Association of susceptible genotypes to periodontal disease with the clinical outcome and tooth survival after non-surgical periodontal therapy: A systematic review and meta-analysis
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Chatzopoulos, Georgios S.; Doufexi, Aikaterini; Kalogirou, Fotini
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Aquest document és un/a article, creat/da en: 2016
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Background: The real clinical utility of genetic testing is the prognostic value of genetic factors in the clinical
outcome of periodontal treatment and the tooth survival. A meta-analysis was undertaken to estimate the effect
of a susceptible genotype to periodontitis on the clinical outcomes of non-surgical periodontal therapy and the
tooth survival.
Material and Methods: A systematic search of MEDLINE-Pubmed, Cochrane Library and Scopus was performed. Additionally, a hand search was done in three journals. No specific language restriction was applied. Two
reviewers screened independently titles and abstracts or full text copies. Quality assessment of all the included
studies was held.
Results: Initial screening of electronic databases resulted in 283 articles. Ten studies met the inclusion criteria,
nine of them examined the clinical outcome, while the other one investigated the tooth survival in susceptible
individuals after non-surgical periodontal therapy. Eight of included studies were selected for the meta-analysis.
IL-1 positive genotypes increase the risk of tooth loss, while no association found between the bleeding on probing (BOP), clinical attachment loss (CAL) and plaque index (PI) with the genotype status. Probing pocket depth
(PPD) reduction in the first three months and in long-term results found to have a significant association with the
genotype.
Conclusions: There is no difference in the clinical measurements after non-surgical periodontal treatment, apart
from PPD. More publications are needed to identify a cause-effect relationship.
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