Analysis of periodontal attachment loss in relation to root form abnormalities
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: The aim of this study was to explore root shape abnormalities, to investigate the influence of root form abnormalitieson periodontal attachment loss, and to gather basic data to assist in the diagnosis and treatment of aggressive periodontitis. Methods: From January 2010 to June 2012, a survey was conducted of all 3,284 periodontitis patients who visited the Departmentof Periodontology, Daejeon Dental Hospital, Wonkwang University School of Dentistry. Clinical parameters (probingdepth, periodontal attachment loss, missing teeth) were measured and a radiographic examination was performed at the baseline. We classified the root shape abnormality of bicuspids and molars based on Meng classification. Results: The periodontal attachment loss was the highest at the maxillary first molar (6.03 mm). The loss of the second molarwas prominent. Type V deformity was shown to be the most common in the second maxillary and mandibular molars (P<0.05). Type V root shape was associated with the highest attachment loss (P=0.01). Conclusions: Considering the small population and limited design of this study, definitive conclusions cannot be drawn. Wesuggest larger scale, methodologically more sophisticated studies that include normal controls and chronic periodontitis patientsto clarify whether root form abnormalities are a potential risk factor for aggressive periodontitis.
Abstract
Purpose: The aim of this study was to explore root shape abnormalities, to investigate the influence of root form abnormalitieson periodontal attachment loss, and to gather basic data to assist in the diagnosis and treatment of aggressive periodontitis. Methods: From January 2010 to June 2012, a survey was conducted of all 3,284 periodontitis patients who visited the Departmentof Periodontology, Daejeon Dental Hospital, Wonkwang University School of Dentistry. Clinical parameters (probingdepth, periodontal attachment loss, missing teeth) were measured and a radiographic examination was performed at the baseline. We classified the root shape abnormality of bicuspids and molars based on Meng classification. Results: The periodontal attachment loss was the highest at the maxillary first molar (6.03 mm). The loss of the second molarwas prominent. Type V deformity was shown to be the most common in the second maxillary and mandibular molars (P<0.05). Type V root shape was associated with the highest attachment loss (P=0.01). Conclusions: Considering the small population and limited design of this study, definitive conclusions cannot be drawn. Wesuggest larger scale, methodologically more sophisticated studies that include normal controls and chronic periodontitis patientsto clarify whether root form abnormalities are a potential risk factor for aggressive periodontitis.
참고문헌 (30)
- Albandar JM, "Clinical features of early-onset periodontitis", J Am Dent Assoc, 128, pp.1393~1399 (1997)
- Tonetti MS, "Early-onset periodontitis", Ann Periodontol, 4, pp.39~53 (1999)
- Ranney RR, "Classification of periodontal diseases", Periodontol 2000, 2, pp.13~25 (1993)
- Hansen BF, "Periodontal bone loss in 15-year-old Norwegians", J Clin Periodontol, 11, pp.125~131 (1984)
- Armitage GC, "Development of a classification system for periodontal diseases and conditions", Ann Periodontol, 4, pp.1~6 (1999)
- Meng H, "Determinants of host susceptibility in aggressive periodontitis", Periodontol 2000, 43, pp.133~159 (2007)
- Leknes KN, "Root grooves : a risk factor in periodontal attachment loss", J Periodontol, 65, pp.859~863 (1994)
- Hou GL, "Relationship between molar root fusion and localized periodontitis", J Periodontol, 68, pp.313~319 (1997)
- Dunlap RM, "Root surface measurements of the mandibular first molar", J Periodontol, 56, pp.234~238 (1985)
- Gher ME, "Root morphology : clinical significance in pathogenesis and treatment of periodontal disease", J Am Dent Assoc, 101, pp.627~633 (1980)
- Ross IF, "Root fusion in molars : incidence and sex linkage", J Periodontol, 52, pp.663~667 (1981)
- Kim SJ, "A study on root morphology of anterior and premolars in Korean generalized aggressive periodontitis patients", 박사, pp.2009
- Löe H., "The gingival index, the plaque index and the retention index systems", J Periodontol, 38, pp.610~616 (1967)
- McGuire MK, "Prognosis versus actual outcome. II. The effectiveness of clinical parameters in developing an accurate prognosis", J Periodontol, 67, pp.658~665 (1996)
- Karen FN, "Determination of prognosis, In Carranza’s clinical periodontology. 11st ed", pp.373~383 (2012), Saunder Elsevier
- Picolos DK, "Infection patterns in chronic and aggressive periodontitis", J Clin Periodontol, 32, pp.1055~1061 (2005)
- Mombelli A, "Can presence or absence of periodontal pathogens distinguish between subjects with chronic and aggressive periodontitis? A systematic review", J Clin Periodontol, 29(3), pp.10~21 (2002)
- Page RC, "Advances in the pathogenesis of periodontitis: summary of developments, clinical implications and future directions", Periodontol 2000, 14, pp.216~248 (1997)
- Albandar JM, "Global epidemiology of periodontal diseases in children and young persons", Periodontol 2000, 29, pp.153~176 (2002)
- Kronauer E, "Prevalence of incipient juvenile periodontitis at age 16 years in Switzerland", J Clin Periodontol, 13, pp.103~108 (1986)
- Kowashi Y, "Prevalence of juvenile periodontitis among students at Nagasaki University", Adv Dent Res, 2, pp.395~396 (1988)
- Wang ZL, "Prevalence study of juvenile periodontitis", J Modern Stomatol, 4, pp.171~172 (1990)
- 조찬명, "The clinical assessment of aggressive periodontitis patients", Journal of Periodontal & Implant Science, 41(3), pp.143~148 (2011), 대한치주과학회
- Van der Velden U, "Java project on periodontal diseases. The natural development of periodontitis: risk factors, risk predictors and risk determinants", J Clin Periodontol, 33, pp.540~548 (2006)
- Baer PN, "The case for periodontosis as a clinical entity", J Periodontol, 42, pp.516~520 (1971)
- Hormand J, "Juvenile periodontitis: localization of bone loss in relation to age, sex, and teeth", J Clin Periodontol, 6, pp.407~416 (1979)
- Albandar JM, "Risk factors for periodontitis in children and young persons", Periodontol 2000, 29, pp.207~222 (2002)
- 최병국, "제 1, 2 대구치 치근융합의 발생빈도와 분포 및 국소적 치주염과의 관련성 조사", Journal of Periodontal & Implant Science, 36(2), pp.503~513 (2006), 대한치주과학회
- 유소현, "대구치 치근융합의 발생빈도와 분포 및 성별과의 관련성 조사", Journal of Periodontal & Implant Science, 32(1), pp.61~68 (2002), 대한치주과학회
- Hou GL, "The morphology of root fusion in Chinese adults (I): grades, types, location and distribution", J Clin Periodontol, 21, pp.260~264 (1994)