Moderate‐ to long‐term therapeutic outcomes of treated aggressive periodontitis patients without regular supportive care

• Published in: Journal of periodontal research Vol. 53; no. 3; pp. 324 - 333
• Main Authors: Goh, V., Nihalani, D., Yeung, K. W. S., Corbet, E. F., Leung, W. K.
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01.06.2018
• Subjects: Adolescent; Adult; aggressive periodontitis; Aggressive Periodontitis - diagnosis; Aggressive Periodontitis - epidemiology; Aggressive Periodontitis - therapy; Alveolar Bone Loss - epidemiology; Bone loss; Dental Plaque - epidemiology; Dental Plaque - therapy; Female; Follow-Up Studies; Gum disease; Hong Kong - epidemiology; Humans; Male; oral health; Oral Health - statistics & numerical data; Oral hygiene; Patients; Periodontal Attachment Loss; Periodontal Index; Periodontal Pocket - classification; Periodontal Pocket - epidemiology; Periodontitis; Quality of Life; Retrospective Studies; Smoke; Smoking; Surveys and Questionnaires; Teeth; tooth loss; Tooth Loss - diagnosis; Tooth Loss - epidemiology; Tooth Loss - therapy; Treatment Outcome; Young Adult; Hong Kong; aggressive periodontitis; oral health; quality of life; tooth loss
• ISSN: 0022-3484; 1600-0765; 1600-0765
• DOI: 10.1111/jre.12517

Background and Objective Risk for deterioration in treated aggressive periodontitis (AgP) individuals remained unclear. This retrospective cohort study investigated 7‐26 years of periodontal outcomes and oral health‐related quality of life (OHRQoL) of young adults with advanced periodontitis. Material and Methods Eighty‐nine previously treated patients with AgP were re‐examined. Clinical and radiographic parameters before treatment discontinuation and at re‐examination were compared. OHRQoL at re‐call was assessed with the short‐form Oral Health Impact Profile (OHIP‐14S). Results None of the subjects adhered to suggested periodontal therapy and maintenance after discharge. Mean percentage of sites with probing pocket depth (PPD) ≥6 mm at re‐examination was 4.5 ± 5.9%. A total of 182 teeth had been lost over time. Tooth loss rate was 0.14/patient/year. From 68 subjects with documented favorable treatment outcomes, higher percentage of sites with PPD ≥6 mm at re‐examination and higher radiographic proximal bone loss was associated with current smoking status. Patients with AgP with <20 teeth at re‐call had worse OHRQoL than those with ≥20 teeth. Patients with higher full‐mouth mean PPD also reported poorer OHRQoL. Conclusion Treatment in patients with AgP who smoke and neglect proper supportive care, risk periodontal disease progression. Substantial tooth loss and higher full‐mouth mean PPD led to poorer OHRQoL in this cohort.