Long-term evaluations of teeth and dental implants during dental maintenance period
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
PURPOSE. This study was designed to evaluate the teeth and dental implants during dental maintenance therapy over 3 years in different conditions after periodontal and dental prosthetic treatment. MATERIALS AND METHODS. 166 patients received maintenance therapy. 59 patients were treated with 2% minocycline-HCl ointment as local drug delivery (LDD) (L group) and 107 patients were treated without LDD (NL group). Clinical data was collected in maintenance period for evaluation. Patients were classified into groups depending on the application of LDD with maintenance therapy, the type of dental treatment before maintenance period (Pre-Tx), the frequency (F-MT), and regularity (R-MT) of maintenance therapy. RESULTS. The numbers of lost teeth (N-teeth, P=.003) and newly placed dental implants (N-implants, P=.022) are significantly different according to Pre-Tx. F-MT among patients who received surgical dental treatment before maintenance period showedstatistical differences in N-teeth (P=.041), but not in N-implants (P=.564). All of the patients in L group showed high F-MT (F-MT1). In NL group, there were no statistical differences in N-teeth or N-implants according to F-MT or R-MT. In F-MT1 group, application of LDD made N-teeth significantly different from both Pre-Tx groups while no significant difference could be found in N-implant. Independent t-test and one-way ANOVA were selected for statistical analysis. CONCLUSION. The regular maintenance therapy and LDD can be effective for teeth during maintenance period. It is not only pharmacological efficacy in decreasing bacterial species that makes LDD a useful adjunct. Application of LDD also motivates patients to take adequate check-ups in the aspects of both frequency and regularity.
Abstract
PURPOSE. This study was designed to evaluate the teeth and dental implants during dental maintenance therapy over 3 years in different conditions after periodontal and dental prosthetic treatment. MATERIALS AND METHODS. 166 patients received maintenance therapy. 59 patients were treated with 2% minocycline-HCl ointment as local drug delivery (LDD) (L group) and 107 patients were treated without LDD (NL group). Clinical data was collected in maintenance period for evaluation. Patients were classified into groups depending on the application of LDD with maintenance therapy, the type of dental treatment before maintenance period (Pre-Tx), the frequency (F-MT), and regularity (R-MT) of maintenance therapy. RESULTS. The numbers of lost teeth (N-teeth, P=.003) and newly placed dental implants (N-implants, P=.022) are significantly different according to Pre-Tx. F-MT among patients who received surgical dental treatment before maintenance period showedstatistical differences in N-teeth (P=.041), but not in N-implants (P=.564). All of the patients in L group showed high F-MT (F-MT1). In NL group, there were no statistical differences in N-teeth or N-implants according to F-MT or R-MT. In F-MT1 group, application of LDD made N-teeth significantly different from both Pre-Tx groups while no significant difference could be found in N-implant. Independent t-test and one-way ANOVA were selected for statistical analysis. CONCLUSION. The regular maintenance therapy and LDD can be effective for teeth during maintenance period. It is not only pharmacological efficacy in decreasing bacterial species that makes LDD a useful adjunct. Application of LDD also motivates patients to take adequate check-ups in the aspects of both frequency and regularity.
참고문헌 (25)
- Carnevale G, "Long-term effects of supportive therapy in periodontal patients treated with fibre retention osseous resective surgery. II: tooth extractions during active and supportive therapy", J Clin Periodontol, 34, pp.342~348 (2007)
- Lang NP, "Periodontal risk assessment (PRA) for patients in supportive periodontal therapy (SPT)", Oral Health Prev Dent, 1, pp.7~16 (2003)
- Socransky SS, "Relationship of bacteria to the etiology of periodontal disease", J Dent Res, 49, pp.203~222 (1970)
- Socransky SS, "The bacterial etiology of destructive periodontal disease: current concepts", J Periodontol, 63, pp.322~331 (1992)
- Ximénez-Fyvie LA, "Microbial composition of supra- and subgingival plaque in subjects with adult periodontitis", J Clin Periodontol, 27, pp.722~732 (2000)
- Loesche WJ, "Bacterial profiles of subgingival plaques in periodontitis", J Periodontol, 56, pp.447~456 (1985)
- Slots J, "Relationship between some subgingival bacteria and periodontal pocket depth and gain or loss of periodontal attachment after treatment of adult periodontitis", J Clin Periodontol, 12, pp.540~552 (1985)
- Rateitschak-Plüss EM, "Non-surgical periodontal treatment:where are the limits? An SEM study", J Clin Periodontol, 19, pp.240~244 (1992)
- Adriaens PA, "Bacterial invasion in root cementum and radicular dentin of periodontally diseased teeth in humans. A reservoir of periodontopathic bacteria", J Periodontol, 59, pp.222~230 (1988)
- Adriaens PA, "Ultrastructural observations on bacterial invasion in cementum and radicular dentin of periodontally diseased human teeth", J Periodontol, 59, pp.493~503 (1988)
- Loesche WJ, "The specific plaque hypothesis and the antimicrobial treatment of periodontal disease", Dent Update, 19, pp.68~ (1992)
- Wilson M, "Effect of minocycline on subgingival plaque bacteria", J Appl Bacteriol, 69, pp.228~234 (1990)
- O’Connor BC, "Susceptibility and resistance of plaque bacteria to minocycline", J Periodontol, 61, pp.228~233 (1990)
- Ciancio SG, "The effect of short-term administration of minocycline HCl on gingival inflammation and subgingival microflora", J Periodontol, 53, pp.557~561 (1982)
- Nakagawa T, "Clinical and microbiological study of local minocycline delivery (Periocline) following scaling and root planing in recurrent periodontal pockets", Bull Tokyo Dent Coll, 32, pp.63~70 (1991)
- van Steenberghe D, "Subgingival minocycline hydrochloride ointment in moderate to severe chronic adult periodontitis: a randomized, double-blind, vehicle-controlled, multicenter study", J Periodontol, 64, pp.637~644 (1993)
- Lu HK, "Efficacy of subgingivally applied minocycline in the treatment of chronic periodontitis", J Periodontal Res, 40, pp.20~27 (2005)
- Matuliene G, "Influence of residual pockets on progression of periodontitis and tooth loss: results after 11years of maintenance", J Clin Periodontol, 35, pp.685~695 (2008)
- König J, "Tooth loss and pocket probing depths in compliant periodontally treated patients:a retrospective analysis", J Clin Periodontol, 29, pp.1092~1100 (2002)
- Chambrone L, "Predictors of tooth loss during long-term periodontal maintenance:a systematic review of observational studies", J Clin Periodontol, 37, pp.675~684 (2010)
- Lindhe J, "Long-term maintenance of patients treated for advanced periodontal disease", J Clin Periodontol, 11, pp.504~514 (1984)
- Rosén B, "Effect of different frequencies of preventive maintenance treatment on periodontal conditions. 5-Year observations in general dentistry patients", J Clin Periodontol, 26, pp.225~233 (1999)
- Brägger U, "Progression of periodontal disease in patients with mild to moderate adult periodontitis", J Clin Periodontol, 19, pp.659~666 (1992)
- van Steenberghe D, "A 15-month evaluation of the effects of repeated subgingival minocycline in chronic adult periodontitis", J Periodontol, 70, pp.657~667 (1999)
- Ng MC, "Tooth loss in compliant and non-compliant periodontally treated patients: 7years after active periodontal therapy", J Clin Periodontol, 38, pp.499~508 (2011)