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Can we successfully maintain risk patients?

M Darby1

  • 1School of Dental Hygiene, Old Dominion University, Norfolk, VA 23529-0499, USA. Mdarby@odu.edu

International Journal of Dental Hygiene
|February 3, 2006
PubMed
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Not everyone is equally susceptible to severe periodontal disease. This review identifies risk factors and outlines strategies for maintaining periodontal health through personalized self-care and professional interventions.

Area of Science:

  • Periodontology
  • Dental Public Health

Background:

  • Periodontal disease risk and progression vary significantly among individuals.
  • Approximately 5-20% of the population faces a high risk of severe periodontal disease progression.

Purpose of the Study:

  • Define patients at risk for periodontal disease.
  • Review established risk factors and indicators of disease progression.
  • Outline an evidence-based strategy for periodontal health maintenance.

Main Methods:

  • Literature review of risk factors and indicators.
  • Analysis of systemic/environmental host factors (smoking, diabetes, genetics, stress).
  • Evaluation of bacterial pathogens and clinical indicators (pocket depth, attachment loss).

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Main Results:

  • Host factors, including genetics and lifestyle, significantly influence disease progression, potentially more than pathogens.
  • Individualized risk assessment is crucial for effective periodontal management.
  • A combination of self-care and professional dental care is essential for maintaining periodontal health.

Conclusions:

  • Dentists and hygienists must consider host factors in treatment strategies.
  • Evidence-based approaches are necessary to control periodontal disease progression.
  • Personalized care plans are vital for patients at risk of severe periodontal disease.