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Risk factors associated with periodontal breakdown
1Temple University School of Dentistry, Philadelphia.
Annals of the Royal Australasian College of Dental Surgeons
|April 1, 1994
Summary
This review examines risk indicators for periodontal disease, finding that a multifactorial etiology, not a single factor, is crucial for prognosis. Identifying these risk factors helps guide clinical treatment decisions for better patient outcomes.
Area of Science:
- Periodontology
- Dental Public Health
Background:
- Periodontal disease is influenced by numerous factors.
- Previous studies have identified potential risk indicators, but their clinical utility varies.
Purpose of the Study:
- To review and correlate risk indicators for periodontal disease.
- To assess the clinical usefulness of identified risk factors.
- To guide clinicians in treatment planning for periodontal disease.
Main Methods:
- Systematic review of cross-sectional and longitudinal studies.
- Analysis of reported risk indicators for periodontal disease.
- Correlation of risk factors with prognostic value.
Main Results:
- Periodontal disease progression is multifactorial, not predicted by single etiological factors.
- Key risk indicators include age, smoking, diabetes, neutropenia, Down's syndrome, and tooth count.
- Host factors such as HIV/AIDS, race, socioeconomic status, dental visit frequency, and prior attachment loss are associated with the disease.
Conclusions:
- A comprehensive assessment of multiple risk factors is essential for accurate periodontal disease prognosis.
- Understanding these factors aids clinicians in differentiating between conservative and aggressive therapeutic approaches.
- This review provides a framework for evaluating patient-specific risk profiles in clinical practice.