Objective This current study is aimed to analyze the prognostic factors affecting the short-term efficacy of non-surgical treatment of patients in periodontitis from stage II to stage IV by the multilevel modelling analysis.
Materials and Methods A total of 58 patients of chronic periodontitis were included in this study. Patients were clinically explored before and 3 months after the treatment, with the data of Δ probing depth (PD) [Δ PD = baseline PD – finial probing depth (FPD)] as the outcome variables. All the data were divided into site level, tooth level and patient level to construct a multi-layer linear model.
Results Compared with the mesial sites and distal sites of the multi-rooted teeth, the number of PD ≥ 5mm or PD < 5mm after the treatment was significantly different ( P < 0.05), and the proportion of PD < 5mm was higher in mesial sites. The null model showed that Δ PD varied greatly between groups at various levels ( P <0.001), with prediction variable of site level, tooth level, and patient level accounted for 66%, 18%, and 16% of the overall difference, respectively. The complete model showed that the Δ PD of smokers was significantly lower than that of non-smokers ( P < 0.001). The Δ PD of the mesial and distal sites was larger than that of the buccolingual central site ( P < 0.001). The Δ PD of single-rooted teeth was larger than that of multi-rooted teeth ( P < 0.001). The baseline PD, tooth mobility (TM), bleeding index (BI), clinical attachment loss (CAL) were significantly negatively correlated with Δ PD ( P < 0.001).
Conclusions Patients with periodontitis from stage II to stage IV, who are non-smoking, have good compliance, good awareness of oral health, and low percentage sites with PD ≥ 5mm at baseline, single rooted teeth with hypomobility, less CAL and lower BI and sites of mesial or distal can obtain an ideal short-term efficacy of non-surgical treatment.
Figure 1
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On 16 May, 2021
Received 31 Mar, 2021
Invitations sent on 15 Mar, 2021
On 15 Mar, 2021
On 15 Dec, 2020
On 15 Dec, 2020
On 15 Dec, 2020
On 14 Dec, 2020
Posted 12 May, 2020
On 23 Nov, 2020
Received 30 Sep, 2020
On 16 Sep, 2020
Invitations sent on 13 May, 2020
On 07 May, 2020
On 07 May, 2020
On 06 May, 2020
On 06 May, 2020
On 16 May, 2021
Received 31 Mar, 2021
Invitations sent on 15 Mar, 2021
On 15 Mar, 2021
On 15 Dec, 2020
On 15 Dec, 2020
On 15 Dec, 2020
On 14 Dec, 2020
Posted 12 May, 2020
On 23 Nov, 2020
Received 30 Sep, 2020
On 16 Sep, 2020
Invitations sent on 13 May, 2020
On 07 May, 2020
On 07 May, 2020
On 06 May, 2020
On 06 May, 2020
Objective This current study is aimed to analyze the prognostic factors affecting the short-term efficacy of non-surgical treatment of patients in periodontitis from stage II to stage IV by the multilevel modelling analysis.
Materials and Methods A total of 58 patients of chronic periodontitis were included in this study. Patients were clinically explored before and 3 months after the treatment, with the data of Δ probing depth (PD) [Δ PD = baseline PD – finial probing depth (FPD)] as the outcome variables. All the data were divided into site level, tooth level and patient level to construct a multi-layer linear model.
Results Compared with the mesial sites and distal sites of the multi-rooted teeth, the number of PD ≥ 5mm or PD < 5mm after the treatment was significantly different ( P < 0.05), and the proportion of PD < 5mm was higher in mesial sites. The null model showed that Δ PD varied greatly between groups at various levels ( P <0.001), with prediction variable of site level, tooth level, and patient level accounted for 66%, 18%, and 16% of the overall difference, respectively. The complete model showed that the Δ PD of smokers was significantly lower than that of non-smokers ( P < 0.001). The Δ PD of the mesial and distal sites was larger than that of the buccolingual central site ( P < 0.001). The Δ PD of single-rooted teeth was larger than that of multi-rooted teeth ( P < 0.001). The baseline PD, tooth mobility (TM), bleeding index (BI), clinical attachment loss (CAL) were significantly negatively correlated with Δ PD ( P < 0.001).
Conclusions Patients with periodontitis from stage II to stage IV, who are non-smoking, have good compliance, good awareness of oral health, and low percentage sites with PD ≥ 5mm at baseline, single rooted teeth with hypomobility, less CAL and lower BI and sites of mesial or distal can obtain an ideal short-term efficacy of non-surgical treatment.
Figure 1
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