Risk factor assessment tools for the prevention of periodontitis progression a systematic review
Risk factor assessment tools for the prevention of periodontitis progression a systematic review
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DOI：
10.1111/jcpe.12350
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发表时间：
2015-04-01
影响因子：
6.7
通讯作者：
Tonetti, Maurizio S.
中科院分区：
文献类型：
--
作者：
Lang, Niklaus P.;Suvan, Jean E.;Tonetti, Maurizio S.
目标(i) 确定当前发布的用于评估牙周炎进展风险水平的基于患者的工具的特征，以及(ii) 系统地回顾记录使用基于患者的风险评估工具预测牙周炎进展的证据。材料和方法在电子检索文献的基础上，辅以手动检索最近 5 年的相关期刊，准备进行系统回顾。由于没有可用的随机对照临床试验，因此纳入了前瞻性和回顾性队列研究。结果检索确定了 336 个标题，本系统评价纳入了 19 篇文章。搜索确定了五种不同的风险评估工具。报告 2110 名患者结果的 10 项队列研究中的 9 项结果表明，风险评估工具能够识别牙周炎进展和/或牙齿脱落的不同概率的受试者。风险评分较高的受试者显示出更多的牙周炎进展和牙齿脱落。结论在治疗人群中，基于患者的风险评估结果，例如牙周风险计算器（PRC）和牙周风险评估（PRA），预测了不同人群的牙周炎进展和牙齿脱落。需要对风险评估的效用和改善患者管理的结果进行进一步的研究。
Objectives(i) To identify characteristics of currently published patient-based tools used to assess levels of risk for periodontitis progression and (ii) systematically review the evidence documenting the use of patient-based risk assessment tools for predicting periodontitis progression.Material and methodsA systematic review was prepared on the basis of an electronic search of the literature supplemented with manually searching the relevant journals of the latest 5years. Prospective and retrospective cohort studies were included as no randomized controlled clinical trials were available.ResultsThe search identified 336 titles, and 19 articles were included in this systematic review. The search identified five different risk assessment tools. Results of nine of 10 cohort studies reporting outcomes of 2110 patients indicate that risk assessment tools are able to identify subjects with different probability of periodontitis progression and/or tooth loss. Subjects with higher risk scores showed more progression of periodontitis and tooth loss.ConclusionsIn treated populations, results of patient-based risk assessments, for example periodontal risk calculator (PRC) and periodontal risk assessment (PRA), predicted periodontitis progression and tooth loss in various populations. Additional research on the utility of risk assessment and results in improving patient management are needed.