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World J Clin Cases. Dec 16, 2014; 2(12): 822-827
Published online Dec 16, 2014. doi: 10.12998/wjcc.v2.i12.822
Prognostic factors in periodontal therapy and their association with treatment outcomes
Andreas L Ioannou, Georgios A Kotsakis, James E Hinrichs
Andreas L Ioannou, Georgios A Kotsakis, James E Hinrichs, Advanced Education in Periodontology, Division of Periodontology, University of Minnesota, Minnesota, MN 55455, United States
Author contributions: All authors contributed to this paper.
Correspondence to: Georgios A Kotsakis, DDS, Dental Fellow, Advanced Education Program in Periodontology, University of Minnesota, 515 Delaware Street SE, Minneapolis, MN 55455, United States. kotsa001@umn.edu
Telephone: +1-612-6255166
Received: June 13, 2014
Revised: August 22, 2014
Accepted: October 14, 2014
Published online: December 16, 2014
Abstract

During the incipient steps of periodontal treatment, clinicians are usually asked to predict the prognosis of teeth with compromised periodontium. The aim of this literature review was to investigate the association between periodontal Prognosis, Tooth Loss and risk indicators, such as smoking and genetics. Results showed that the definition of good prognosis has much higher predictability than the one for questionable prognosis. Several risk indicators for periodontal prognosis and tooth loss are discussed as well as different definitions of questionable prognosis and their success in predicting tooth loss. In conclusion, the major focus of future studies should be to construct simplified prognostic models with high predictability that will increase the confidence of dentists and periodontists when assigning teeth prognosis.

Keywords: Periodontal prognosis, Tooth loss, Risk indicators, Periodontitis

Core tip: During the incipient steps of periodontal treatment, clinicians are usually asked to predict the prognosis of teeth with compromised periodontium. Little advancements on this topic have been made in the periodontal literature during the last decade. Current evidence shows that except for good prognosis, the assignment of overall prognosis remains rather dicey. The major focus of future studies should be to construct simplified prognostic models with high predictability that will increase the confidence of Dentists and Periodontists when assigning teeth prognosis.