Clinical Predictors of Tooth Loss Due to Periodontal Disease- A Retrospective Analytical Study

Main Article Content

Pooja Umaiyal. M
Jaiganesh Ramamurthy
Pradeep Kumar. R

Keywords

Periodontal disease, Predictors, Tooth loss

Abstract

The relationship between the oral hygiene or health and tooth retention is complex. Periodontal disease is a main reason for tooth loss. Contribution of certain modifying factors like socioeconomic characteristics, cultural beliefs, dental care access may influence the tooth loss too. The aim of this study is to assess the clinical predictors of tooth loss due to periodontal reasons. The data of patients' records between june 2019 and march 2020 was reviewed and analysed. Among them a total of 337 patients were examined from the
recorded details. Documented information included patient’s age, gender, dental history, periodontal status and oral surgery status. All the 337 patients underwent extraction due to periodontal reasons. 63.2% of this population was predominantly males and 36.8% of them were females. Highest prevalence of tooth loss was found among the individuals aged 60 years and above (38.6%) followed by 51-60 years with 31.1%. Mobility among the periodontal issues were the major cause of tooth loss. In Conclusion, the present study shows that elderly males had increased risk for tooth loss due to periodontal disease. The periodontal reasons for tooth loss were mainly mobility followed by furcation involvement.

