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Evaluation of Criteria for Successful Periodontal Therapies in the Posterior Teeth Using Delphi Technique in Iran

机译:使用德尔菲技术在伊朗评估后牙成功牙周治疗的标准

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Statement of Problem: Periodontists use different criteria to assess the success of periodontal treatments so that there is no consistent approach regarding the important parameters to be used for successful treatment. Purpose: The aim of this study was to determine success criteria of periodontal treatment using Delphi method based on the experience of expert panel of periodontists. Materials and Method: In this cross-sectional study using Delphi method, 15 periodontitists in Iran determined the level of importance of attachment level, probing depth, furcation involvement, mobility, plaque, inflammation and patient satisfaction following periodontal treatment of the posterior teeth in a patient with moderate to severe chronic periodontitis. The periodontists were questioned concerning the relative importance of each outcome measure, a minimally acceptable level for success for each criterion and the length of time for these parameters to remain stable. Results: Following two rounds of Delphi surveys, the periodontists considered the attachment level, bone loss and plaque to be a ''very important'' parameter for successful periodontal treatment. Probing depth, furcation involvement, inflammation, function, esthetics, mobility and patient satisfaction were considered to be" important" factors for successful periodontal treatment. The panelists agreed that a minimal of 1mm attachment gain, 1mm reduction in probing depth, Glickman grade I furcation involvement, Miller degree I mobility, and no change in the bone level are acceptable outcomes following 1 year of treatment. Finally, the periodontists considered that 1 year results of treatment should remain stable for a minimum of 5 years. Conclusion: These studies suggest that Delphi method is a practical approach which can establish minimal standards for successful therapy of the posterior teeth based on the opinions of expert periodontists. Key words: Successful periodontal therapies, Posterior teeth, Delphi technique
机译:问题陈述:牙周病医生使用不同的标准评估牙周治疗的成功性,因此对于用于成功治疗的重要参数没有统一的方法。目的:本研究的目的是根据牙周病专家小组的经验来确定采用德尔菲法进行牙周治疗的成功标准。材料和方法:在这项采用Delphi方法进行的横断面研究中,伊朗的15位牙周病医生确定了牙周后牙的牙周治疗后附着水平,探测深度,分叉受累,活动性,牙菌斑,炎症和患者满意度的重要性。中度至重度慢性牙周炎患者。询问牙周医师的有关每个结果指标的相对重要性,每个标准成功的最低可接受水平以及这些参数保持稳定的时间长度。结果:在进行了两轮Delphi调查之后,牙周病医生认为附着水平,骨丢失和牙菌斑是成功牙周治疗的“非常重要”的参数。探测深度,分叉受累,炎症,功能,美学,活动性和患者满意度被认为是成功牙周治疗的“重要”因素。小组成员一致认为,治疗1年后,可接受的结局是最小的1mm附着增益,1mm的探查深度减小,Glickman一级牙根分叉受累,Miller一级牙根活动性以及骨水平没有变化是可接受的结果。最后,牙周病医生认为治疗1年的结果至少应保持稳定5年。结论:这些研究表明,Delphi法是一种实用的方法,可以根据牙周病专家的意见为成功地治疗后牙建立最低限度的标准。关键词:成功的牙周治疗后牙德尔菲技术

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