본문 바로가기
KERD
논문KCI 등재

Long-term assessment of periodontal disease progression after surgical or non-surgical treatment: a systematic review

윤성욱|Jae-Kook Cha|Ignacio Sanz-Martín|Ignacio Sanz-Sánchez|정의웅
대한치주과학회 (The Korean Academy Of Periodontology)|2019.04|Journal of Periodontal & Implant Science|제49권 제2호|pp. 60-75|DOI 10.5051/jpis.2019.49.2.60

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

Systematic reviewPeriodontitisDisease progressionPeriodontal attachment loss
주제분류치의학

초록

The primary aim of this systematic review was to assess the evidence on periodontal disease progression after treatment in patients receiving supportive periodontal therapy (SPT) and to identify predictors of clinical attachment level (CAL) loss. A protocol was developed to answer the following focused question: In adult patients treated for periodontitis, what is the disease progression in terms of CAL loss after surgical or non-surgical treatment? Randomized controlled clinical trials, prospective cohort studies, and longitudinal observational human studies with a minimum of 5 years of follow-up after surgical or non-surgical treatment that reported CAL and probing depth changes were selected. Seventeen publications reporting data from 14 investigations were included. Data from 964 patients with a follow-up range of 5–15 years was evaluated. When the CAL at the latest follow-up was compared to the CAL after active periodontal therapy, 10 of the included studies reported an overall mean CAL loss of ≤0.5 mm, 3 studies reported a mean CAL loss of 0.5–1 mm, and 4 studies reported a mean CAL loss of >1 mm. Based on 7 publications, the percentage of sites showing a CAL loss of ≥2 mm varied from 3% to 20%, and a high percentage of sites with CAL loss was associated with poor oral hygiene, smoking, and poor compliance with SPT. The outcomes after periodontal therapy remained stable over time. Disease progression occurred in a reduced number of sites and patients, mostly associated with poor oral hygiene, poor compliance with SPT, and smoking.

Abstract

The primary aim of this systematic review was to assess the evidence on periodontal disease progression after treatment in patients receiving supportive periodontal therapy (SPT) and to identify predictors of clinical attachment level (CAL) loss. A protocol was developed to answer the following focused question: In adult patients treated for periodontitis, what is the disease progression in terms of CAL loss after surgical or non-surgical treatment? Randomized controlled clinical trials, prospective cohort studies, and longitudinal observational human studies with a minimum of 5 years of follow-up after surgical or non-surgical treatment that reported CAL and probing depth changes were selected. Seventeen publications reporting data from 14 investigations were included. Data from 964 patients with a follow-up range of 5–15 years was evaluated. When the CAL at the latest follow-up was compared to the CAL after active periodontal therapy, 10 of the included studies reported an overall mean CAL loss of ≤0.5 mm, 3 studies reported a mean CAL loss of 0.5–1 mm, and 4 studies reported a mean CAL loss of >1 mm. Based on 7 publications, the percentage of sites showing a CAL loss of ≥2 mm varied from 3% to 20%, and a high percentage of sites with CAL loss was associated with poor oral hygiene, smoking, and poor compliance with SPT. The outcomes after periodontal therapy remained stable over time. Disease progression occurred in a reduced number of sites and patients, mostly associated with poor oral hygiene, poor compliance with SPT, and smoking.

참고문헌 (57)

