Comparison of tooth loss after periodontal treatment using the 1999 and 2018 systems of periodontal disease classification: a retrospective longitudinal study with over five years of follow-up
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초록
A new classification system for periodontal diseases was introduced at the global workshop held in 2018. The current study aims to utilize this new system to reclassify patients diagnosed with periodontal disease using the 1999 method of classification and compare periodontal treatment outcomes in terms of tooth loss. The study sample included 50 patients diagnosed with periodontitis (aggressive periodontitis n=15; chronic periodontitis n=35) who underwent active and supportive periodontal treatment for more than 5 years. Disease staging and grading was carried out using the 2018 system of classification, and incidence of tooth loss was recorded after a follow-up period of >5 years. The number of tooth loss was not significantly different between aggressive periodontitis and chronic periodontitis (p=0.973). However, the number of teeth lost increased with stage and grade of disease when using the new classification system. These findings suggest that, within the limitations of this study, the 2018 classification system predicts periodontal treatment outcomes, evaluated in terms of tooth loss, with greater sensitivity than the 1999 classification system.
Abstract
A new classification system for periodontal diseases was introduced at the global workshop held in 2018. The current study aims to utilize this new system to reclassify patients diagnosed with periodontal disease using the 1999 method of classification and compare periodontal treatment outcomes in terms of tooth loss. The study sample included 50 patients diagnosed with periodontitis (aggressive periodontitis n=15; chronic periodontitis n=35) who underwent active and supportive periodontal treatment for more than 5 years. Disease staging and grading was carried out using the 2018 system of classification, and incidence of tooth loss was recorded after a follow-up period of >5 years. The number of tooth loss was not significantly different between aggressive periodontitis and chronic periodontitis (p=0.973). However, the number of teeth lost increased with stage and grade of disease when using the new classification system. These findings suggest that, within the limitations of this study, the 2018 classification system predicts periodontal treatment outcomes, evaluated in terms of tooth loss, with greater sensitivity than the 1999 classification system.
참고문헌 (25)
- Task Force to Update the Classification of Periodontal Diseases and Conditions, "American Academy of Periodontology task force report on the update to the 1999 classification of periodontal diseases and conditions", J Periodontol, 86, pp.835~838 (2015)[DOI]
- Tonetti MS, "Staging and grading of periodontitis: framework and proposal of a new classification and case definition", J Periodontol, 89(Suppl 1), pp.S159~S172 (2018)[DOI]
- Albandar JM, "Clinical features of earlyonset periodontitis", J Am Dent Assoc, 128, pp.1393~1399 (1997)[DOI]
- Tonetti MS, "Early-onset periodontitis", Ann Periodontol, 4, pp.39~53 (1999)[DOI]
- Armitage GC, "Development of a classification system for periodontal diseases and conditions", Ann Periodontol, 4, pp.1~6 (1999)[DOI]
- Caton JG, "A new classification scheme for periodontal and periimplant diseases and conditions-introduction and key changes from the 1999 classification", J Clin Periodontol, 45(Suppl 20), pp.S1~S8 (2018)[DOI]
- Papapanou PN, "Periodontitis: consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions", J Clin Periodontol, 45(Suppl 20), pp.S162~S170 (2018)[DOI]
- Tonetti MS, "Staging and grading of periodontitis: framework and proposal of a new classification and case definition", J Clin Periodontol, 45(Suppl 20), pp.S149~S161 (2018)[DOI]
- Björn H, "Radiographic assessment of marginal bone loss", Odontol Revy, 20, pp.165~179 (1969)
- Hamp SE, "Periodontal treatment of multirooted teeth. Results after 5 years", J Clin Periodontol, 2, pp.126~135 (1975)[DOI]
- Kornman KS, "Clinical application of the new classification of periodontal diseases : ground rules, clarifications and"gray zones"", J Periodontol, 91, pp.352~360 (2020)[DOI]
- Armitage GC, "Comparison of the clinical features of chronic and aggressive periodontitis", Periodontol 2000, 53, pp.12~27 (2010)[DOI]
- Tonetti MS, "Implementation of the new classification of periodontal diseases : decision-making algorithms for clinical practice and education", J Clin Periodontol, 46, pp.398~405 (2019)[DOI]
- Graetz C, "Comparison of periodontitis patients’classification in the 2018 versus 1999 classification", J Clin Periodontol, 46, pp.908~917 (2019)[DOI]
- Ravidà A, "Using periodontal staging and grading system as a prognostic factor for future tooth loss : a long-term retrospective study", J Periodontol, 91, pp.454~461 (2020)[DOI]
- Ye-Sol Park, "Tooth loss in aggressive periodontitis patients: retrospective study with follow-up of 3 to 8 years", Oral Biology Research, 42(4), pp.216~221 (2018), 치의학연구원[DOI]
- Helal O, "Predictors for tooth loss in periodontitis patients : systematic review and meta-analysis", J Clin Periodontol, 46, pp.699~712 (2019)[DOI]
- Cui X, "Impact of modifiable risk factors on bone loss during periodontal maintenance", Oper Dent, 44, pp.254~261 (2019)[DOI]
- Papapanou PN, "A 10-year retrospective study of periodontal disease progression", J Clin Periodontol, 16, pp.403~411 (1989)[DOI]
- Norderyd O, "Risk of severe periodontal disease in a Swedish adult population. A longitudinal study", J Clin Periodontol, 26, pp.608~615 (1999)[DOI]
- Albandar JM, "Global risk factors and risk indicators for periodontal diseases", Periodontol 2000, 29, pp.177~206 (2002)[DOI]
- Heitz-Mayfield LJ, "Disease progression: identification of high-risk groups and individuals for periodontitis", J Clin Periodontol, 32(Suppl 6), pp.196~209 (2005)[DOI]
- Paulander J, "Some risk factors for periodontal bone loss in 50-year-old individuals. A 10-year cohort study", J Clin Periodontol, 31, pp.489~496 (2004)[DOI]
- Bergström J, "Influence of tobacco smoking on periodontal bone height. Long-term observations and a hypothesis", J Clin Periodontol, 31, pp.260~266 (2004)[DOI]
- Taylor GW, "Non-insulin dependent diabetes mellitus and alveolar bone loss progression over 2 years", J Periodontol, 69, pp.76~83 (1998)[DOI]