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Kim,T.S.* ; Schenk, A.* ; Lungeanu, D.* ; Reitmeir, P. ; Eickholz, P.*

Nonsurgical and surgical periodontal therapy in single-rooted teeth.

Clin. Oral Investig. 11, 391-399 (2007)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
The purpose of this study was to compare the effect of tooth related and patient related factors on the success of non-surgical and surgical periodontal therapy. In 41 patients (22 female) with untreated and/or recurrent periodontitis, no therapy, scaling and root planing (SRP), or access flap (AF) were assigned according to probing pocket depth (PPD). PPD and vertical relative attachment level (RAL-V) were obtained initially, 3 and 6 months after therapy. Baseline data were compared according to therapy, jaw, tooth type, and site. Factors influencing clinical parameters were identified using multilevel analyses. Baseline PPDs were deeper interproximally, in the maxilla and at premolars compared to buccal/oral sites, mandibular, and anterior teeth. At 6 months, PPD reduction and RAL-V gain were significantly greater at sites receiving SRP and AF as compared to untreated sites (p < 0.001). PPD reduction and RAL-V gain were significantly less (p < 0.005) in smokers as compared to nosmokers and at interproximal sites (p < 0.0001) as compared to buccal/oral sites. RAL-V gain was less in aggressive periodontitis, and PPD reduction was less in the maxilla (p < 0.001). In sites with greater bone loss and infrabony defects, a poorer response was observed regarding RAL-V gain or PPD reduction, respectively. The conclusions of the study are the following: (1) Nonsurgical and surgical periodontal therapies are effective in single-rooted teeth; (2) severe interproximal bone loss and infrabony defects deteriorate clinical results; and (3) there seem to be more defect-associated (tooth, site) factors influencing treatment outcome than patient-associated factors.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Periodontal therapy; Surgical/nonsurgical therapy; Single-rooted teeth; Clinical trial; Smoking
ISSN (print) / ISBN 1432-6981
e-ISSN 1436-3771
Journal Clinical Oral Investigations
Quellenangaben Volume: 11, Issue: 4, Pages: 391-399 Article Number: , Supplement: ,
Publisher Springer
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Health Economics and Health Care Management (IGM)