Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지
DOI QR코드

DOI QR Code

Comparative study on the results of non-surgical periodontal treatment according to the location of the affected site

  • Lee, Ju-Min (Department of Periodontology, Pusan National University School of Dentistry) ;
  • Kim, Joo-Hee (Department of Periodontology, Pusan National University School of Dentistry) ;
  • Kwon, Eun-Young (Department of Periodontology, Pusan National University School of Dentistry) ;
  • Kim, Yi-Kyeong (Department of Periodontology, Pusan National University School of Dentistry) ;
  • Lee, Ju-Yeon (Department of Periodontology, Pusan National University School of Dentistry) ;
  • Kim, Sung-Jo (Department of Periodontology, Pusan National University School of Dentistry) ;
  • Choi, Jeom-Il (Department of Periodontology, Pusan National University School of Dentistry)
  • Received : 2010.01.21
  • Accepted : 2011.03.17
  • Published : 2011.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The present study was performed to compare the treatment outcomes of non-surgical periodontal treatment according to the distribution of attachment loss of a given patient. Methods: Forty-five patients with moderate to severe periodontitis were divided in two subgroups; Group I patients with teeth manifesting attachment loss of ${\geq}$ 6 mm at one or more sites on the buccal/labial aspect while maintaining an attachment level ${\leq}$ 5 mm at the lingual/palatal aspect, Group II patients with teeth manifesting an attachment level ${\geq}$ 6 mm at more than one site on the lingual/palatal aspect while maintaining an attachment level ${\leq}$ 5 mm at the buccal/labial aspect. The probing pocket depth, probing attachment level, tooth mobility, and chewing discomfort were recorded at baseline and 6 months examinations following non-surgical periodontal therapy. Results: The buccal/ abial surfaces of teeth with moderate to severe periodontitis in Group I patients demonstrated a greater amount of pocket reduction, gain of attachment level, and tooth mobility reduction than the lingual/palatal aspects of teeth examined in Group II patients. Conclusions: Within the limits of the present study, the patients demonstrating attachment loss ${\geq}$ 6 mm at buccal/labial surfaces responded better to the nonsurgical periodontal therapy than those demonstrating comparable attachment loss at lingual/ palatal surfaces.

