Прогнозування результатів пародонтологічного лікування пацієнтів з генералізованим пародонтитом

А. Viyun

doi:10.33295/1992-576X-2018-3-32-35

Authors

А. Viyun

DOI:

https://doi.org/10.33295/1992-576X-2018-3-32-35

Keywords:

periodontitis, prognosis of treatment outcomes, prognostic factors, 1. Hirschfeld L., Wasserman B. A long-term survey of tooth loss in 600 treated periodontal patients // J. Periodontol. – 1978. – № 49. – Р. 225–237. 2. McGuire M.K. Prognosis versus actual outcome: a long-term survey of 100 treated periodontal patients under maintenance care // J. Periodontol. – 1991. – № 62. – Р. 51–58. 3. McGuire M.K., Nunn M.E. Prognosis versus actual outcome. II. The effectiveness of clinical parameters in developing an accurate prognosis // J. Periodontol. – 1996. – № 67. – Р. 658–665. 4. Chandra R.V. Evaluation of a novel periodontal risk assessment model in patients presenting for dental care // Oral Health & Preventive Dentistry. – 2007. – № 5 (1). – Р. 39–48. 5. Periodontal risk assessment model in a sample of regular and irregular compliers under maintenance therapy: a 3-year prospective study / Costa F.O et al // Journal of Periodontology. – 2012. – № 83 (3). – Р. 292–300. 6. Lang N.P., Suvan J.E., Tonetti M.S. Risk factor assessment tools for the prevention of periodontitis a systematicreview // J. Clin. Periodontal. – 2015. – № 42. – Р. 69–70. 7. A prospective 12-month study of the effect of smoking cessation on periodontal clinical parameters / Rosa E.F. et al. // Journal of Clinical Periodontology. – 2011. – № 38. – Р. 562–571. 8. Tooth loss in compliant and non-compliant periodontology treated patients: 7 years after factors periodontal therapy / Ng M. et al. // J. of Clin. Periodontol. – 2011. – № 38. – Р. 499–508. 9. Tooth loss after active periodontal therapy. I: patient-related factors for risk, prognosis, and quality of outcome / Eickholz P. et al. // Journal of Clinical Periodontology. – 2008. – № 35. – Р. 165–174. 10. Коэн Э.С. Атлас косметической и реконструктивной хирургии пародонта / Э.С. Коэн; пер. с англ. под общей ред. О.О. Янушевича. – М., 2011. 512е.: ил. 11. Данилевский Н.Ф. Систематика болезней пародонта // Вісник стоматології. – 1994. –№ 1. – С. 16–22. 12. O'Leary T.J., Drake R.B., Naylor J.E. The plaque control record // Journal of Periodontology. – 1972. – № 43 (1). –P. 38–38. 13. Muhlemann H.R., Son S. Gingival sulcus bleeding – a leading symptom in initial gingivitis // Helvetica Odontologica Acta. – 1971. – № 15. – Р. 107–113.

Abstract

Background. In the time of evidence-based medicine and the information-legal space, the patients are demanding the long-term results of treatment, which makes doctors clearly predict long-term results. Existing methods and the tools for determining predictions, although they allow accurately predict the course of the disease, still remain complex and not integrated into practical activities. Therefore, it is important to develop the universal principles, which would be convenient, quickly and accurately determine the further tactics for teeth affected by periodontitis.
Purpose. To analyze the results of the treatment of the patients with generalized periodontitis and to determine local clinical prognostic factors.
Materials and methods. 163 patients with a diagnosis of generalized periodontitis of the I-III degree of severity. Many parametric linear regression models were used to determine the most prognostic factors. The adequacy of the proposed forecasting model was verified using a plurality of correlation coefficient, R-square and normalized R-square, and statistical significance by Fisher's criterion.
Results. The dispersion analysis showed that there is a significant effect on the outcome of the treatment initial LEA (loss of epithelial attachment) – significance level = 0.0053, DPP (depth of periodontal pockets) – p = 0.00415, and % ВОР (bleeding of probing) – p = 0.0305, % plaque – p = 0.0609. Measures such as age and tooth loss with 12 months after treatment were not include into the prognostic model due to low levels of significance.
Conclusions. The following clinical factors have the greatest impact on the treatment outcomes: initial LEA, DPP and BOP. Therefore, the model based on these clinical prognostic factors has been proposed, which allows a high degree of accuracy to predict the results of treatment.
Key words: periodontitis, prognosis of treatment outcomes, prognostic factors.

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Author Biography

А. Viyun

Г.І. В’юн – кафедра стоматології ДЗ «Луганський державний медичний університет».
Е-mail: aviun1991@gmail.com.

References

1. Hirschfeld L., Wasserman B. A long-term survey of tooth loss in 600 treated periodontal
patients // J. Periodontol. – 1978. – № 49. – Р. 225–237.
2. McGuire M.K. Prognosis versus actual outcome: a long-term survey of 100 treated
periodontal patients under maintenance care // J. Periodontol. – 1991. – № 62. – Р. 51–58.
3. McGuire M.K., Nunn M.E. Prognosis versus actual outcome. II. The effectiveness of clinical
parameters in developing an accurate prognosis // J. Periodontol. – 1996. – № 67. – Р. 658–665.
4. Chandra R.V. Evaluation of a novel periodontal risk assessment model in patients presenting
for dental care // Oral Health & Preventive Dentistry. – 2007. – № 5 (1). – Р. 39–48.
5. Periodontal risk assessment model in a sample of regular and irregular compliers
under maintenance therapy: a 3-year prospective study / Costa F.O et al // Journal of Periodontology.
– 2012. – № 83 (3). – Р. 292–300.
6. Lang N.P., Suvan J.E., Tonetti M.S. Risk factor assessment tools for the prevention of
periodontitis a systematicreview // J. Clin. Periodontal. – 2015. – № 42. – Р. 69–70.
7. A prospective 12-month study of the effect of smoking cessation on periodontal clinical
parameters / Rosa E.F. et al. // Journal of Clinical Periodontology. – 2011. – № 38. – Р. 562–571.
8. Tooth loss in compliant and non-compliant periodontology treated patients: 7 years after
factors periodontal therapy / Ng M. et al. // J. of Clin. Periodontol. – 2011. – № 38. – Р. 499–508.
9. Tooth loss after active periodontal therapy. I: patient-related factors for risk, prognosis,
and quality of outcome / Eickholz P. et al. // Journal of Clinical Periodontology. – 2008. – № 35. –
Р. 165–174.
10. Коэн Э.С. Атлас косметической и реконструктивной хирургии пародонта /
Э.С. Коэн; пер. с англ. под общей ред. О.О. Янушевича. – М., 2011. 512е.: ил.
11. Данилевский Н.Ф. Систематика болезней пародонта // Вісник стоматології. –
1994. –№ 1. – С. 16–22.
12. O'Leary T.J., Drake R.B., Naylor J.E. The plaque control record // Journal of Periodontology.
– 1972. – № 43 (1). –P. 38–38.
13. Muhlemann H.R., Son S. Gingival sulcus bleeding – a leading symptom in initial gingivitis
// Helvetica Odontologica Acta. – 1971. – № 15. – Р. 107–113.