Τετάρτη 23 Νοεμβρίου 2022

Furcation involvement and tooth loss ‐ A registry‐based retrospective cohort study

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Abstract

Aim

This registry-based retrospective cohort study aimed to evaluate the impact of furcation status on the risk for molar loss.

Material and methods

Subjects with and without furcation involvement (FI) in 2010/2011 were identified in a nationwide registry in Sweden (age- and gender-matched sample: 381,450 subjects, 2,374,883 molars). Data on dental and periodontal status were extracted for the subsequent 10-year period. Impact of FI (at baseline or detected during follow-up) on molar loss (i.e. tooth extraction) was evaluated through multilevel logistic regression and survival analyses.

Results

FI had a significant impact on molar loss. FI degree 2 and 3 resulted in adjusted risk ratios of 1.67 (95%CI 1.63-1.71) and 3.30 (95%CI 3.18-3.43), respectively. Following first detection of deep FI (degree 2-3), estimated survival decreased by 4% at 5 years and 8% at 10 years. In addition to FI, endodontic status and probing depth were relevant risk factors for molar loss.

Conclusions

Furcation status had a clinically relevant impact on the risk for molar loss. Following first detection of deep FI, however, the decline in molar survival was minor.

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