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Prospective study in periodontal maintenance therapy: comparative analysis between academic and private practices
Fernando Oliveira Costa1, Camila Carvalho Santuchi, Eugênio José Pereira Lages
1Department of Periodontology, Dentistry School, Federal University of Minas Gerais, Belo Horizonte, Brazil. focperio@uol.com.br
Journal of Periodontology
|July 26, 2011
Summary
Periodontal maintenance therapy in a private setting (PG) resulted in less periodontitis progression and tooth loss compared to a public academic setting (AG). Risk factors like smoking and diabetes negatively impacted periodontal status in both groups.
Area of Science:
- Periodontology
- Dental Public Health
- Clinical Periodontal Research
Background:
- Chronic periodontitis requires ongoing periodontal maintenance therapy (PMT) post-active treatment.
- Comparing different PMT settings is crucial for optimizing patient outcomes.
- Understanding risk variable influence on PMT effectiveness is essential.
Purpose of the Study:
- To compare the efficacy of two PMT programs over 12 months.
- To evaluate periodontal status, periodontitis progression, and tooth loss.
- To assess the influence of risk variables on PMT outcomes in different settings.
Main Methods:
- Prospective study of 288 patients with chronic periodontitis post-treatment.
- Comparison between a public academic group (AG) and a private practice group (PG).
- Quadrimestral periodontal examinations including plaque index, probing depth, clinical attachment level, BOP, and suppuration.
Main Results:
- The private group (PG) showed significantly lower rates of periodontitis progression and tooth loss than the public academic group (AG).
- Bleeding on probing (BOP), smoking, and diabetes were identified as risk variables negatively influencing periodontal status in the PG.
- Smoking was also a significant risk variable in the AG.
Conclusions:
- Both PMT programs effectively minimized the negative impact of risk variables.
- The private practice setting demonstrated superior outcomes in reducing periodontitis progression and tooth loss compared to the public academic setting.