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Periodontal Attachment Loss

MedGen UID:
104781
•Concept ID:
C0206114
•
Disease or Syndrome
Synonyms: Attachment Loss, Periodontal; Loss, Periodontal Attachment

Definition

Loss or destruction of periodontal tissue caused by periodontitis or other destructive periodontal diseases or by injury during instrumentation. Attachment refers to the periodontal ligament which attaches to the alveolar bone. It has been hypothesized that treatment of the underlying periodontal disease and the seeding of periodontal ligament cells enable the creating of new attachment. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPeriodontal Attachment Loss

Professional guidelines

PubMed

Treatment of stage IV periodontitis: The EFP S3 level clinical practice guideline.
Herrera D, Sanz M, Kebschull M, Jepsen S, Sculean A, Berglundh T, Papapanou PN, Chapple I, Tonetti MS; EFP Workshop Participants and Methodological Consultant
J Clin Periodontol 2022 Jun;49 Suppl 24:4-71. doi: 10.1111/jcpe.13639. PMID: 35688447
Effect of periodontal dressing on non-surgical periodontal treatment outcomes: a systematic review.
Monje A, Kramp AR, Criado E, Suárez-López Del Amo F, Garaicoa-Pazmiño C, Gargallo-Albiol J, Wang HL
Int J Dent Hyg 2016 Aug;14(3):161-7. Epub 2015 Feb 26 doi: 10.1111/idh.12130. PMID: 25721470
Contribution of Nanotechnology to Improved Treatment of Periodontal Disease.
Zupancic S, Kocbek P, Baumgartner S, Kristl J
Curr Pharm Des 2015;21(22):3257-71. doi: 10.2174/1381612821666150531171829. PMID: 26027560

Recent clinical studies

Etiology

Associations between vitamin D levels and periodontal attachment loss.
Liu X, Dai B, Chuai Y, Hu M, Zhang H
Clin Oral Investig 2023 Aug;27(8):4727-4733. Epub 2023 Jun 8 doi: 10.1007/s00784-023-05100-4. PMID: 37291391
Impact of Periodontal Attachment Loss on the Outcome of Endodontic Microsurgery: A Systematic Review and Meta-Analysis.
Sarnadas M, Marques JA, Baptista IP, Santos JM
Medicina (Kaunas) 2021 Sep 1;57(9) doi: 10.3390/medicina57090922. PMID: 34577845Free PMC Article
Gingivitis as a risk factor in periodontal disease.
Lang NP, Schätzle MA, Löe H
J Clin Periodontol 2009 Jul;36 Suppl 10:3-8. doi: 10.1111/j.1600-051X.2009.01415.x. PMID: 19432625
Periodontal inflamed surface area: quantifying inflammatory burden.
Nesse W, Abbas F, van der Ploeg I, Spijkervet FK, Dijkstra PU, Vissink A
J Clin Periodontol 2008 Aug;35(8):668-73. Epub 2008 Jun 28 doi: 10.1111/j.1600-051X.2008.01249.x. PMID: 18564145
Periodontal diagnostics.
Kinane DF
Ann R Australas Coll Dent Surg 2000 Oct;15:34-41. PMID: 11709970