Abstract 356 | pdf Downloads 175

References

1. Gerritsen AE, Finbarr Allen P, Witter DJ, Bronkhorst EM, Creugers NHJ. Tooth loss and oral health-related quality of life: a systematic
review and meta-analysis. Health and Quality of Life Outcomes 2010;8:126. https://doi.org/10.1186/1477-7525-8-126.
2. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003;31 Suppl 1:3–23.
3. Position paper: epidemiology of periodontal diseases. American Academy of Periodontology. J Periodontol 1996;67:935–45.
4. The pathogenesis of periodontal diseases. J Periodontol 1999;70:457–70.
5. Prabakar J, John J, Srisakthi D. Prevalence of dental caries and treatment needs among school going children of Chandigarh. Indian J Dent Res 2016;27:547–52.
6. Samuel SR, Acharya S, Rao JC. School Interventions-based Prevention of EarlyChildhood Caries among 3-5-year-old children from very low socioeconomic status: Two-year randomized trial. J Public Health Dent 2020;80:51–60.
7. Atieh MA. Tooth loss among Saudi adolescents: social and behavioural risk factors. Int Dent J 2008;58:103–8.
8. Torrungruang K, Tamsailom S, Rojanasomsith K, Sutdhibhisal S, Nisapakultorn K, Vanichjakvong O, et al. Risk indicators of
periodontal disease in older Thai adults. J Periodontol 2005;76:558–65.
9. Thomas A, Maimanuku LR, Mohammadnezhad M, Khan S. Presence of Behavioural Risk Factors Among Periodontitis Patients in Suva,
Fiji. Journal of Oral Hygiene & Health 2018;06. https://doi.org/10.4172/2332-0702.1000235.
10. George B, Saravanan S, John J, Arumugham I. Prevalence of permanent tooth loss among children and adults in a suburban area of
Chennai. Indian Journal of Dental Research 2011;22:364. https://doi.org/10.4103/0970-9290.84284.
11. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJL, Marcenes W. Global Burden of Severe Tooth Loss. Journal of Dental Research
2014;93:20S – 28S. https://doi.org/10.1177/0022034514537828.
12. Jaleel BF, Nagarajappa R, Mohapatra AK, Ramesh G. Risk indicators associated with tooth loss among Indian adults. Oral Health Dent Manag 2014;13:170–8.
13. Athuluru D, Reddy V, Sudhir KM, Krishna RV, Nagarakanti S. An epidemiological data of oral health status and treatment needs of rural
population of Nellore district, Andhra Pradesh, India 2016;14. https://doi.org/10.4103/2319-5932.187179.
14. Becker W, Berg L, Becker BE. The long term evaluation of periodontal treatment and maintenance in 95 patients. Int J Periodontics Restorative Dent 1984;4:54–71.
15. Chace R Sr, Low SB. Survival characteristics of periodontally-involved teeth: a 40-year study. J Periodontol 1993;64:701–5.
16. McFall WT. Tooth Loss in 100 Treated Patients With Periodontal Disease: A Long-Term Study. Journal of Periodontology 1982;53:539–49.
https://doi.org/10.1902/jop.1982.53.9.539.
17. Becker W, Becker BE, Berg LE. Periodontal treatment without maintenance. A retrospective study in 44 patients. J Periodontol 1984;55:505–
9.
18. Ramfjord SP. Maintenance care for treated periodontitis patients. Journal of Clinical Periodontology 1987;14:433–7. https://doi.org/10.1111/j.1600-051x.1987.tb02247.x.
19. Tonetti MS, Steffen P, Muller-Campanile V, Suvan J, Lang NP. Initial extractions and tooth loss during supportive care in a periodontal
population seeking comprehensive care. Journal of Clinical Periodontology 2000;27:824–31. https://doi.org/10.1034/j.1600-
051x.2000.027011824.x.
20. Wilson TG, Glover ME, Malik AK, Schoen JA, Dorsett D. Tooth Loss in Maintenance Patients in a Private Periodontal Practice. Journal of
Periodontology 1987;58:231–5. https://doi.org/10.1902/jop.1987.58.4.231.
21. Neelakantan P, Grotra D, Sharma S. Retreatability of 2 mineral trioxide aggregatebased root canal sealers: a cone-beam computed
tomography analysis. J Endod 2013;39:893–6.
22. Aldhuwayhi S, Mallineni SK, Sakhamuri S, Thakare AA, Mallineni S, Sajja R, et al. Covid19 Knowledge and Perceptions Among Dental Specialists: A Cross-Sectional Online Questionnaire Survey. Risk Manag Healthc Policy 2021;14:2851–61.
23. Sheriff KAH, Ahmed Hilal Sheriff K, Santhanam A. Knowledge and Awareness towards Oral Biopsy among Students of Saveetha Dental College. Research Journal of Pharmacy and Technology 2018;11:543. https://doi.org/10.5958/0974-360x.2018.00101.4.
24. Markov A, Thangavelu L, Aravindhan S, Zekiy AO, Jarahian M, Chartrand MS, et al. Mesenchymal stem/stromal cells as a valuable
source for the treatment of immune-mediated disorders. Stem Cell Res Ther 2021;12:192.
25. Jayaraj G, Ramani P, Herald J. Sherlin, Premkumar P, Anuja N. Inter-observer agreement in grading oral epithelial dysplasia –A systematic review. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology 2015;27:112–6. https://doi.org/10.1016/j.ajoms.2014.01.006.
26. Paramasivam A, Priyadharsini JV, Raghunandhakumar S, Elumalai P. A novel COVID-19 and its effects on cardiovascular disease. Hypertens Res 2020;43:729–30.
27. Li Z, Veeraraghavan VP, Mohan SK, Bolla SR, Lakshmanan H, Kumaran S, et al. Apoptotic induction and anti-metastatic activity of eugenol
encapsulated chitosan nanopolymer on rat glioma C6 cells via alleviating the MMP signaling pathway. Journal of Photochemistry
and Photobiology B: Biology 2020;203:111773. https://doi.org/10.1016/j.jphotobiol.2019.111773.
28. Gan H, Zhang Y, Zhou Q, Zheng L, Xie X, Veeraraghavan VP, et al. Zingerone induced caspase-dependent apoptosis in MCF-7 cells and prevents 7,12-dimethylbenz(a)anthraceneinduced mammary carcinogenesis in experimental rats. J Biochem Mol Toxicol 2019;33:e22387.
29. Dua K, Wadhwa R, Singhvi G, Rapalli V, Shukla SD, Shastri MD, et al. The potential of siRNA based drug delivery in respiratory disorders: Recent advances and progress. Drug Dev Res 2019;80:714–30.
30. Mohan M, Jagannathan N. Oral field cancerization: an update on current concepts. Oncol Rev 2014;8:244.
31. Warren JJ, Watkins CA, Cowen HJ, Hand JS, Levy SM, Kuthy RA. Tooth loss in the very old: 13-15-year incidence among elderly Iowans.
Community Dent Oral Epidemiol 2002;30:29–37.
32. Begum SKS, Chandra Sekhara Reddy V, Krishna RV, Sudhir KM, Srinivasulu G, Ali SKN. Tooth loss prevalence and risk indicators
among adult people visiting community health centers in Nellore district, Andhra Pradesh: A cross-sectional study. Journal of Indian Association of Public Health Dentistry 2016;14:413.
33. Silva-Junior MF, Batista MJ, de Sousa M da LR. Incidence of Tooth Loss in Adults: A 4-Year Population-Based Prospective Cohort Study. Int J Dent 2017;2017:6074703.
34. Presson SM, Niendorff WJ, Martin RF. Tooth loss and need for extractions in American Indian and Alaska Native dental patients. J Public Health Dent 2000;60 Suppl 1:267–72.
35. Shah N, Parkash H, Sunderam KR. Edentulousness, denture wear and denture needs of Indian elderly--a community-based study. J Oral Rehabil 2004;31:467–76.
36. Kida IA, Åstrøm AN, Strand GV, Masalu JR. Clinical and socio-behavioral correlates of tooth loss: a study of older adults in Tanzania. BMC Oral Health 2006;6. https://doi.org/10.1186/1472-6831-6-5.
37. Reddy PS, Sesha Reddy P, Swaroop Kumar Reddy A, Jain AR, Pradeep R. Tooth Loss Prevalence and Risk Indicators in an Isolated
Population of Kadapa- South India. American Journal of Public Health Research 2014;2:221–5. https://doi.org/10.12691/ajphr-2-6-1.
38. Khatri SG, Madan KA, Srinivasan SR, Acharya S. Retention of moisture-tolerant fluoridereleasing sealant and amorphous calcium phosphate-containing sealant in 6-9-year-old children: A randomized controlled trial. J Indian Soc Pedod Prev Dent 2019;37:92–8.
39. R PP, Jayashri P. Influence of Naturally Occurring Phytochemicals on Oral Health. Research Journal of Pharmacy and Technology 2019;12:3979–83.
40. Al-Shammari KF, Al-Khabbaz AK, Al-Ansari JM, Neiva R, Wang H-L. Risk Indicators for Tooth Loss Due to Periodontal Disease. Journal
of Periodontology 2005;76:1910–8. https://doi.org/10.1902/jop.2005.76.11.1910.