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Braz. oral res. (Online) ; 33: e081, 2019. tab, graf
Article Dans Anglais | LILACS | ID: biblio-1019598

Résumé

Abstract This retrospective study evaluated the influence of known risk factors on nonsurgical periodontal treatment (NSPT) response using a pocket depth fine-tuning multilevel linear model (MLM). Overall, 37 patients (24 males and 13 females) with moderate-to-severe chronic periodontitis underwent NSPT. Follow-up visits at 3, 6, and 12 months included measurements of several clinical periodontal parameters. Data were sourced from a previously reported database. In a total of 1416 initially affected sites (baseline PD ≥ 4 mm) on 536 teeth, probing depth (PD) and clinical attachment loss (CAL) reductions after NSPT were evaluated against known risk factors at 3 hierarchical levels (patient, tooth, and site). For each post-treatment follow-up, the variance component models fitted to evaluate the 3-level variance of PD and CAL decrease revealed that all levels contributed significantly to the overall variance (p < 0.001). Patients who underwent NSPT and were continually monitored had curative results. All 3 hierarchical levels included risk factors influencing the degree of PD and CAL reduction. Specifically, the type of tooth, surfaces involved, and tooth mobility site-level risk factors had the strongest impact on these reductions and were highly relevant for the success of NSPT.


Sujets)
Humains , Mâle , Femelle , Adulte , Sujet âgé , Appréciation des risques/méthodes , Parodontite chronique/thérapie , Analyse multiniveaux/méthodes , Valeurs de référence , Facteurs temps , Indice de gravité de la maladie , Indice parodontal , Indice de plaque dentaire , Études rétrospectives , Facteurs de risque , Analyse de variance , Études de suivi , Facteurs âges , Résultat thérapeutique , Perte d'attache parodontale , Parodontite chronique/anatomopathologie , Adulte d'âge moyen
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