A systematic review on the use of residual probing depth, bleeding on probing and furcation status following initial periodontal therapy to predict further attachment and tooth loss.

A systematic review on the use of residual probing depth, bleeding on probing and furcation status following initial periodontal therapy to predict further attachment and tooth loss.
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对初始牙周治疗后使用残余探诊深度、探诊出血和分叉状态进行系统评价,以预测进一步的附着和牙齿脱落。

DOI:
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发表时间:
2002
影响因子:
6.7
通讯作者:
G. R. Persson
G. R. Persson
中科院分区:
医学1区
文献类型:
--
作者:
S. Renvert;G. R. Persson

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背景 慢性牙周炎影响许多成年人。初始病因相关治疗(ICRT)旨在消除导致疾病进展的因素。 目标 使用同行评审出版物的系统性综述过程,评估残余探诊深度(PD)、探诊出血(BOP)和根分叉受累(FI)在确定ICRT后进一步附着丧失和牙齿脱落方面的预测价值。 材料和方法 使用特定检索词对科克伦口腔健康组织专业注册库、MEDLINE和EMBASE进行电子检索,以确定评估残余探诊深度(PD)、探诊出血(BOP)和根分叉受累(FI)在确定ICRT后进一步附着丧失和牙齿脱落方面的预测价值的研究。 结果 检索得到941项唯一识别的研究。标题和摘要由两名评审员独立筛选(S.R.和G.R.P.)识别符合特定纳入标准的出版物。评估了评审员之间的一致性,统计分析未能证明两位评审员之间存在差异(kappa值:0.94,P = 0.003)。对纳入的47篇出版物进行了详细审查,结果接受了一篇使用基于患者的数据作为观察单位的出版物。这项研究包括16名受试者,历时42个月,证明残余探诊深度可预测疾病进一步进展,而探诊时持续出血则不能。 结论 基于一项研究的数据表明,剩余探测深度可预测疾病的进一步进展。精心设计的多中心随机临床对照试验的意义是多方面的。
BACKGROUND Chronic periodontitis affects many adults. Initial cause related therapy (ICRT) is aimed at elimination of factors causing disease progression. OBJECTIVES To use a systematic review process of peer reviewed publications to assess the predictive value of residual probing depths (PD), bleeding on probing (BOP) and furcation involvement (FI) in determining further loss of attachment and tooth loss following ICRT. MATERIAL AND METHODS An electronic search of the Cochrane Oral Health Group specialized register, MEDLINE and EMBASE, was performed using specific search terms to identify studies assessing the predictive value of residual probing depths (PD), bleeding on probing (BOP) and furcation involvement (FI) in determining further loss of attachment and tooth loss following ICRT. RESULTS The searches resulted in 941 uniquely identified studies. Titles and abstracts were then independently screened by two reviewers (S.R. and G.R.P.) to identify publications that met specific inclusion criteria. The agreement between the reviewers was assessed and statistical analysis failed to demonstrate a difference between the two reviewers (kappa-value: 0.94, P = 0.003). Detailed review of 47 included publications resulted in acceptance of one publication which utilized data based on patient as unit of observation. This study included 16 subjects over 42 months demonstrating that residual probing depths are predictive of further disease progression whereas persisting bleeding on probing are not. CONCLUSIONS Data based on one study suggest that residual probing depths are predictive of further disease progression. The implications for carefully designed multicentre randomized clinical control trials are many.
DOI: 10.1111/j.1600-051x.1985.tb01388.x
发表时间: 1985
影响因子: 6.7
作者:
Slots,J;Emrich,LJ;Genco,RJ;Rosling,BG
通讯作者: Rosling,BG
DOI: 10.1111/j.1600-051x.1987.tb02249.x
发表时间: 1987-09-01
影响因子: 6.7
作者:
RAMFJORD, SP;CAFFESSE, RG;STULTS, DL
通讯作者: STULTS, DL
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发表时间: 1990
影响因子: 4.3
作者:
Kaldahl,WB;Kalkwarf,KL;Patil,KD;Molvar,MP
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