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Tooth loss in aggressive periodontitis: results 25 years after active periodontal therapy in a private practice

Aim: To assess tooth loss in patients with aggressive periodontitis (AgP) 10-35 years after active periodontal therapy (APT) in a private practice and to detect possible factors influencing tooth loss. Material and Methods: In 100 patients with AgP, tooth loss was recorded over a median follow-up pe...

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Hauptverfasser: Bäumer, Amelie (VerfasserIn) , Kronsteiner, Dorothea (VerfasserIn) , Staufer, Sebastian (VerfasserIn) , Pretzl, Bernadette (VerfasserIn) , Körner, Gerd (VerfasserIn) , Wang, Yan (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2020
In: Journal of clinical periodontology
Year: 2019, Jahrgang: 47, Heft: 2, Pages: 223-232
ISSN:1600-051X
DOI:10.1111/jcpe.13225
Online-Zugang:Resolving-System, kostenfrei, Volltext: https://doi.org/10.1111/jcpe.13225
Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/jcpe.13225
Volltext
Verfasserangaben:Amelie Bäumer, Dorothea Weber, Sebastian Staufer, Bernadette Pretzl, Gerd Körner, Yan Wang

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520 |a Aim: To assess tooth loss in patients with aggressive periodontitis (AgP) 10-35 years after active periodontal therapy (APT) in a private practice and to detect possible factors influencing tooth loss. Material and Methods: In 100 patients with AgP, tooth loss was recorded over a median follow-up period of 25.5 years after APT, retrospectively. Patient- and tooth-level factors were assessed with a Cox frailty regression model. Results: Of 2,380 teeth, 227 were lost during a median follow-up time of 25.5 years (2.3 ± 3.6 teeth/patient, range 0-17 teeth), resulting in a mean tooth loss rate of 0.09 teeth/patient/year. At patient-level, statistically significant factors for tooth loss were smoking (p = .039) and the baseline diagnosis generalized AgP (p < .001). Influencing factors at tooth-level were location in the maxilla (p = .003), baseline bone loss (p < .001), molars (p < .001) and premolars (p < .001) as well as abutment teeth (p = .009). Conclusion: Tooth loss occurred rarely in patients with AgP treated in a private practice over a long-time period. Annual tooth loss rates are comparable with those described in university settings. Smoking, generalized form of AgP, location/type of tooth, baseline bone loss and abutment status could be detected as factors impacting upon tooth loss. 
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