Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Summary Review
  • Published:

Can we improve dental treatment outcomes in patients with high-risk factors?

Evidence-Based Dentistry volume 22, pages 42–43 (2021)Cite this article

Abstract

Aim The aim of the study was to identify best practice in relation to improving the periodontal conditions of patients and increasing the rate of treatment success, through the identification of risk factors and implementation of changes in lifestyle.

Methods and materials The study used two search strategies to identify papers describing best practices and important lifestyle changes which improved periodontal conditions and treatment outcomes in patients

Results The study demonstrated that the two most important factors in terms of interventions to improve periodontal conditions and treatment outcomes were to improve the level of diabetes control and remove aggravating factors such as smoking.

Conclusion Many studies have focused on improving treatment outcomes in patients with high-risk factors such as smoking and medical conditions. Strategies, guidelines and protocols that reflect the best practices and lifestyle changes to improve the level of treatment success in high-risk patients should be adapted within treatment planning and follow-up. Successful treatment outcomes are best achieved through controlling diseases affecting the oral cavity and supporting structures.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Fig. 1

Similar content being viewed by others

References

  1. Alrabiah M, Al-Aali K A, Al-Sowygh Z H, Binmahfooz A M, Mokeem S A, Abduljabbar T. Association of advanced glycation end products with peri-implant inflammation in prediabetes and type 2 diabetes mellitus patients. Clin Implant Dent Relat Res 2018; 20: 535-540.

  2. Katz J, Bhattacharyya I, Farkhondeh-Kish F, Perez F M, Caudle R M, Heft M W. Expression of the receptor of advanced glycation end products in gingival tissues of type 2 diabetes patients with chronic periodontal disease: a study utilizing immunohistochemistry and RT-PCR. J Clin Periodontol 2005; 32: 40-44.

  3. Detzen L, Cheng B, Chen C-Y, Papapanou P N, Lalla E. Soluble Forms of the Receptor for Advanced Glycation Endproducts (RAGE) in Periodontitis. Sci Rep 2019; 9: 8170.

  4. Katz J, Yoon T Y H, Mao S, Lamont R J, Caudle R M. Expression of the Receptor of Advanced Glycation End Products in the Gingival Tissue of Smokers With Generalized Periodontal Disease and After Nornicotine Induction in Primary Gingival Epithelial Cells. J Periodnotol 2007; 78: 736-741.

  5. Abduljabbar T, Al-Sahaly F, Al-Kathami M, Afzal S, Vohra F. Comparison of periodontal and peri-implant inflammatory parameters among patients with prediabetes, type 2 diabetes mellitus and non-diabetic controls. Acta Odontol Scand 2017; 75: 5, 319-324.

  6. Mokeem S, Alfadda S A, Al-Shibani N et al. Clinical and radiographic peri-implant variables around short dental implants in type 2 diabetic, prediabetic, and non-diabetic patients. Clin Implant Dent Relat Res 2019; 21: 60-65.

  7. Javed F, Alghamdi A S T, Mikami T et al. Effect of Glycaemic Control on Self-Perceived Oral Health, Periodontal Parameters, and Alveolar Bone Loss Among Patients With Prediabetes. J Periodontol 2014; 85: 234-241.

  8. Naujokat H, Kunzendorf B, Wiltfang J. Dental implants and diabetes mellitus - a systematic review. Int J Implant Dent 2016; 2: 5.

  9. AlMesmar H, Almashhadani S, Saleh N, Farghali K. The Detection of Pre-Diabetic Patients in the Dental Office. 2019. Available online at https://www.researchgate.net/publication/335449156_The_Detection_of_Pre-Diabetic_Patients_in_the_Dental_Office (accessed January 2021).

  10. Bidra A S, Daubert D M, Garcia L T et al. Clinical Practice Guidelines for Recall and Maintenance of Patients with Tooth-Borne and Implant-Borne Dental Restorations. J Prosthodont 2016; 25 Suppl 1: S32-S40.

Download references

Author information

Authors and Affiliations

  1. Specialist Senior Registrar, Dental Services Department, Dubai Health Authority, Dubai, United Arab Emirates

    Shiamaa Shihab AlMashhadani

Authors
  1. Shiamaa Shihab AlMashhadani
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

AlMashhadani, S. Can we improve dental treatment outcomes in patients with high-risk factors?. Evid Based Dent 22, 42–43 (2021). https://doi.org/10.1038/s41432-021-0163-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41432-021-0163-5

Search

Advanced search

Quick links