Ten-year molar survival outcomes using Miller-Mcentire Index
Journal name: Journal of Indian Society of Periodontology
Original article title: Ten-year prognostic outcomes of molar survival using the Miller-Mcentire Periodontal Prognostic Index – A longitudinal prospective study
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Dharmarajan Gopalakrishnan, Preston Dallas Miller, Robert A. Levine, Sangamithra Sidharthan, Amit Vasant Mahuli, Muhammad H. A. Saleh, Whitney Miller, Borvornwut Buranawat
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Ten-year prognostic outcomes of molar survival using the Miller-Mcentire Periodontal Prognostic Index – A longitudinal prospective study
Year: 2024 | Doi: 10.4103/jisp.jisp_542
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
The preservation of molars is essential in modern dentistry, as these teeth are vital for effective mastication and overall oral health. Tooth loss can lead to significant functional impairments and other oral health issues. The Miller-McEntire Periodontal Prognostic Index (MMPPI), now referred to as the periodontal risk score (PRS), was developed to predict molar tooth survival. Previous studies demonstrated the MMPPI's effectiveness over a 5-year period, but the long-term prognostic validity remained less explored. This study aims to validate the predictive capability of the MMPPI over a 10-year timeframe, providing insights that can aid clinical decision-making in maintaining periodontally compromised molars.
Importance of the Periodontal Risk Score
The MMPPI scores were assessed based on various clinical and demographic factors, which were collected over a 10-year follow-up period. Out of 1,032 molars, 155 were lost, while 877 survived. Cox proportional hazard analysis identified significant risk factors for tooth loss, including age, smoking, diabetes, molar type, probing depth, furcation involvement, and mobility, each associated with increased hazard ratios. The study found that a total MMPPI score of 7 served as an optimal cutoff for predicting molar loss with high accuracy, demonstrating the index's robustness in a clinical setting. This predictive tool empowers clinicians to develop targeted treatment plans, ultimately enhancing patient outcomes.
Conclusion
The findings of this study support the MMPPI's effectiveness in predicting molar loss at 10 years, reaffirming its prognostic significance over extended periods. With a high area under the curve value and optimal predictive cutoff, the MMPPI stands out as a reliable tool for dental professionals in treatment planning for periodontally diseased molars. By utilizing the MMPPI, clinicians not only improve patient care but also address ethical considerations, allowing patients to make informed decisions about their dental health. Further research is needed to validate the importance of the MMPPI compared to other prognostic indices in diverse populations.
FAQ section (important questions/answers):
What is the purpose of the MMPPI in dentistry?
The MMPPI (Miller-McEntire Periodontal Prognostic Index) is designed to predict the long-term survival of periodontally compromised molars by assessing various clinical and demographic factors.
How was the MMPPI validated in this study?
The MMPPI was prospectively validated over 10 years with a cohort of 1,032 molars. The study analyzed molar survival data and computed hazard ratios for MMPPI and its components.
What significant results were found in the study regarding tooth loss?
Out of 1,032 observed molars, 155 were lost over 10 years. Significant hazard ratios indicated that factors like age, smoking, diabetes, and probing depth affected molar survival.
What was the optimal cutoff score identified for predicting molar loss?
The study determined the optimal MMPPI cutoff score for predicting molar loss at 10 years was 7, demonstrating high accuracy and specificity.
What are the implications of the study for patient care?
The findings support the use of MMPPI as a motivational tool in patient care, helping clinicians guide treatment planning and encouraging patients to maintain their natural dentition.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ten-year molar survival outcomes using Miller-Mcentire Index”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Study (Studying):
The term 'Study' refers to a systematic investigation aimed at discovering or contributing to knowledge about a subject. In this context, it pertains to the research conducted to analyze the predictive validity of the MMPPI in assessing molar survival, thus representing a key scientific endeavor in periodontal health.
