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Tooth mobility and periodontal therapy

T J Fleszar, J W Knowles, E C Morrison

    Journal of Clinical Periodontology
    |December 1, 1980
    PubMed
    Summary
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    Tooth mobility significantly impacts periodontal treatment outcomes. Mobile teeth show poorer attachment level changes after therapy compared to firm teeth, even with similar initial disease severity.

    Area of Science:

    • Dentistry
    • Periodontology
    • Clinical Research

    Background:

    • Periodontal disease affects tooth-supporting structures.
    • Tooth mobility is a clinical sign of advanced periodontal disease.
    • Longitudinal data on treatment outcomes considering tooth mobility are crucial.

    Purpose of the Study:

    • To evaluate the influence of initial tooth mobility on the long-term results of periodontal therapy.
    • To determine if tooth mobility affects attachment level changes following comprehensive periodontal treatment.

    Main Methods:

    • An 8-year longitudinal study analyzed data from 82 patients and 1974 teeth.
    • Clinical assessments included pocket depth, attachment level, and tooth mobility (0-3 scale).
    • Statistical analysis (ANOVA, Scheffe's test) compared treatment outcomes across initial disease severity and mobility grades.

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    Main Results:

    • A statistically significant relationship was found between initial tooth mobility and changes in attachment levels.
    • Teeth with higher initial mobility demonstrated less favorable attachment level gains post-treatment.
    • This effect was observed across different initial periodontal disease severity groups.

    Conclusions:

    • Initial tooth mobility is a significant prognostic factor in periodontal therapy.
    • Periodontal treatment may yield suboptimal results for teeth exhibiting clinical mobility.
    • Clinicians should consider tooth mobility when assessing prognosis and treatment planning for periodontal patients.