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A Novel Evidence-Based Periodontal Prognosis Model
Troy McGowan1, Kelly McGowan1, Saso Ivanovski2
1Department of Periodontology, School of Dentistry and Oral Health, Griffith University, Gold Coast, Queensland, Australia.
The Journal of Evidence-Based Dental Practice
|December 4, 2017
Summary
A new model predicts tooth survival in periodontal disease using objective factors like bone loss and patient habits such as smoking and diabetes. This evidence-based approach aids dental professionals in treatment decisions and improves patient outcomes.
Area of Science:
- Periodontology
- Dental Prognosis
- Evidence-Based Dentistry
Background:
- Periodontal disease prognosis is crucial for treatment planning.
- Existing systems lack objectivity and patient-level factors.
- Accurate prognosis aids in predicting tooth survival and treatment success.
Purpose of the Study:
- To develop an evidence-based clinical model for periodontal tooth prognosis.
- To incorporate objective parameters and patient-level modifiers (PLMs).
- To improve decision-making and patient outcomes in periodontal therapy.
Main Methods:
- Defined criteria for an ideal prognostic system.
- Assessed existing periodontal prognosis models.
- Developed a new model using objective parameters and PLMs.
Main Results:
- Introduced a new tooth-level prognosis model.
- Utilizes 9 quantifiable, evidence-based parameters.
- Includes tooth-level predictors (bone loss:age, pocket depth, etc.) and PLMs (smoking, diabetes, bleeding on probing).
Conclusions:
- Patient-level modifiers are essential for accurate periodontal prognosis.
- The proposed model is objective, evidence-based, and designed for clinical adoption.
- Validation will confirm its predictive accuracy for disease progression and tooth survival.
