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The Association Between Clinical and Radiographic Periodontitis Measurements During Periodontal Maintenance.
MedLine Citation:
PMID:  23205917     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: To examine the association between clinical and radiographic periodontitis measurements during two years of periodontal maintenance. Methods: Secondary analyses were performed from a two-year, double-blind, placebo-controlled, randomized clinical trial evaluating the efficacy and safety of subantimicrobial doxycycline (SDD) in 128 postmenopausal osteopenic women with moderate to severe chronic periodontitis. Relative clinical attachment level (RCAL) and probing depth (PD) measures were made. Posterior vertical bite-wings were taken for alveolar bone density (ABD) and alveolar bone height (ABH) measurements. Generalized estimating equations were used to model associations. Results: One-year ABD changes and one-year RCAL/PD changes did not predict two-year ABH changes and ABH/ABD changes, respectively. Baseline RCAL and PD were positively associated with baseline ABH loss (p<0.0001) and baseline probing depths were associated with subsequent ABD and ABH loss (p<0.05 for each). Among placebo (but not SDD) participants, RCAL changes were associated with concurrent ABD loss (p=0.027) when considering one- and two-year changes combined. The odds of ABH loss were higher among sites with concurrent one-year ABD loss versus no change (OR=3.15, p<0.0001) or concurrent PD increases versus no change (OR=1.88, p=0.0025) when considering one- and two-year changes combined. Conclusions: In postmenopausal osteopenic women undergoing periodontal maintenance, baseline PD was associated with subsequent ABD and ABH loss. Although no longitudinal change preceded another measurement change, changes in probing depths and relative clinical attachment levels appeared to reflect changes in the underlying alveolar bone over time.
Authors:
Jeffrey B Payne; Pirkka V Nummikoski; David M Thompson; Lorne M Golub; Julie A Stoner
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-3
Journal Detail:
Title:  Journal of periodontology     Volume:  -     ISSN:  1943-3670     ISO Abbreviation:  J. Periodontol.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8000345     Medline TA:  J Periodontol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Surgical Specialties, University of Nebraska Medical Center College of Dentistry, Lincoln, Nebraska, USA.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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