Effectiveness of a 30-year periodontist’s primary care for 1946 patients during five-year follow-up

Hongmin Lai, Amy Ming Fang Yen, Sam Li Sheng Chen, Tony Hsiu Hsi Chen

Research output: Contribution to journalArticlepeer-review


Objective: To evaluate the effect of the periodontal primary care (PPC) on the improvement of periodontal probing depth based on a periodontist's 30-year practice. Materials and Methods: We enrolled a total of 2,894 patients who underwent periodontal basic treatment between 1987 and 2017 with 84.5% retention rate. The study population was composed of 80% (n = 1,946) of retained patients with complete re-evaluation up to five-year follow-up. The outcome was measured by the improvement of probing depths (graded as 1:1–3 mm; 2:4–6 mm; 3: ≥7 mm) before and after PPC on both sextant and patient levels. Whether a better improvement was seen in the surgical group and the non-smoker group opposed to their comparators was assessed with various multi-variable regression models. Results: On patient (sextant) level, 82% (38%) improved, 13% (59%) unchanged, and 5% (3%) deteriorated. Adjusted better improvement of probing depth was noted for the surgical group by 63% and non-smoker by 31% compared with their counterparts. The similar findings were found for the outcomes based on continuous probing depth scores. Conclusions: We demonstrate the improvement of probing depth scores with a periodontal primary care offered for the retained patients and larger effect for the surgical group and non-smoker patients.

Original languageEnglish
Pages (from-to)1250-1260
Number of pages11
JournalOral Diseases
Issue number4
Publication statusPublished - May 2022


  • basic periodontal therapy
  • non-surgical treatment
  • periodontal disease
  • periodontal primary care
  • scaling and root planing
  • treatment effectiveness

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Dentistry(all)


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