The Evidence-based Periodontal Risk Assessment (PRA) Tool for Nonsurgical Periodontal Therapy in a Comprehensive Periodontal Management by Risk Assessment (PEMBRA)
10.21315/aos2022.17S1.OA06
- Author:
Mahyunah Masud
1
;
Izza Ilyani Mohd Ishak
2
;
Najihah Kamarazaman
3
;
Izyan Hazwani Baharuddin
4
,
5
Author Information
1. Center of Comprehensive Care Studies, Faculty of Dentistry, Universiti Teknologi MARA, 47000 Sungai Buloh, Selangor, Malaysia
2. Kuala Dungun Dental Clinic, Ministry of Health, 23000 Dungun, Terengganu, Malaysia
3. Kemaman Dental Clinic, Ministry of Health, 24000 Kemaman, Terengganu, Malaysia
4. Faculty of Dentistry, Universiti Teknologi MARA, 47000 Sungai Buloh, Selangor, Malaysia &
5. Faculty of Medicine, Universiti Teknologi MARA, 47000 Sungai Buloh, Selangor, Malaysia
- Publication Type:Journal Article
- Keywords:
Nonsurgical periodontal therapy;
Periodontal management by risk assessment;
Retrospective;
Risk factors
- MeSH:
Risk Assessment;
Periodontal Diseases -- diagnosis;
Dental Instruments
- From:Archives of Orofacial Sciences
2022;17(SUPP 1):85-96
- CountryMalaysia
- Language:English
-
Abstract:
ABSTRACT:In the management of periodontitis patients, periodontal risk assessment (PRA) tool is currently being
applied during periodontal review (PR). However, an assessment of risk profiles during examination and
diagnosis (E&D) may and would effectively assess and diagnose patients’ periodontal conditions, provide
personalised treatment planning, and render an enhanced patient care through periodontal management
by risk assessment (PEMBRA). From a retrospective study on selected records of 81 patients treated
for chronic periodontitis, the PRA profiles of the patients were evaluated during E&D and two to three
months after completion of nonsurgical periodontal therapy (NSPT) during PR. The results were
analysed using SPSS version 24 for descriptive statistics. On E&D, the patients presented with 25.9%
localised and 74.1% generalised chronic periodontitis. Of these, 2.5% of low-risk patients on E&D
increased to 21% during PR signifying an improvement after the treatment. However, the medium-risk
patients have a slight increase from 32% to 35%, and patients with a high risk of 62% were reduced to
43%. The improvement of the risk profiles for both low and high-risk groups was mostly contributed
by the reduction in the plaque score, percentages of bleeding on probing (BOP), and probing pocket
depth (PPD) ≥ 5 mm. This evidence-based evaluation of PRA tool during E&D and PR is important for PEMBRA as it encouraged the clinicians to adopt periodontal management through basic periodontal
examination, detailed periodontal charting, radiographic interpretation, tooth per tooth prognosis,
diagnosis, and targeted NSPT.
- Full text:2.2022my0030.pdf
