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Levine RA, Miller PD, Dias DR, Saleh MHA, Gopalakrishnan D, Fernandes G, Dukka H, Ehrmann K, Fava Ii PL, Araújo MG. Translating Clinical Outcomes to Patient Value Through Use of the Periodontal Risk Score: An Evidence-Based Treatment Approach. Compend Contin Educ Dent 2023; 44:18-24; quiz 25. [PMID: 36696274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Periodontitis is a chronic, multifactorial inflammatory disease characterized by progressive destruction of the tooth-supporting apparatus. Determining tooth prognosis is of central importance in clinical practice to help both the clinician and patient understand the risks and benefits of treatment while shedding light on the patient's long-term periodontal prognosis and aiding in the development of an individualized treatment plan. Several indexing-type systems have been proposed for determining the prognosis of periodontally involved teeth. The periodontal risk score (PRS) is a simple, evidence-based, motivational tool that can be used in daily clinical practice in both healthy and periodontally involved patients. The PRS incorporates systemic and lifestyle prognostic factors to achieve superior predictive accuracy. With the PRS, patients are encouraged to achieve a target score (representing an "excellent" prognosis) that can be realistically attained through compliance with a periodontal maintenance plan. The purpose of this article is to present to clinicians how to implement this evidence-based tool into their daily practices and thus help patients improve their long-term periodontal prognosis.
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Affiliation(s)
- Robert A Levine
- Clinical Professor, Periodontology and Implantology, Kornberg School of Dentistry, Temple University, Philadelphia, Pennsylvania; Private Practice, Pennsylvania Center for Dental Implants and Periodontics, Philadelphia, Pennsylvania
| | - Preston D Miller
- Former Clinical Professor of Periodontics, University of South Carolina, Charleston, South Carolina
| | - Debora R Dias
- PhD Candidate, State University of Maringá, Maringá, Paraná, Brazil
| | - Muhammad H A Saleh
- Adjunct Clinical Assistant Professor, Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan
| | - Dharmarajan Gopalakrishnan
- Dean, Professor and Head (Chair), Department of Periodontology, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pune, Maharashtra, India
| | - Gustavo Fernandes
- Adjunct Clinical Assistant Professor, Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan
| | - HimaBindu Dukka
- Associate Professor, Department of Diagnosis and Oral Health; Adjunct Faculty, Department of Oral Immunology and Infectious Diseases; Director, Graduate Periodontics, University of Louisville School of Dentistry, Louisville, Kentucky
| | - Kellyann Ehrmann
- Private Practice, Pennsylvania Center for Dental Implants and Periodontics, Philadelphia, Pennsylvania
| | - Philip L Fava Ii
- Private Practice, Pennsylvania Center for Dental Implants and Periodontics, Philadelphia, Pennsylvania
| | - Maurício G Araújo
- Associate Professor, State University of Maringá, Maringá, Paraná, Brazil; Private Practice in Dental Implants and Periodontics, Rio de Janeiro, Rio de Janeiro, Brazil
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