Study finds periodontal surgery best bet to keep patients smiling

November 21, 2001

CHICAGO - Patients who are at risk for losing teeth to periodontal disease show improved prognosis for keeping their teeth following periodontal surgery, according to a new study in the Journal of Periodontology.

The study evaluated the effects of no treatment, non-surgical therapy, and periodontal surgery on 2,350 teeth of patients who presented with moderate to severe periodontitis. Forty-eight percent of teeth receiving periodontal surgery improved prognosis, while only 12% of the teeth that received no treatment or that underwent non-surgical treatment improved. In addition, more than 35% of the teeth in the no treatment and non-surgical treatment groups actually worsened in prognosis.

"These findings are important for patients who value oral health and want to keep their teeth a lifetime," explained Stephen Harrel, D.D.S., one of the authors of the study. "It's essential for these patients to understand that optimal results are not always possible with non-surgical methods and, with no treatment, periodontal disease usually gets worse. Equipped with this understanding and an appreciation of the benefits afforded by natural teeth over dentures, even the most apprehensive patients should consider selecting the treatment option that's best for them - even if that involves surgery."

Harrel emphasizes that these findings are significant compared to previous studies that used an overall average "score" for each patient (patient mean) instead of individual teeth to determine the impact of periodontal treatments and non-treatment. "The damage from periodontal disease is often localized, so the individual teeth that have damage should be followed in order to obtain a true picture of treatment results. Results based on patient means can mask positive or negative effects of treatment."

"This research can help save patients' smiles by illustrating tooth loss as a consequence of what happens when periodontal disease is ignored and not fully treated," said Kenneth Bueltmann, D.D.S., president, The American Academy of Periodontology (AAP). "And, as additional research links periodontal disease to other serious health conditions, such as diabetes, heart disease, respiratory disease and pre-term low birth weight, if this study prompts even one patient to select the best recommended treatment plan so to avoid these other possible consequences of ignored periodontal problems, then it's achieved a positive outcome for the entire healthcare community."
A referral to a periodontist or a free brochure titled Spread the Word: Periodontal Care Is for Everyone is available by calling 1-800-FLOSS-EM or by visiting the AAP's Web site

The American Academy of Periodontology is a 7,500-member association of dental professionals specializing in the prevention, diagnosis and treatment of diseases affecting the gums and supporting structures of the teeth and in the placement and maintenance of dental implants. Periodontics is one of nine dental specialties recognized by the American Dental Association.

American Academy of Periodontology

Related Periodontal Disease Articles from Brightsurf:

Forsyth researchers demonstrate how changing the stem cell response to inflammation may reverse periodontal disease
In new research published recently in the journal Frontiers in Immunology, Forsyth Institute scientists have discovered that a specific type of molecule may stimulate stem cells to regenerate, reversing the inflammation caused by periodontal disease.

Periodontal disease: Patent for new treatment method
New biodegradable rods promise to provide better treatment for periodontal disease.

Acute periodontal disease bacteria love colon and dirt microbes
Mythbuster: The idea that bacterial collaborations within microbiomes, like in the mouth, have evolved to be generous and exclusive very much appears to be wrong.

Metabolomic profiling of antibody response to periodontal pathogens
At the 97th General Session & Exhibition of the International Association for Dental Research (IADR), held in conjunction with the 48th Annual Meeting of the American Association for Dental Research (AADR) and the 43rd Annual Meeting of the Canadian Association for Dental Research (CADR), Jaakko Leskela, University of Helsinki, Finland, gave an oral presentation on 'Metabolomic Profiling of Antibody Response to Periodontal Pathogens.'

New technique could help regrow tissue lost to periodontal disease
According to the US Centers for Disease Control and Prevention, about half of all Americans will have periodontal disease at some point in their lives.

Periodontal disease bacteria may kick-start Alzheimer's
Long-term exposure to periodontal disease bacteria causes inflammation and degeneration of brain neurons in mice that is similar to the effects of Alzheimer's disease in humans.

Systematic treatment of periodontal disease: Advantage of further therapeutic approaches
An indication or hint of greater benefit was now shown for six instead of two therapeutic measures.

Investigating the enigmatic link between periodontal inflammation and retinal degeneration
At the 47th Annual Meeting of the American Association for Dental Research (AADR), held in conjunction with the 42nd Annual Meeting of the Canadian Association for Dental Research (CADR), Hyun Hong, The Dental College of Georgia at Augusta University, presented a poster titled 'Investigating the Enigmatic Link Between Periodontal Inflammation and Retinal Degeneration.' The AADR/CADR Annual Meeting is in Fort Lauderdale, Fla., USA from March 21-24, 2018.

The subgingival virome in periodontal health and disease
At the 47th Annual Meeting of the American Association for Dental Research (AADR), held in conjunction with the 42nd Annual Meeting of the Canadian Association for Dental Research (CADR), Abby Siefker, The Ohio State University, Columbus, presented an oral session titled 'The Subgingival Virome in Periodontal Health and Disease.' The AADR/CADR Annual Meeting is in Fort Lauderdale, Fla., USA from March 21-24, 2018.

Oral microbiota indicates link between periodontal disease and esophageal cancer
An analysis of bacteria present in the mouth showed that some types of bacteria that lead to periodontal disease were associated with higher risk of esophageal cancer.

Read More: Periodontal Disease News and Periodontal Disease Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to