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BMC Oral Health
Published in: BMC Oral Health 1/2020

Open Access 01-12-2020 | Periodontal Maintenance Therapy | Research article

Use of digital periodontal data to compare periodontal treatment outcomes in a practice-based research network (PBRN): a proof of concept

Authors: Stefanie Anna Peikert, Felix Mittelhamm, Eberhard Frisch, Kirstin Vach, Petra Ratka-Krüger, Johan Peter Woelber

Published in: BMC Oral Health | Issue 1/2020

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Abstract

Background

Scientific studies in dentistry are mainly conducted at universities. However, most patients are treated in dental practices, which differ in many ways from treatment at the university. Through the establishment of practice-based research networks, however, it is also possible to examine studies in a real-world setting in dental practices. For this reason the aim of this non-interventional, observational study was to develop and evaluate a digital procedure to access, extract and analyse recorded clinical data in practices to assess periodontal treatment outcomes.

Methods

Participating periodontists were former or active postgraduate students of a master’s course in periodontics in Freiburg who routinely used a digital periodontal diagnostic program. All available stored periodontal patient charts were extracted, anonymized and digitally sent to the study centre.

Results

In this study, data were collected from 6301 patients from 9 different practices. Information such as probing depth (PD), bleeding on probing (BOP), mobility, furcation and gingival attachment for 153,163 teeth at first visit were successfully transferred to the study centre. During the average observational period of 9.77 years, only 2.8% of all teeth were lost. The number of visits was significantly negatively correlated with BOP (p < 0.0001), and the number of BOP-positive sites was significantly correlated with deeper PDs (p < 0.001).

