The study's purpose is to longitudinally evaluate four modalities of periodontal, therapy. Eighty-two human periodontal patients were originally treated with four different types of periodontal therapy in a split mouth design. The therapies were 1) coronal scaling and polish, 2) root planing, 3) modified Widman surgery, and 4) flap surgery with ostectomy to achieve positive osseous architecture. Presently seventy-four patients have completed two to four years of maintenance therapy. They are presently receiving examinations to ascertain their periodontal stability and mainte- nance care at three month intervals. Data are gathered documenting all clinical variables at yearly intervals. We propose to continue monitoring these patients and thereby to continue evaluating and comparing the longitudinal effects of the four periodontal therapy modalities. The clinical variables to be evaluated and compared are 1) probing depth, 2) probing attachment level, 3) incidence of probing attachment loss, 4) presence of gingival bleeding, 5) presence of gingival suppuration, 6) presence of supragingival plaque, 7) tooth mobility, 8) horizontal probing attachment level in furcations, and 9) furcation's open/closed status. Comparison of the response to therapy for two age groups will also be completed (< 38 yrs. and > 39 year olds).

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Research Project (R01)
Project #
5R01DE006103-07
Application #
3219832
Study Section
Oral Biology and Medicine Subcommittee 1 (OBM)
Project Start
1983-03-01
Project End
1992-03-31
Budget Start
1990-04-01
Budget End
1991-03-31
Support Year
7
Fiscal Year
1990
Total Cost
Indirect Cost
Name
University of Nebraska Lincoln
Department
Type
Schools of Dentistry
DUNS #
555456995
City
Lincoln
State
NE
Country
United States
Zip Code
68588
Kaldahl, W B; Kalkwarf, K L; Patil, K D et al. (1996) Long-term evaluation of periodontal therapy: II. Incidence of sites breaking down. J Periodontol 67:103-8
Kaldahl, W B; Johnson, G K; Patil, K D et al. (1996) Levels of cigarette consumption and response to periodontal therapy. J Periodontol 67:675-81
Kaldahl, W B; Kalkwarf, K L; Patil, K D et al. (1996) Long-term evaluation of periodontal therapy: I. Response to 4 therapeutic modalities. J Periodontol 67:93-102
Ah, M K; Johnson, G K; Kaldahl, W B et al. (1994) The effect of smoking on the response to periodontal therapy. J Clin Periodontol 21:91-7
Reinhardt, R A; Masada, M P; Kaldahl, W B et al. (1993) Gingival fluid IL-1 and IL-6 levels in refractory periodontitis. J Clin Periodontol 20:225-31
Kalkwarf, K L; Kaldahl, W B; Patil, K D (1992) Patient preference regarding 4 types of periodontal therapy following 3 years of maintenance follow-up. J Clin Periodontol 19:788-93
Kaldahl, W B; Kalkwarf, K L; Patil, K D et al. (1990) Responses of four tooth and site groupings to periodontal therapy. J Periodontol 61:173-9
Kaldahl, W B; Kalkwarf, K L; Patil, K D et al. (1990) Relationship of gingival bleeding, gingival suppuration, and supragingival plaque to attachment loss. J Periodontol 61:347-51
Reinhardt, R A; McDonald, T L; Bolton, R W et al. (1989) IgG subclasses in gingival crevicular fluid from active versus stable periodontal sites. J Periodontol 60:44-50
Kalkwarf, K L; Kaldahl, W B; Patil, K D et al. (1989) Evaluation of gingival bleeding following 4 types of periodontal therapy. J Clin Periodontol 16:601-8

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