  1. 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 Periodontol, 89(Suppl 1), pp.S173~S182 (2018)
  2. Baelum V, "A 10-year study of the progression of destructive periodontal disease in adult and elderly Chinese", J Periodontol, 68, pp.1033~1042 (1997)
  3. Baelum V, "Predictors of destructive periodontal disease incidence and progression in adult and elderly Chinese", Community Dent Oral Epidemiol, 25, pp.265~272 (1997)
  4. Haffajee AD, "Clinical parameters as predictors of destructive periodontal disease activity", J Clin Periodontol, 10, pp.257~265 (1983)
  5. Ismail AI, "Natural history of periodontal disease in adults: findings from the Tecumseh Periodontal Disease Study, 1959–87", J Dent Res, 69, pp.430~435 (1990)
  6. Lindhe J, "Longitudinal changes in periodontal disease in untreated subjects", J Clin Periodontol, 16, pp.662~670 (1989)
  7. Löe H, "Natural history of periodontal disease in man. Rapid, moderate and no loss of attachment in Sri Lankan laborers 14 to 46 years of age", J Clin Periodontol, 13, pp.431~445 (1986)
  8. Papapanou PN, "A 10-year retrospective study of periodontal disease progression", J Clin Periodontol, 16, pp.403~411 (1989)
  9. Schätzle M, "The influence of margins of restorations of the periodontal tissues over 26 years", J Clin Periodontol, 28, pp.57~64 (2001)
  10. Claffey N, "Diagnostic predictability of scores of plaque, bleeding, suppuration and probing depth for probing attachment loss. 3 1", 2 years of observation following initial periodontal therapy, 1990, pp.17, 108~114
  11. Tonetti MS, "Advances in the progression of periodontitis and proposal of definitions of a periodontitis case and disease progression for use in risk factor research. Group C consensus report of the 5th European Workshop in Periodontology", J Clin Periodontol, 32(Suppl 6), pp.210~213 (2005)
  12. Socransky SS, "New concepts of destructive periodontal disease", J Clin Periodontol, 11, pp.21~32 (1984)
  13. Ramseier CA, "Natural history of periodontitis: disease progression and tooth loss over 40 years", J Clin Periodontol, 44, pp.1182~1191 (2017)
  14. Teles R, "Patterns of periodontal disease progression based on linear mixed models of clinical attachment loss", J Clin Periodontol, 45, pp.15~25 (2018)
  15. Needleman I, "Mean annual attachment, bone level, and tooth loss: a systematic review", J Periodontol, 89(Suppl 1), pp.S120~S139 (2018)
  16. Graziani F, "Surgical treatment of the residual periodontal pocket", Periodontol 2000, 76, pp.150~163 (2018)
  17. Graziani F, "Clinical performance of access flap surgery in the treatment of the intrabony defect. A systematic review and meta-analysis of randomized clinical trials", J Clin Periodontol, 39, pp.145~156 (2012)
  18. Heitz-Mayfield LJ, "Surgical and nonsurgical periodontal therapy. Learned and unlearned concepts", Periodontol 2000, 62, pp.218~231 (2013)
  19. Heitz-Mayfield LJ, "A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis", J Clin Periodontol, 29(Suppl 3), pp.92~102 (2002)
  20. Mailoa J, "Long-term effect of four surgical periodontal therapies and one non-surgical therapy: a systematic review and meta-analysis", J Periodontol, 86, pp.1150~1158 (2015)
  21. Axelsson P, "The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance", J Clin Periodontol, 31, pp.749~757 (2004)
  22. Fardal Ø, "Tooth loss during maintenance following periodontal treatment in a periodontal practice in Norway", J Clin Periodontol, 31, pp.550~555 (2004)
  23. Hirschfeld L, "A long-term survey of tooth loss in 600 treated periodontal patients", J Periodontol, 49, pp.225~237 (1978)
  24. Lindhe J, "Long-term maintenance of patients treated for advanced periodontal disease", J Clin Periodontol, 11, pp.504~514 (1984)
  25. 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)
  26. Heitz-Mayfield LJ, "Disease progression: identification of high-risk groups and individuals for periodontitis", J Clin Periodontol, 32(Suppl 6), pp.196~209 (2005)
  27. Moher D, "Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement", J Clin Epidemiol, 62, pp.1006~1012 (2009)
  28. Higgins JP, "The Cochrane Collaboration's tool for assessing risk of bias in randomised trials", BMJ, 343, pp.d5928~ (2011)
  29. "The Newcastle-Ottawa Scale (NOS)for assessing the quality of nonrandomised studies in meta-analyses" (2011)[URL]
  30. Knowles JW, "Results of periodontal treatment related to pocket depth and attachment level. Eight years", J Periodontol, 50, pp.225~233 (1979)
  31. Kaldahl WB, "Long-term evaluation of periodontal therapy: II. Incidence of sites breaking down", J Periodontol, 67, pp.103~108 (1996)
  32. Pihlstrom BL, "Comparison of surgical and nonsurgical treatment of periodontal disease. A review of current studies and additional results after 6 1", 2 years, 1983, pp.10, 524~541
  33. Pihlstrom BL, "Molar and nonmolar teeth compared over 6½ years following two methods of periodontal therapy", J Periodontol, 55, pp.499~504 (1984)
  34. Rosling B, "Longitudinal periodontal tissue alterations during supportive therapy. Findings from subjects with normal and high susceptibility to periodontal disease", J Clin Periodontol, 28, pp.241~249 (2001)
  35. Crespi R, "Comparison of modified widman and coronally advanced flap surgery combined with Co2 laser root irradiation in periodontal therapy: a 15-year follow-up", Int J Periodontics Restorative Dent, 31, pp.641~651 (2011)
  36. Preus HR, "A double-masked Randomized Clinical Trial (RCT) comparing four periodontitis treatment strategies: 5-year clinical results", J Clin Periodontol, 44, pp.1029~1038 (2017)
  37. Ramberg P, "The long-term effect of systemic tetracycline used as an adjunct to non-surgical treatment of advanced periodontitis", J Clin Periodontol, 28, pp.446~452 (2001)
  38. Axelsson P, "The significance of maintenance care in the treatment of periodontal disease", J Clin Periodontol, 8, pp.281~294 (1981)
  39. Isidor F, "Long-term effect of surgical and non-surgical periodontal treatment. A 5-year clinical study", J Periodontal Res, 21, pp.462~472 (1986)
  40. Serino G, "Initial outcome and long-term effect of surgical and non-surgical treatment of advanced periodontal disease", J Clin Periodontol, 28, pp.910~916 (2001)
  41. Ramfjord SP, "4 modalities of periodontal treatment compared over 5 years", J Clin Periodontol, 14, pp.445~452 (1987)
  42. Lindhe J, "Long-term effect of surgical", non-surgical treatment of periodontal disease, 1984, pp.11, 448~458
  43. Kaldahl WB, "Long-term evaluation of periodontal therapy: I. Response to 4 therapeutic modalities", J Periodontol, 67, pp.93~102 (1996)
  44. Pretzl B, "Tooth loss in periodontally compromised patients:results 20 years after active periodontal therapy", J Clin Periodontol, 45, pp.1356~1364 (2018)
  45. Fardal O, "Re-treatment profiles during long-term maintenance therapy in a periodontal practice in Norway", J Clin Periodontol, 32, pp.744~749 (2005)
  46. Costa FO, "Surgical and non-surgical procedures associated with recurrence of periodontitis in periodontal maintenance therapy: 5-year prospective study", PLoS One, 10, pp.e0140847~ (2015)
  47. Papantonopoulos GH, "Effect of periodontal therapy in smokers and non-smokers with advanced periodontal disease: results after maintenance therapy for a minimum of 5 years", J Periodontol, 75, pp.839~843 (2004)
  48. Nomura Y, "Site-level progression of periodontal disease during a follow-up period", PLoS One, 12, pp.e0188670~ (2017)
  49. Teles RP, "Disease progression in periodontally healthy and maintenance subjects", J Periodontol, 79, pp.784~794 (2008)
  50. Lang NP, "Risk factor assessment tools for the prevention of periodontitis progression a systematic review", J Clin Periodontol, 42(Suppl 16), pp.S59~S70 (2015)
  51. Lang NP, "Periodontal diagnosis in treated periodontitis. Why, when and how to use clinical parameters", J Clin Periodontol, 23, pp.240~250 (1996)
  52. Schwendicke F, "Validation of multivariable models for predicting tooth loss in periodontitis patients", J Clin Periodontol, 45, pp.701~710 (2018)
  53. Tu YK, "The application of multilevel modeling in the analysis of longitudinal periodontal data--part II: changes in disease levels over time", J Periodontol, 75, pp.137~145 (2004)
  54. Tu YK, "The application of multilevel modeling in the analysis of longitudinal periodontal data--part I: absolute levels of disease", J Periodontol, 75, pp.127~136 (2004)
  55. Renvert S, "Treatment of periodontal disease based on microbiological diagnosis. Relation between microbiological and clinical parameters during 5 years", J Periodontol, 67, pp.562~571 (1996)
  56. Ramfjord SP, "Results following three modalities of periodontal therapy", J Periodontol, 46, pp.522~526 (1975)
  57. Gaspirc B, "Clinical evaluation of periodontal surgical treatment with an Er:YAG laser: 5-year results", J Periodontol, 78, pp.1864~1867 (2007)

