J Periodontol. 2023 Jul 12. doi: 10.1002/JPER.23-0285. Online ahead of print.
ABSTRACT
BACKGROUND: To investigate tooth-related factors that influence the reduction of pocket probing depths (PPD) after non-surgical periodontal therapy (NST).
MATERIALS AND METHODS: 746 patients with a total of 16825 teeth were included and retrospectively analyzed. PPD reduction after NST was correlated with the tooth-related factors; tooth type, number of roots, furcation involvement, vitality, mobility and type of restoration; using logistic multilevel regression for statistical analysis.
RESULTS: NST was able to reduce probing depth overall stratified probing depths (1.20±1.51mm p = <0.001). The reduction was significantly higher at teeth with higher probing depths at baseline. At pockets with PPD ≥ 6mm PPD remains high after NST. Tooth type, number of roots, furcation involvement, vitality, mobility and type of restoration are significantly and independently associated with the rate of pocket closure.
CONCLUSION: The tooth-related factors: tooth type, number of roots, furcation involvement, vitality, mobility and type of restoration had a significant and clinically relevant influence on phase I and II therapy. Considering these factors in advance may enhance the prediction of sites not responding adequately and the potential need for additional treatment, such as re-instrumentation or periodontal surgery, to ultimately achieve the therapy endpoints. This article is protected by copyright. All rights reserved.
PMID:37436696 | DOI:10.1002/JPER.23-0285