Diagnosis

Natural history of periodontitis: Disease progression and tooth loss over 40 years.
Ramseier CA, Anerud A, Dulac M, Lulic M, Cullinan MP, Seymour GJ, Faddy MJ, Bürgin W, Schätzle M, Lang NP
J Clin Periodontol 2017 Dec;44(12):1182-1191. Epub 2017 Sep 22 doi: 10.1111/jcpe.12782. PMID: 28733997
Influence of residual pockets on progression of periodontitis and tooth loss: results after 11 years of maintenance.
Matuliene G, Pjetursson BE, Salvi GE, Schmidlin K, Brägger U, Zwahlen M, Lang NP
J Clin Periodontol 2008 Aug;35(8):685-95. Epub 2008 Jul 23 doi: 10.1111/j.1600-051X.2008.01245.x. PMID: 18549447
Commentary: prognosis revisited: a system for assigning periodontal prognosis.
Kwok V, Caton JG
J Periodontol 2007 Nov;78(11):2063-71. doi: 10.1902/jop.2007.070210. PMID: 17970671
A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis.
Heitz-Mayfield LJ, Trombelli L, Heitz F, Needleman I, Moles D
J Clin Periodontol 2002;29 Suppl 3:92-102; discussion 160-2. doi: 10.1034/j.1600-051x.29.s3.5.x. PMID: 12787211
Dental calculus: recent insights into occurrence, formation, prevention, removal and oral health effects of supragingival and subgingival deposits.
White DJ
Eur J Oral Sci 1997 Oct;105(5 Pt 2):508-22. doi: 10.1111/j.1600-0722.1997.tb00238.x. PMID: 9395117

Therapy

Er:YAG laser-assisted comprehensive periodontal pocket therapy for residual periodontal pocket treatment: A randomized controlled clinical trial.
Aoki A, Mizutani K, Mikami R, Ohsugi Y, Kobayashi H, Akizuki T, Taniguchi Y, Takeuchi Y, Katagiri S, Sasaki Y, Komaki M, Meinzer W, Izumi Y, Iwata T
J Periodontol 2023 Oct;94(10):1187-1199. Epub 2023 May 14 doi: 10.1002/JPER.22-0552. PMID: 37015852
Effect of orthodontic treatment on periodontal health of periodontally compromised patients.
Gehlot M, Sharma R, Tewari S, Kumar D, Gupta A
Angle Orthod 2022 May 1;92(3):324-332. doi: 10.2319/022521-156.1. PMID: 34882193Free PMC Article
Regenerative surgical treatment of furcation defects: A systematic review and Bayesian network meta-analysis of randomized clinical trials.
Jepsen S, Gennai S, Hirschfeld J, Kalemaj Z, Buti J, Graziani F
J Clin Periodontol 2020 Jul;47 Suppl 22:352-374. doi: 10.1111/jcpe.13238. PMID: 31860125
Periodontal regeneration - intrabony defects: a systematic review from the AAP Regeneration Workshop.
Kao RT, Nares S, Reynolds MA
J Periodontol 2015 Feb;86(2 Suppl):S77-104. Epub 2014 Sep 12 doi: 10.1902/jop.2015.130685. PMID: 25216204
A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis.
Heitz-Mayfield LJ, Trombelli L, Heitz F, Needleman I, Moles D
J Clin Periodontol 2002;29 Suppl 3:92-102; discussion 160-2. doi: 10.1034/j.1600-051x.29.s3.5.x. PMID: 12787211

Prognosis

Er:YAG laser-assisted comprehensive periodontal pocket therapy for residual periodontal pocket treatment: A randomized controlled clinical trial.
Aoki A, Mizutani K, Mikami R, Ohsugi Y, Kobayashi H, Akizuki T, Taniguchi Y, Takeuchi Y, Katagiri S, Sasaki Y, Komaki M, Meinzer W, Izumi Y, Iwata T
J Periodontol 2023 Oct;94(10):1187-1199. Epub 2023 May 14 doi: 10.1002/JPER.22-0552. PMID: 37015852
Medium- and long-term clinical benefits of periodontal regenerative/reconstructive procedures in intrabony defects: Systematic review and network meta-analysis of randomized controlled clinical studies.
Stavropoulos A, Bertl K, Spineli LM, Sculean A, Cortellini P, Tonetti M
J Clin Periodontol 2021 Mar;48(3):410-430. Epub 2021 Jan 21 doi: 10.1111/jcpe.13409. PMID: 33289191Free PMC Article
Regenerative surgery versus access flap for the treatment of intra-bony periodontal defects: A systematic review and meta-analysis.
Nibali L, Koidou VP, Nieri M, Barbato L, Pagliaro U, Cairo F
J Clin Periodontol 2020 Jul;47 Suppl 22:320-351. doi: 10.1111/jcpe.13237. PMID: 31860134
Human intrabony defect regeneration with micrografts containing dental pulp stem cells: A randomized controlled clinical trial.
Ferrarotti F, Romano F, Gamba MN, Quirico A, Giraudi M, Audagna M, Aimetti M
J Clin Periodontol 2018 Jul;45(7):841-850. Epub 2018 Jun 15 doi: 10.1111/jcpe.12931. PMID: 29779220
Influence of residual pockets on progression of periodontitis and tooth loss: results after 11 years of maintenance.
Matuliene G, Pjetursson BE, Salvi GE, Schmidlin K, Brägger U, Zwahlen M, Lang NP
J Clin Periodontol 2008 Aug;35(8):685-95. Epub 2008 Jul 23 doi: 10.1111/j.1600-051X.2008.01245.x. PMID: 18549447

