Probing pocket depth reduction after non‐surgical periodontal therapy: Tooth‐related factors

Abstract

AbstractBackgroundTo investigate tooth‐related factors that influence the reduction of probing pocket depths (PPD) after non‐surgical periodontal therapy (NST).MethodsSeven hundred forty‐six patients with a total of 16,825 teeth were included and retrospectively analyzed. PPD reduction after NST was correlated with the tooth‐related factors; tooth type, number of roots, furcation involvement, vitality, mobility, and type of restoration; using logistic multilevel regression for statistical analysis.ResultsNST was able to reduce probing depth overall stratified probing depths (1.20 ± 1.51 mm, p ≤ 0.001). The reduction was significantly higher at teeth with higher probing depths at baseline. At pockets with PPD ≥ 6 mm, PPD remains high after NST. Tooth type, number of roots, furcation involvement, vitality, mobility, and type of restoration are significantly and independently associated with the rate of pocket closure.ConclusionsThe tooth‐related factors: tooth type, number of roots, furcation involvement, vitality, mobility, and type of restoration had a significant and clinically relevant influence on phase I and II therapy. Considering these factors in advance may enhance the prediction of sites not responding adequately and the potential need for additional treatment, such as re‐instrumentation or periodontal surgery, to ultimately achieve the therapy end points.