What periodontal recall interval is supported by evidence?

Periodontology 2000 - Tập 84 Số 1 - Trang 124-133 - 2020
Leonardo Trombelli1,2, Anna Simonelli2, Giovanni Franceschetti2, Elisa Maietti3,4, Roberto Farina1,2
1Operative Unit of Dentistry, Azienda Unità Sanitaria Locale (A.U.S.L.) of Ferrara, Ferrara, Italy
2Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy
3Biomedical and Neuromotor Sciences Department, University of Bologna, Bologna, Italy
4Center of Clinical Epidemiology, University of Ferrara, Ferrara, Italy

Tóm tắt

AbstractRecall sessions are an integral part of supportive periodontal therapy. The aim of the current article is to review the existing evidence to support if and to what extent a predefined frequency of periodontal recall sessions ensures periodontal health and stability. Factors that potentially affect the time interval for recall are described. Moreover, original data on the relevance of residual diseased sites (ie, bleeding pockets) at patient level to predict the progression of periodontitis are presented. Overall, wide heterogeneity was found in the published literature with regards to the proposed supportive periodontal therapy recall frequency once active periodontal therapy has been completed. Available data clearly show that a primary and secondary preventive regimen based on routine supportive periodontal therapy is beneficial to preserve a periodontally healthy dentition and prevent tooth loss. However, convincing evidence regarding the appropriateness, risk‐benefit, and cost‐effectiveness of different recall intervals is currently scarce. In patients affected by moderate to advanced periodontitis, a supportive periodontal therapy protocol based on a 2‐4 month recall interval appears reasonable. Limited data suggest that the amount/proportion of residual diseased sites (intended as pockets or bleeding pockets) and risk assessment tools may be of value in establishing the appropriate recall frequency.

Từ khóa


Tài liệu tham khảo

10.1111/jcpe.12382

10.1002/JPER.17-0719

10.1111/jcpe.12339

10.1002/JPER.17-0576

American Academy of Periodontology, 1998, Supportive periodontal therapy (position paper), J Periodontol, 69, 502

10.1111/j.1600-051X.2008.01256.x

Lamont T, 2018, Routine scale and polish for periodontal health in adults, Cochrane Database Syst Rev, CD004625

10.1186/1472-6831-11-35

10.3310/hta22380

10.1111/j.1600-051X.1975.tb01727.x

10.1111/jre.12087

10.1034/j.1600-051x.2001.028003241.x

10.1034/j.1600-051x.2001.028005446.x

10.1111/j.1600-0765.1986.tb01482.x

10.1111/j.1600-051X.1987.tb02249.x

10.1111/j.1600-051X.1984.tb00902.x

10.1111/j.1600-051X.1975.tb01728.x

10.1111/j.1600-051X.1976.tb01849.x

Ueda PH, 2014, Supportive periodontal treatment and full‐mouth ultrasonic debridement: a randomised controlled clinical trial, Oral Health Prev Dent, 12, 323

10.1111/j.1600-051X.1981.tb02039.x

10.1902/jop.1979.50.5.225

10.1902/jop.1975.46.9.522

10.1111/j.1600-051X.1980.tb02156.x

10.1902/jop.1988.59.6.351

10.1902/jop.1973.44.2.66

10.1902/jop.1971.42.3.152

10.1111/j.1600-051X.1983.tb02182.x

10.2334/josnusd1959.33.152

10.1111/j.1600-051X.1986.tb00867.x

10.1034/j.1600-051X.1999.260405.x

10.1111/prd.12204

10.1016/j.jebdp.2015.10.001

10.1034/j.1600-051X.2002.290710.x

10.1111/j.1600-051X.2011.01708.x

Seirafi AH, 2014, Tooth loss assessment during periodontal maintenance in erratic versus complete compliance in a periodontal private practice in Shiraz, Iran: a 10‐year retrospective study, J Int Acad Periodontol, 16, 43

10.1902/jop.2006.040349

10.1111/prd.12159

10.1111/j.1600-051X.2008.01261.x

10.1111/j.1600-0757.2011.00406.x

10.1111/j.1600-051X.2009.01409.x

10.1111/j.1600-0757.2004.03680.x

10.1902/jop.1991.62.12.731

10.1111/j.1600-051X.2001.281202.x

10.1177/0022034515578910

10.5051/jpis.2014.44.2.65

10.1111/j.1600-051X.2007.01182.x

10.1111/j.1600-051X.2009.01508.x

10.1111/j.1600-051X.2008.01245.x

10.1111/jcpe.13041

10.1111/jcpe.12645

10.1002/JPER.17-0062

Lang NP, 2003, Periodontal risk assessment (PRA) for patients in supportive periodontal therapy (SPT), Oral Health Prev Dent, 1, 7

Trombelli L, 2009, Comparison between two methods for periodontal risk assessment, Minerva Stomatol, 58, 277