관련 논문AI추천

Evaluation of prognosis related to compliance with supportive periodontal treatment in patients with chronic periodontitis: a clinical retrospective study김대엽, 방은경, 신혜정, 이종빈대한치주과학회 · Journal of Periodontal & Implant Science2019 · 제49권 제2호Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults김상열, 엄흥식, 이재관, 장범석대한치주과학회 · Journal of Periodontal & Implant Science2014 · 제44권 제2호Tooth loss in aggressive periodontitis patients: retrospective study with follow-up of 3 to 8 years정성념, Ye-Sol Park, Young-Mi Chung치의학연구원 · Oral Biology Research2018 · 제42권 제4호Comparison 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-upBo-Ram Nam, Eun-Woo Ko, Seong-Nyum Jeong치의학연구원 · Oral Biology Research2023 · 제47권 제1호Outcomes of nonsurgical periodontal therapy in severe generalized aggressive periodontitisAmal Bouziane, Latifa Benrachadi, Oumkeltoum Ennibi, Redouane Abouqal대한치주과학회 · Journal of Periodontal & Implant Science2014 · 제44권 제4호치주치료 후 유지치주치료의 효과에 관한 평가 : 1년 관찰김신영, 김용건대한치과의사협회 · 대한치과의사협회지2016 · 제55권 제1호

이 간행물의 다른 논문 (6건)

PlagiarismSeung-Yun Shinpp. 59-59Evaluation of prognosis related to compliance with supportive periodontal treatment in patients with chronic periodontitis: a clinical retrospective study방은경, 이종빈, 김대엽, 신혜정pp. 76-89Periodontal regenerative therapy in endo-periodontal lesions: a retrospective study over 5 years정신혜, 한지영, 오소람pp. 90-104The role of serum lipoxin A4 levels in the association between periodontal disease and metabolic syndromeÖzlem Fentoğlu, Burak Doğan, Esra Sinem Kemer Doğan, Fatma Yeşim Kırzıoğlupp. 105-113Improvement of the osteogenic potential of ErhBMP-2-/EGCG-coated biphasic calcium phosphate bone substitute: in vitro and in vivo activity김성태, 황재호, 오승한pp. 114-126
원문 보기