Predictors of clinical outcomes after periodontal treatment of aggressive periodontitis: 12-month randomized trial
Braz. oral res. (Online)
; 30(1): e41, 2016. tab, graf
Article
ي En
| LILACS
| ID: biblio-951957
المكتبة المسؤولة:
BR1.1
ABSTRACT
Abstract Little is known about the factors that may be used in clinical practice to predict the therapeutic response of aggressive periodontitis patients. The aim of this study was to determine predictors of clinical outcomes after non-surgical treatment of aggressive periodontitis. A total of 24 patients (aged 13-26 years) received oral hygiene instructions, as well as subgingival scaling and root planing. Twelve subjects received systemic azithromycin at random. Clinical variables were assessed at baseline, 3, 6, 9, and 12 months. Baseline microbiological assessment was performed by checkerboard DNA-DNA hybridization. Multivariable models used generalized estimating equations. There were significant improvements in the entire sample in regard to pocket depth, clinical attachment level and bleeding on probing. Significant predictors of a reduction in mean pocket depth were use of azithromycin, non-molar teeth, generalized disease and baseline pocket depth. Absence of plaque predicted a 0.22 mm higher attachment gain, whereas a baseline pocket depth ≥7 mm predicted a 1.36 mm higher attachment loss. Azithromycin, plaque, and baseline pocket depth were significant predictors of bleeding on probing. The concomitant presence of all three red complex species predicted a 0.78 mm higher attachment loss. It may be concluded that dental plaque, tooth type, disease extent, baseline pocket depth, and use of azithromycin were significant predictors of the clinical response to treatment for aggressive periodontitis in young individuals. Moreover, the presence of multiple periodontal pathogens may predict challenges in achieving a favorable outcome for aggressive periodontitis.
Key words
النص الكامل:
1
الفهرس:
LILACS
الموضوع الرئيسي:
Oral Hygiene
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Aggressive Periodontitis
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Dental Scaling
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Root Planing
نوع الدراسة:
Clinical_trials
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Prognostic_studies
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Risk_factors_studies
المحددات:
Adolescent
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Adult
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Female
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Humans
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Male
اللغة:
En
مجلة:
Braz. oral res. (Online)
موضوع المجلة:
ODONTOLOGIA
السنة:
2016
نوع:
Article