2) Table:
In the context of this research, 'Table' denotes a structured representation of data, specifically summarizing results from Cox proportional hazards analysis. Tables serve to present complex information concisely, allowing for easy comparison and interpretation of key findings related to molar survival probabilities and their associated factors in the study.
3) Disease:
'Disease' in this excerpt primarily refers to periodontal disease, a significant condition affecting oral health resulting in tooth loss. The study emphasizes the impact of periodontal disease on molar survival, making it central to understanding the relationships between various risk factors, clinical interventions, and the long-term prognosis of affected teeth.
4) Patil:
'Patil' refers to Dr. D.Y. Patil, an institution linked to major research activities in dentistry and public health. The mention of this name signifies the academic background of the study, suggesting that the research was conducted in a credible environment with institutional support, enhancing the study's overall legitimacy and reliability.
5) Life:
'Life' in this context pertains to the overall quality and longevity of the individual's oral health experience. The preservation of molars is crucial for masticatory function, impacting daily activities and quality of life. The study aims to provide insights that can help maintain oral health and improve life quality for patients.
6) Performance:
'Performance' relates to the effectiveness of the MMPPI score as a predictor for molar loss in the study. The analysis showcases the index's predictive capacity in a clinical setting, thereby evaluating how well this tool functions in real-world scenarios, contributing to better treatment strategies for periodontally compromised molars.
7) Reliability:
'Reliability' refers to the consistency and dependability of the MMPPI score in predicting outcomes over a long duration. The study aims to validate this index through an extended 10-year follow-up, illustrating its robustness and ability to maintain predictive accuracy, which is essential for clinicians in treatment planning.
8) Observation:
'Observation' in the context of this study emphasizes the process of monitoring the outcomes of molar teeth over a decade. This term points to the importance of empirical evidence and continuous assessment in understanding periodontal health trends, bolstering claims made regarding the effectiveness of various prognostic factors and methodologies.
9) Discussion:
'Discussion' pertains to the section in research papers where authors interpret and analyze their findings. Here, it presents a critical examination of the results obtained from the study, exploring the implications, potential limitations, and future directions for research regarding the MMPPI score and its relevance in periodontal care.
10) Quality:
'Quality' relates to the standard of the MMPPI score in predicting molar survival and its impact on patient care. High-quality predictive tools contribute significantly to effective treatment planning, thus enhancing patient outcomes. The study underscores the need for reliable assessments to maintain the quality of dental health services.
11) Reason:
'Reason' denotes the underlying rationale for conducting the research, specifically to validate the MMPPI over an extended period. Understanding the reasons drives the exploration of relationships between risk factors and tooth loss, thereby providing clinicians with scientifically-backed criteria for making informed decisions about patient care and periodontal therapies.
12) Rules:
'Rules' in this context could refer to ethical considerations and guidelines for conducting research involving human subjects, as well as clinical guidelines for effectively applying the MMPPI in practice. Adhering to rules ensures research integrity and the safety of participants while delivering valid and reliable outcomes for clinical practices.
13) Drug:
'Drug' refers to therapeutic agents, although not explicitly discussed in detail in this study. In periodontal therapy, drugs may include antibiotics or localized treatments employed to manage infections and inflammation, playing a crucial role during interventions. Hence, their mention implies the significance of pharmacological support in comprehensive periodontal care.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Ten-year molar survival outcomes using Miller-Mcentire Index’. Further sources in the context of Science might help you critically compare this page with similair documents:
Surgical intervention, Ethical principle, Supportive therapy, Interquartile Range, Functional impairment, Clinical decision-making, Area under the curve, Hazard ratio, Chronic periodontitis patients, Periodontal maintenance, Patient motivation, Molar type, Periodontal Risk Score, Cox proportional regression, Molar survival data, Receiver operating curve, Longitudinally assessed cohort, Molar mortality, Scoring for MMPPI, Diabetes smoking, Optimal cutoff point, Molar prosthesis, Predictive validity.