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

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

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Título Response of molars and non-molars to a strict supragingival control in periodontal patients
Autor Angst, Patrícia Daniela Melchiors
Piccinin, Flavia Benetti
Oppermann, Rui Vicente
Marcantonio, Rosemary Adriana Chierici
Gomes, Sabrina Carvalho
Abstract 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.
Contido em Brazilian oral research. São Paulo. Vol. 27, no. 1 (Jan./Feb. 2013), p. 55-61
Assunto Fumo
Periodontia : Doencas
Placa dentaria
[en] Dental Scaling
[en] Periodontitis
[en] Smoking
[en] Tooth
Origem Nacional
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/94963
Arquivos Descrição Formato
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