PMID- 21342213 OWN - NLM STAT- MEDLINE DCOM- 20110829 LR - 20220408 IS - 1600-051X (Electronic) IS - 0303-6979 (Linking) VI - 38 IP - 5 DP - 2011 May TI - Tooth loss in compliant and non-compliant periodontally treated patients: 7 years after active periodontal therapy. PG - 499-508 LID - 10.1111/j.1600-051X.2011.01708.x [doi] AB - AIMS: To investigate the incidence and reasons for tooth loss during active periodontal therapy (APT) and periodontal maintenance (PM) in a specialist institution. MATERIAL AND METHODS: Retrospective data were collected from 273 patients [all compliers (AC)] and cross-sectional data from 39 patients after discontinuation of PM [non-compliers (NC)] for at least 7 years after APT. Descriptive statistics and regression analysis were performed. A comparison was made between AC and NC. The prognostic factors associated with tooth loss during PM were identified. RESULTS: AC lost 1.3 teeth/patient during APT and 0.9 teeth/patient during PM (mean 10.7 years). Tooth loss due to periodontitis was 0.03 teeth/patient/year. The age of 60 was a significant predictor of tooth loss during PM (odds ratio of 2.1). NC lost 1.1 teeth/patient during APT and 2.7 teeth/patient during discontinuation (mean 9.6 years). Tooth loss due to periodontitis was 0.22 teeth/patient/year, a sevenfold increase (p<0.05) compared with AC. Regression analysis failed to identify any significant predictors for tooth loss during the discontinuation of PM. CONCLUSIONS: In this study, the provision of PM led to minimal tooth loss, especially due to periodontitis, for a mean period of 10 years after APT. The completion of APT without PM may predispose patients to lose more teeth compared with patients who undergo PM. CI - (c) 2011 John Wiley & Sons A/S. FAU - Ng, Mervyn Cher-Hui AU - Ng MC AD - Department of Restorative Dentistry, National Dental Centre Singapore, Singapore. mervyn_ng@yahoo.com FAU - Ong, Marianne Meng-Ann AU - Ong MM FAU - Lim, Lum Peng AU - Lim LP FAU - Koh, Chu Guan AU - Koh CG FAU - Chan, Yiong Huak AU - Chan YH LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110222 PL - United States TA - J Clin Periodontol JT - Journal of clinical periodontology JID - 0425123 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Chronic Periodontitis/*complications/therapy MH - Cross-Sectional Studies MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Oral Hygiene/*statistics & numerical data MH - *Patient Compliance MH - Retrospective Studies MH - Statistics, Nonparametric MH - Tooth Loss/*complications/prevention & control MH - Treatment Outcome MH - Young Adult EDAT- 2011/02/24 06:00 MHDA- 2011/08/30 06:00 CRDT- 2011/02/24 06:00 PHST- 2011/02/24 06:00 [entrez] PHST- 2011/02/24 06:00 [pubmed] PHST- 2011/08/30 06:00 [medline] AID - 10.1111/j.1600-051X.2011.01708.x [doi] PST - ppublish SO - J Clin Periodontol. 2011 May;38(5):499-508. doi: 10.1111/j.1600-051X.2011.01708.x. Epub 2011 Feb 22.