Submitted: 29 Apr 2020
Revision: 06 May 2020
Accepted: 02 Jun 2020
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  Abstract View: 28

Original Article

Recurrence of periodontitis and associated factors in previously treated periodontitis patients without maintenance follow-up

Fazele Atarbashi-Moghadam* ORCID logo, Mohammadreza Talebi ORCID logo, Farnaz Mohammadi, Soran Sijanivandi


Background: Preventive dentistry including supportive periodontal therapy (SPT) is one of the most important areas of attention. Despite SPT’s importance in the long-term success of periodontal treatment, the patients' adherence to it is weak. The aim of the present study was to evaluate the recurrence rate of periodontal disease and its related factors in periodontal patients without regular follow-up. Methods: A cross-sectional study set in a specialized periodontics clinic stationed in Tehran, Iran. Patients with periodontitis who completed periodontal therapy during 2005-2014 and did not adhere to the maintenance phase were evaluated. The periodontal history of the patients was updated. The previous diagnoses of patients according to their previous periodontal charts were revised by AAP 2015 criteria. Then, periodontal parameters were assessed and current periodontal status was evaluated. Statistical analysis used: Fisher exact test, T-test, Man-Whitney test, and Kruskal–Wallis test were used. To assess the relationship between factors and variables between factors and variables between Spearman's correlation coefficient was used. Results: Fifty patients were evaluated including 29 male and 21 female. There was a significant relationship between initial diagnosis and recurrence rate of periodontitis (P=0.017). There was also a significant relationship between the recurrence of periodontitis and the years passed from the initial treatment (P = 0.027, r = 0.353). Smoking significantly affected tooth loss (p= 0.001). Conclusion: Patients with severe periodontitis need more attention to participate in supportive periodontal care. The patients must be aware of the disadvantages of neglecting this phase and be reminded for regular follow up.
Keywords: gingivitis, periodontitis, Periodontal maintenance, Supportive periodontal treatment
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Abstract View: 28

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