tooth loss after periodontal treatment using this classification. The study population of j9 patients had been treated and maintained for mean 5.8 years. All patients were on a periodic maintenance program at 2-, 3-, 4, or 6-month intends. The avenge age of the patients at the time of original therapy was 49.6 years. To analyse tooth loss, modified classification was used on the basis of response to therapy using by Hirschfeld and Wasserman in 1978. The results were as follows : 1. 59 treated patients were lost mean 1.42 teeth per patient for 5.8 years of maintenance period. 2. Maxillary first molars were most frequently lost but mandibular lateral incisors were lost no tooth during maintenance period. 3. Tooth mortality received surgical treatment had similar to received nonsurgical treatment. 4. Tooth loss was more frequent in maxillary teeth than mandibular teeth, and posterior teeth than anterior teeth, and more frequent tendency in male than female.

키워드

참고문헌

  1. Hirschfeld, L., Wasserman, B. : A long-term survey of tooth loss in 600 treated periodontal patients. J. Periodontol., 1978:49:225-237 https://doi.org/10.1902/jop.1978.49.5.225
  2. Mcleod, D.E., Lainson, P.A Spivey, J.D. : The effectiveness of periodontal treatment as measured by tooth loss. JADA., 128(3):316-324, 1997 https://doi.org/10.14219/jada.archive.1997.0195
  3. Mcleod, D.E., Lainson, P.A., Spivey.j.D. : Tooth loss due to periodontal abscess: a retrospective study. J. Periodontol., 1997 Oct:68(10):963-649 https://doi.org/10.1902/jop.1997.68.10.963
  4. Hujoel PP, Leroux BG, Selipsky H, White BA, Non-surgical periodontal therapy and tooth loss. A cohort study. J. Periodontol, 2000 May: 71(5):736-42 https://doi.org/10.1902/jop.2000.71.5.736
  5. Tonetti MS, Muller-Campanile V, Lang NP. Changes in the prevalence of residual pockets and tooth loss in treated periodontal patients during a supportive maintenance care program. J Clin Periodontol, 1998 Dec: 25(12): 1008-16 https://doi.org/10.1111/j.1600-051X.1998.tb02406.x
  6. Ong G. Perodontal disease and tooth loss. Int Dent F. 1998Jun: 48(3 Suppl 1): 233-8. Review.
  7. McFall, W.T. : Tooth loss in 100 treated patients with periodontal disease ; A long-term study. J. Periodontol., 1982 Sep:53(9):539-49 https://doi.org/10.1902/jop.1982.53.9.539
  8. Nabers CL, Stalker WH, Esparza D, Naylor B, Canales S. Tooth loss in 1535 treated periodontal patients. J. Periodontol. 1988 May; 59(5): 297-300 https://doi.org/10.1902/jop.1988.59.5.297
  9. Oliver RC, Brown LJ. Periodontal disease and tooth loss. Periodontol 2000. 1993 Jun:2:117-27. Review
  10. Becker, W., Berg, L., Becker, L.E. Periodotal treatment without maintenance. A retrospective study in 44 patients. J. Periodontol., 1984 Sep:55(9):509-9
  11. Wang HL, Burgett FG, Shyr Y, Ramfjord S. The influence of molar furcation involvement and mobility on future clinical periodontal attachment loss. J. Periodontol, 1994Jan: 65(1):25-9 https://doi.org/10.1902/jop.1994.65.1.25
  12. Wood WR, Greco GW, McFall WT Jr. Tooth loss in patients with moderate periodontitis after treatment and long-term maintenance care. J.Periodontol. 1989 Sep:60(9):516-20 https://doi.org/10.1902/jop.1989.60.9.516
  13. McLeod DE, Lainson PA, Spivey JD. The predictability of periodotal treatment as measured by tooth loss: a retrospective study. Quintessence Int. 1998 Oct 29(10):631-5
  14. Albandar JM, Streckfus CF, Adesanya MR, Winn DM. Cigar, pipe, and cigarette smoking as risk factors for periodontal disease and tooth loss. J. Periodontol, 2000 Dec:71(12): 1874-81 https://doi.org/10.1902/jop.2000.71.12.1874
  15. Odusanya SA. Tooth loss among Nigerians: causes and pattern of mortality. Int J Oral Maxillofacial Surg, 1987 Apr:16(2):184-9 https://doi.org/10.1016/S0901-5027(87)80128-5
  16. Hujoel PP, Loe H, Anerud A, Boysen H, Leroux BG. The informativeness of attachment loss on tooth mortality. J. Periodontol, 1999 Feb:70(1):44-8 https://doi.org/10.1902/jop.1999.70.1.44