ผลการรักษาโรคปริทันต์แบบประคับประคองและความร่วมมือของผู้ป่วยต่อการสูญเสียฟันในผู้ป่วยโรคปริทันต์อักเสบระดับรุนแรง

Panyada Tippayawat

Authors

Panyada Tippayawat Dental Department, Makarak Hospital

Keywords:

Severe periodontitis, Supportive periodontal treatment, Tooth loss, Patient compliance

Abstract

Background: Severe periodontitis may lead to tooth loss, resulting in loss of chewing ability. After active periodontal treatment (APT), supportive periodontal treatment (SPT) is recommended to reduce the chance of recurrent periodontitis, slow disease progression and minimize tooth loss in the long term. Objective: This study aimed to evaluate the outcomes of SPT in severe periodontitis patients and investigate factors associated with periodontal stability and tooth loss after treatment. Method: A retrospective study was conducted on 101 patients aged 35 years and older, who had received both APT and at least 2 years of SPT at Makarak Hospital. Result: Results showed that stable periodontitis increased from 8.9% after APT to 25.7% following SPT, while tooth loss from periodontitis was found in 34.7% of patients. Importantly, patients with good compliance to treatment had a statistically significant lower risk of tooth loss (p < .05). Conclusion: These findings highlight the essential role of supportive periodontal therapy and patient compliance in reducing tooth loss in severe periodontitis patients.

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