Response of molars and non-molars to a strict supragingival control in periodontal patients

The posterior position in the arches is one of the factors that underlies the poor prognosis of molar teeth (M). It is speculated that M do not benefit from the oral hygiene routine as well as non-molars (NM) do. This study evaluated the response of M and NM to supragingival control during a 6-month...

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Main Authors: Patrícia Daniela Melchiors Angst, Flávia Benetti Piccinin, Rui Vicente Oppermann, Rosemary Adriana Chiérici Marcantonio, Sabrina Carvalho Gomes
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2013-02-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242013000100010
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author Patrícia Daniela Melchiors Angst
Flávia Benetti Piccinin
Rui Vicente Oppermann
Rosemary Adriana Chiérici Marcantonio
Sabrina Carvalho Gomes
author_facet Patrícia Daniela Melchiors Angst
Flávia Benetti Piccinin
Rui Vicente Oppermann
Rosemary Adriana Chiérici Marcantonio
Sabrina Carvalho Gomes
author_sort Patrícia Daniela Melchiors Angst
collection DOAJ
description The posterior position in the arches is one of the factors that underlies the poor prognosis of molar teeth (M). It is speculated that M do not benefit from the oral hygiene routine as well as non-molars (NM) do. This study evaluated the response of M and NM to supragingival control during a 6-month period in 25 smokers (S) and 25 never-smokers (NS) with moderate-to-severe periodontitis. One calibrated examiner assessed visible plaque (VPI) and gingival bleeding (GBI) indexes, periodontal probing depth (PPD), bleeding on probing (BOP), and clinical attachment loss (CAL) at days 0 (baseline), 30 and 180. At baseline, M showed significantly higher mean values of VPI (p = 0.017) and PPD (p < 0.001) compared with NM; CAL was also greater in M (p < 0.001) and was affected by smoking (p = 0.007). The reductions obtained for periodontal indicators at day 180 showed similar responses between M and NM. For CAL, M (NS 0.57 ± 0.50; S 0.67 ± 0.64) and NM (NS 0.38 ± 0.23; S 0.50 ± 0.33) reached an almost significant difference (p = 0.05). Smoking did not influence the response to treatment. Multilevel analysis revealed that, only for PDD reductions, the interaction between sites, teeth and patient was significant (p < 0.001). It was concluded that M benefit from an adequate regimen of supragingival biofilm control; therefore, supragingival condition should be considered in the prognosis of molar teeth.
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spelling doaj.art-46191879e53743eea45ed47e02505a502022-12-22T01:49:27ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1806-83242013-02-01271556010.1590/S1806-83242013000100010Response of molars and non-molars to a strict supragingival control in periodontal patientsPatrícia Daniela Melchiors AngstFlávia Benetti PiccininRui Vicente OppermannRosemary Adriana Chiérici MarcantonioSabrina Carvalho GomesThe posterior position in the arches is one of the factors that underlies the poor prognosis of molar teeth (M). It is speculated that M do not benefit from the oral hygiene routine as well as non-molars (NM) do. This study evaluated the response of M and NM to supragingival control during a 6-month period in 25 smokers (S) and 25 never-smokers (NS) with moderate-to-severe periodontitis. One calibrated examiner assessed visible plaque (VPI) and gingival bleeding (GBI) indexes, periodontal probing depth (PPD), bleeding on probing (BOP), and clinical attachment loss (CAL) at days 0 (baseline), 30 and 180. At baseline, M showed significantly higher mean values of VPI (p = 0.017) and PPD (p < 0.001) compared with NM; CAL was also greater in M (p < 0.001) and was affected by smoking (p = 0.007). The reductions obtained for periodontal indicators at day 180 showed similar responses between M and NM. For CAL, M (NS 0.57 ± 0.50; S 0.67 ± 0.64) and NM (NS 0.38 ± 0.23; S 0.50 ± 0.33) reached an almost significant difference (p = 0.05). Smoking did not influence the response to treatment. Multilevel analysis revealed that, only for PDD reductions, the interaction between sites, teeth and patient was significant (p < 0.001). It was concluded that M benefit from an adequate regimen of supragingival biofilm control; therefore, supragingival condition should be considered in the prognosis of molar teeth.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242013000100010ToothSmokingPeriodontitisDental Scaling
spellingShingle Patrícia Daniela Melchiors Angst
Flávia Benetti Piccinin
Rui Vicente Oppermann
Rosemary Adriana Chiérici Marcantonio
Sabrina Carvalho Gomes
Response of molars and non-molars to a strict supragingival control in periodontal patients
Brazilian Oral Research
Tooth
Smoking
Periodontitis
Dental Scaling
title Response of molars and non-molars to a strict supragingival control in periodontal patients
title_full Response of molars and non-molars to a strict supragingival control in periodontal patients
title_fullStr Response of molars and non-molars to a strict supragingival control in periodontal patients
title_full_unstemmed Response of molars and non-molars to a strict supragingival control in periodontal patients
title_short Response of molars and non-molars to a strict supragingival control in periodontal patients
title_sort response of molars and non molars to a strict supragingival control in periodontal patients
topic Tooth
Smoking
Periodontitis
Dental Scaling
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242013000100010
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AT ruivicenteoppermann responseofmolarsandnonmolarstoastrictsupragingivalcontrolinperiodontalpatients
AT rosemaryadrianachiericimarcantonio responseofmolarsandnonmolarstoastrictsupragingivalcontrolinperiodontalpatients
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