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Tooth loss due to periodontal abscess: a retrospective study
D E McLeod1, P A Lainson, J D Spivey
1Department of Applied Dental Medicine, Southern Illinois University, School of Dental Medicine, Alton, USA.
Journal of Periodontology
|November 14, 1997
Summary
Periodontal abscesses can lead to tooth loss, but many affected teeth can be successfully maintained long-term with proper periodontal care. This study shows 55% of teeth with abscesses were saved over an average of 12.5 years.
Area of Science:
- Dentistry
- Periodontology
Background:
- Periodontal abscesses are a common complication of periodontitis.
- Tooth loss is a significant concern for patients with advanced periodontal disease.
Purpose of the Study:
- To determine the frequency of tooth loss due to periodontal abscesses.
- To evaluate the long-term maintenance of teeth affected by periodontal abscesses.
Main Methods:
- Retrospective study of 114 patients with moderate to advanced periodontitis.
- Analysis of tooth loss, periodontal abscesses, and treatment outcomes over 5 to 29 years.
- Patients categorized into well-maintained, downhill, and extreme downhill groups based on tooth loss.
Main Results:
- 42 patients experienced periodontal abscesses affecting 109 teeth.
- 45% of affected teeth were lost, while 55% were successfully maintained for an average of 12.5 years.
- Furcated teeth and those with a hopeless prognosis were more likely to be lost.
Conclusions:
- Teeth with a history of periodontal abscess can be successfully treated and maintained long-term.
- Effective periodontal maintenance care is crucial for managing teeth affected by abscesses.