Clinical prediction guides

Bone Density and Clinical Periodontal Attachment in Postmenopausal Women: A Systematic Review and Meta-Analysis.
Penoni DC, Fidalgo TK, Torres SR, Varela VM, Masterson D, Leão AT, Maia LC
J Dent Res 2017 Mar;96(3):261-269. Epub 2017 Jan 3 doi: 10.1177/0022034516682017. PMID: 28048966
Gingival Retraction Methods: A Systematic Review.
Tabassum S, Adnan S, Khan FR
J Prosthodont 2017 Dec;26(8):637-643. Epub 2016 Jul 28 doi: 10.1111/jopr.12522. PMID: 27465933
Regenerative periodontal therapy.
Hägi TT, Laugisch O, Ivanovic A, Sculean A
Quintessence Int 2014 Mar;45(3):185-92. doi: 10.3290/j.qi.a31203. PMID: 24570985
Periodontal diagnostics.
Kinane DF
Ann R Australas Coll Dent Surg 2000 Oct;15:34-41. PMID: 11709970
Periodontal disease progression.
Reddy MS, Jeffcoat MK
Curr Opin Periodontol 1993:52-9. PMID: 8401847

Recent systematic reviews

Use of platelet-rich fibrin for the treatment of periodontal intrabony defects: a systematic review and meta-analysis.
Miron RJ, Moraschini V, Fujioka-Kobayashi M, Zhang Y, Kawase T, Cosgarea R, Jepsen S, Bishara M, Canullo L, Shirakata Y, Gruber R, Ferenc D, Calasans-Maia MD, Wang HL, Sculean A
Clin Oral Investig 2021 May;25(5):2461-2478. Epub 2021 Feb 20 doi: 10.1007/s00784-021-03825-8. PMID: 33609186Free PMC Article
Periodontal infrabony defects: Systematic review of healing by defect morphology following regenerative surgery.
Nibali L, Sultan D, Arena C, Pelekos G, Lin GH, Tonetti M
J Clin Periodontol 2021 Jan;48(1):100-113. Epub 2020 Nov 11 doi: 10.1111/jcpe.13381. PMID: 33025619
Periodontal regeneration - intrabony defects: a systematic review from the AAP Regeneration Workshop.
Kao RT, Nares S, Reynolds MA
J Periodontol 2015 Feb;86(2 Suppl):S77-104. Epub 2014 Sep 12 doi: 10.1902/jop.2015.130685. PMID: 25216204
The significance of keratinized mucosa on implant health: a systematic review.
Lin GH, Chan HL, Wang HL
J Periodontol 2013 Dec;84(12):1755-67. Epub 2013 Mar 1 doi: 10.1902/jop.2013.120688. PMID: 23451989
A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis.
Heitz-Mayfield LJ, Trombelli L, Heitz F, Needleman I, Moles D
J Clin Periodontol 2002;29 Suppl 3:92-102; discussion 160-2. doi: 10.1034/j.1600-051x.29.s3.5.x. PMID: 12787211

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