In:
Journal of Clinical Periodontology, Wiley, Vol. 46, No. 7 ( 2019-07), p. 699-712
Abstract:
A range of predictors for tooth loss in periodontitis patients have been reported. We performed a systematic review and meta‐analysis to assess the consistency and magnitude of any association between a total of 12 predictors and tooth loss. Materials and Methods Medline/Embase/Central were searched for longitudinal studies investigating the association between predictors and tooth loss in periodontitis patients. Random‐effects meta‐analysis was performed, and study quality assessed. Results Twenty studies (15,422 patients, mean follow‐up: 12 years) were included. The mean annual tooth loss/patient was 0.12 (min./max: 0.01/0.36). Older patients ( n = 8 studies; OR : 1.05, 95% CI : 1.03–1.08/year), non‐compliant ones ( n = 11; 1.51, 1.06–2.16), diabetics ( n = 7; 1.80, 1.26–2.57), those with IL ‐1‐polymorphism ( n = 3; 1.80; 1.29–2.52) and smokers ( n = 15; 1.98, 1.58–2.48) had a significantly higher risk of tooth loss. Teeth with bone loss ( n = 3; 1.04, 1.03–1.05/%), high probing pocket depth ( n = 6; 3.19, 1.70–5.98), mobility ( n = 4; 3.71, 1.65–8.38) and molars ( n = 4; 4.22, 2.12–8.39), especially with furcation involvement ( n = 5; 2.68, 1.75–4.08) also showed higher risks. Gender ( n = 16; 0.95, 0.86–1.05) and endodontic affection ( n = 3; 3.62, 0.99–13.2) were not significantly associated with tooth loss. Conclusions Older, non‐compliant, smoking or diabetic patients, and teeth with bone loss, high probing pocket depth, mobility, or molars, especially with furcation involvement showed higher risks of tooth loss.
Type of Medium:
Online Resource
ISSN:
0303-6979
,
1600-051X
DOI:
10.1111/jcpe.2019.46.issue-7
Language:
English
Publisher:
Wiley
Publication Date:
2019
detail.hit.zdb_id:
2026349-1