Conclusion

The presented procedure was able to gather a large amount of practice-based periodontal data, and thus this study may support practice-based research networks. The data indicate that systematic and supportive periodontal therapy is successful on a practice-based level.
Trial registration The study was internationally registered on 4 January 2017 in the German Clinical Trials Register (DRKS 00011448). https://​www.​drks.​de/​drks_​web/​navigate.​do?​navigationId=​trial.​HTML&​TRIAL_​ID=​DRKS00011448
Appendix
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Literature
1.
McGlone P, Watt R, Sheiham A. Evidence-based dentistry: an overview of the challenges in changing professional practice. Br Dent J. 2001;190(12):636–9. CrossRef
2.
Rørtveit G. Research networks in primary care: an answer to the call for better clinical research. Scand J Prim Health Care. 2014;32(3):107–9. CrossRef
3.
Spallek H, Song M, Polk DE, Bekhuis T, Frantsve-Hawley J, Aravamudhan K. Barriers to implementing evidence-based clinical guidelines: a survey of early adopters. J Evid Based Dent Pract. 2010;10(4):195–206. CrossRef
4.
Gilbert GH, Williams OD, Korelitz JJ, Fellows JL, Gordan VV, Makhija SK, Meyerowitz C, Oates TW, Rindal DB, Benjamin PL, et al. Purpose, structure, and function of the United States National Dental Practice-Based Research Network. J Dent. 2013;41(11):1051–9. CrossRef
5.
Boswell JF, Kraus DR, Miller SD, Lambert MJ. Implementing routine outcome monitoring in clinical practice: benefits, challenges, and solutions. Psychother Res. 2015;25(1):6–19. CrossRef
6.
Lenfant C. Shattuck lecture-clinical research to clinical practice-lost in translation? N Engl J Med. 2003;349(9):868–74. CrossRef
7.
Mold JW, Peterson KA. Primary care practice-based research networks: working at the interface between research and quality improvement. Ann Fam Med. 2005;3(Suppl 1):S12-20. CrossRef
8.
Raghupathi W, Raghupathi V. Big data analytics in healthcare: promise and potential. Health Inf Sci Syst. 2014;2:3. CrossRef
9.
Thyvalikakath TP, Duncan WD, Siddiqui Z, LaPradd M, Eckert G, Schleyer T, Rindal DB, Jurkovich M, Shea T, Gilbert GH, et al. Leveraging electronic dental record data for clinical research in the national dental PBRN practices. Appl Clin Inform. 2020;11(2):305–14. CrossRef
10.
Palotie U, Eronen AK, Vehkalahti K, Vehkalahti MM. Longevity of 2- and 3-surface restorations in posterior teeth of 25- to 30-year-olds attending Public Dental Service-A 13-year observation. J Dent. 2017;62:13–7. CrossRef
11.
Laske M, Opdam NJ, Bronkhorst EM, Braspenning JC, Huysmans MC. Longevity of direct restorations in Dutch dental practices: descriptive study out of a practice based research network. J Dent. 2016;46:12–7. CrossRef
12.
Opdam NJ, Bronkhorst EM, Loomans BA, Huysmans MC. 12-year survival of composite vs amalgam restorations. J Dent Res. 2010;89(10):1063–7. CrossRef
13.
Walter C, Dommisch H. Parodontale diagnostik. Berlin: Quintessenz Verlags-GmbH; 2016.
14.
Ratka-Krüger P, Wölber JP, Blank J, Holst K, Hörmeyer I, Vögele E. Masteronline periodontology and implant therapy-revisited after seven years: a case study of the structures and outcomes in a blended learning CPD. Eur J Dent Educ. 2018;22(1):e7–13. CrossRef
15.
Lang NP, Lindhe J. Clinical periodontology and implant dentistry. Chichester: Wiley; 2015.
16.
Lang NP, Tonetti MS. Periodontal risk assessment (PRA) for patients in supportive periodontal therapy (SPT). Oral Health Prev Dent. 2003;1(1):7–16.
17.
Lang NP, Joss A, Orsanic T, Gusberti FA, Siegrist BE. Bleeding on probing: a predictor for the progression of periodontal disease? J Clin Periodontol. 1986;13(6):590–6. CrossRef
18.
Hamp SE, Nyman S, Lindhe J. Periodontal treatment of multirooted teeth: results after 5 years. J Clin Periodontol. 1975;2(3):126–35. CrossRef
19.
Merijohn GK. Management and prevention of gingival recession. Periodontol 2000. 2016;71(1):228–42. CrossRef
20.
Carnevale G, Cairo F, Tonetti MS. Long-term effects of supportive therapy in periodontal patients treated with fibre retention osseous resective surgery. I: recurrence of pockets, bleeding on probing and tooth loss. J Clin Periodontol. 2007a;34(4):334–41. CrossRef
21.
Carnevale G, Cairo F, Tonetti MS. Long-term effects of supportive therapy in periodontal patients treated with fibre retention osseous resective surgery. II: Tooth extractions during active and supportive therapy. J Clin Periodontol. 2007b;34(4):342–8. CrossRef
22.
Eickholz P, Kaltschmitt J, Berbig J, Reitmeir P, Pretzl B. Tooth loss after active periodontal therapy. I: Patient-related factors for risk, prognosis, and quality of outcome. J Clin Periodontol. 2008;35(2):165–74. CrossRef
23.
König J, Plagmann HC, Rühling A, Kocher T. Tooth loss and pocket probing depths in compliant periodontally treated patients: a retrospective analysis. J Clin Periodontol. 2002;29(12):1092–100. CrossRef
24.
Lang NP, Ramseier CA. Die Parodontalbetreuung - ein Lernprogramm zur Qualitätssicherung in der Parodontologie. Berlin: Quintessence Publishing; 1999.
25.
Lang NP, Suvan JE, Tonetti MS. Risk factor assessment tools for the prevention of periodontitis progression a systematic review. J Clin Periodontol. 2015;42(Suppl 16):S59-70. CrossRef
26.
Greenstein G. The role of bleeding upon probing in the diagnosis of periodontal disease: a literature review. J Periodontol. 1984;55(12):684–8. CrossRef
27.
Goodson JM, Tanner AC, Haffajee AD, Sornberger GC, Socransky SS. Patterns of progression and regression of advanced destructive periodontal disease. J Clin Periodontol. 1982;9(6):472–81. CrossRef
28.
Knowles JW, Burgett FG, Nissle RR, Shick RA, Morrison EC, Ramfjord SP. Results of periodontal treatment related to pocket depth and attachment level: eight years. J Periodontol. 1979;50(5):225–33. CrossRef
29.
Drisko CH. Nonsurgical periodontal therapy. Periodontol. 2000;2001(25):77–88.
30.
Renvert S, Persson GR. A systematic review on the use of residual probing depth, bleeding on probing and furcation status following initial periodontal therapy to predict further attachment and tooth loss. J Clin Periodontol. 2002;29(Suppl 3):82–9 (discussion 90-81). CrossRef
31.
Wikesjö UM, Nilvéus RE, Selvig KA. Significance of early healing events on periodontal repair: a review. J Periodontol. 1992;63(3):158–65. CrossRef
32.
Cobb CM. Clinical significance of non-surgical periodontal therapy: an evidence-based perspective of scaling and root planing. J Clin Periodontol. 2002;29(Suppl 2):6–16. PubMed
33.
Svärdström G, Wennström JL. Prevalence of furcation involvements in patients referred for periodontal treatment. J Clin Periodontol. 1996;23(12):1093–9. CrossRef
34.
Giargia M, Lindhe J. Tooth mobility and periodontal disease. J Clin Periodontol. 1997;24(11):785–95. CrossRef
35.
Goldman MJ, Ross IF, Goteiner D. Effect of periodontal therapy on patients maintained for 15 years or longer: a retrospective study. J Periodontol. 1986;57(6):347–53. CrossRef
36.
Hirschfeld L, Wasserman B. A long-term survey of tooth loss in 600 treated periodontal patients. J Periodontol. 1978;49(5):225–37. CrossRef
37.
McFall WT. Tooth loss in 100 treated patients with periodontal disease: a long-term study. J Periodontol. 1982;53(9):539–49. CrossRef
38.
Raedel M, Priess HW, Bohm S, Noack B, Wagner Y, Walter MH. Tooth loss after periodontal treatment-mining an insurance database. J Dent. 2019;80:30–5. CrossRef
39.
van Winkelhoff AJ, Rams TE, Slots J. Systemic antibiotic therapy in periodontics. Periodontol. 2000;1996(10):45–78.
40.
Holtfreter B, Albandar JM, Dietrich T, Dye BA, Eaton KA, Eke PI, Papapanou PN, Kocher T, Group JEUPEW. Standards for reporting chronic periodontitis prevalence and severity in epidemiologic studies: proposed standards from the Joint EU/USA Periodontal Epidemiology Working Group. J Clin Periodontol. 2015;42(5):407–12. CrossRef
41.
Van der Weijden GA, Timmerman MF, Saxton CA, Russell JI, Huntington E, Van der Velden U. Intra-/inter-examiner reproducibility study of gingival bleeding. J Periodontal Res. 1994;29(4):236–41. CrossRef
42.
Mjör IA. Practice-based dental research. J Oral Rehabil. 2007;34(12):913–20. CrossRef
43.
Association WM. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191–4. CrossRef
Metadata
Title
Use of digital periodontal data to compare periodontal treatment outcomes in a practice-based research network (PBRN): a proof of concept
Authors
Stefanie Anna Peikert
Felix Mittelhamm
Eberhard Frisch
Kirstin Vach
Petra Ratka-Krüger
Johan Peter Woelber
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2020
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-01284-3

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