Keywords

References

  1. Nishihara T, Koseki T. Microbial etiology of periodontitis. Periodontol 2000 2004;36:14-26. https://doi.org/10.1111/j.1600-0757.2004.03671.x
  2. Hughes FJ, Syed M, Koshy B, Marinho V, Bostanci N, McKay IJ, et al. Prognostic factors in the treatment of generalized aggressive periodontitis: I. Clinical features and initial outcome. J Clin Periodontol 2006;33:663-70. https://doi.org/10.1111/j.1600-051X.2006.00966.x
  3. Heitz-Mayfield LJ, Trombelli L, Heitz F, Needleman I, Moles D. A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis. J Clin Periodontol 2002;29 Suppl 3:92-102.
  4. Axelsson P, Lindhe J. The significance of maintenance care in the treatment of periodontal disease. J Clin Periodontol 1981;8:281-94. https://doi.org/10.1111/j.1600-051X.1981.tb02039.x
  5. Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy. I. Moderately advanced periodontitis. J Clin Periodontol 1981;8:57-72. https://doi.org/10.1111/j.1600-051X.1981.tb02024.x
  6. Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy. II. Severely advanced periodontitis. J Clin Periodontol 1984;11:63-76. https://doi.org/10.1111/j.1600-051X.1984.tb01309.x
  7. Axelsson P, Lindhe J. Effect of controlled oral hygiene procedures on caries and periodontal disease in adults. J Clin Periodontol 1978;5:133-51. https://doi.org/10.1111/j.1600-051X.1978.tb01914.x
  8. Badersten A, Niveus R, Egelberg J. 4-year observations of basic periodontal therapy. J Clin Periodontol 1987;14:438-44. https://doi.org/10.1111/j.1600-051X.1987.tb02248.x
  9. Rosling B, Nyman S, Lindhe J, Jern B. The healing potential of the periodontal tissues following different techniques of periodontal surgery in plaque-free dentitions. A 2-year clinical study. J Clin Periodontol 1976;3:233-50. https://doi.org/10.1111/j.1600-051X.1976.tb00042.x
  10. Axtelius B, Soderfeldt B, Attstrom R. A multilevel analysis of factors affecting pocket probing depth in patients responding differently to periodontal treatment. J Clin Periodontol 1999;26:67-76. https://doi.org/10.1034/j.1600-051X.1999.260202.x
  11. D'Aiuto F, Ready D, Parkar M, Tonetti MS. Relative contribution of patient-, tooth-, and site-associated variability on the clinical outcomes of subgingival debridement. I. Probing depths. J Periodontol 2005;76:398-405. https://doi.org/10.1902/jop.2005.76.3.398
  12. McGuire MK, Nunn ME. Prognosis versus actual outcome. III. The effectiveness of clinical parameters in accurately predicting tooth survival. J Periodontol 1996;67:666-74. https://doi.org/10.1902/jop.1996.67.7.666
  13. Persson GR, Mancl LA, Martin J, Page RC. Assessing periodontal disease risk: a comparison of clinicians' assessment versus a computerized tool. J Am Dent Assoc 2003;134:575-82. https://doi.org/10.14219/jada.archive.2003.0224
  14. Tomasi C, Leyland AH, Wennstrom JL. Factors influencing the outcome of non-surgical periodontal treatment: a multilevel approach. J Clin Periodontol 2007;34:682-90. https://doi.org/10.1111/j.1600-051X.2007.01111.x
  15. Kim JH, Kim SJ, Choi JI, Lee JY. Periodontal attachment loss of extracted teeth for periodontal reasons. J Korean Acad Periodontol 2006;36:61-8. https://doi.org/10.5051/jkape.2006.36.1.61
  16. Kaldahl WB, Kalkwarf KL, Patil KD, Dyer JK, Bates RE Jr. Evaluation of four modalities of periodontal therapy. Mean probing depth, probing attachment level and recession changes. J Periodontol 1988;59:783-93. https://doi.org/10.1902/jop.1988.59.12.783
  17. Kim JH, Chung HJ. The comparison of clinical changes during maintenance phase after non-surgical or surgical therapy of chronic periodontitis. J Korean Acad Periodontol 2006;36:69-84. https://doi.org/10.5051/jkape.2006.36.1.69
  18. Pihlstrom BL, McHugh RB, Oliphant TH, Ortiz-Campos C. Comparison of surgical and nonsurgical treatment of periodontal disease. A review of current studies and additional results after 61/2 years. J Clin Periodontol 1983;10:524-41. https://doi.org/10.1111/j.1600-051X.1983.tb02182.x
  19. Ferris RT. Quantitative evaluation of tooth mobility following initial periodontal therapy. J Periodontol 1966;37:190-7. https://doi.org/10.1902/jop.1966.37.3.190
  20. Kegel W, Selipsky H, Phillips C. The effect of splinting on tooth mobility. I. During initial therapy. J Clin Periodontol 1979;6:45-58. https://doi.org/10.1111/j.1600-051X.1979.tb02290.x
  21. Kerry GJ, Morrison EC, Ramfjord SP, Hill RW, Caffesse RG, Nissle RR, et al. Effect of periodontal treatment on tooth mobility. J Periodontol 1982;53:635-8. https://doi.org/10.1902/jop.1982.53.10.635
  22. Pang EK, Chai JK, Kim CK, Cho KS. Clinical evaluation of tooth mobility following root planing and flap operation. J Korean Acad Periodontol 1999;29:893-912. https://doi.org/10.5051/jkape.1999.29.4.893
  23. Persson R. Assessment of tooth mobility using small loads. II. Effect of oral hygiene procedures. J Clin Periodontol 1980;7:506-15. https://doi.org/10.1111/j.1600-051X.1980.tb02157.x
  24. Schulte W, d'Hoedt B, Lukas D, Maunz M, Steppeler M. Periotest for measuring periodontal characteristics--correlation with periodontal bone loss. J Periodontal Res 1992;27:184-90. https://doi.org/10.1111/j.1600-0765.1992.tb01667.x
  25. Demirel K, Gur H, Meric H, Sevuk C. Damping characteristics of teeth with periodontal breakdown: correlation of mobility meter values with bone and attachment loss. J Periodontol 1997;68:166-71. https://doi.org/10.1902/jop.1997.68.2.166
  26. Waite IM. A comparison between conventional gingivectomy and a non-surgical regime in the treatment of periodontitis. J Clin Periodontol 1976;3:173-85. https://doi.org/10.1111/j.1600-051X.1976.tb01865.x