Previous studies in this series evaluated prognosis as a surrogate variable representing the condition of the tooth at a particular point. 1996. The method of generalized estimating equations (GEE) for correlated data was utilized to determine the relationship of each clinical factor to the assignment of initial prognosis, improvement in prognosis at 5 years, and worsening in prognosis at 5 years. Neither of these factors was found to be significant in worsening of prognosis. McGuire WP, Rowinsky EK, Rosenshein NB, et al. McGuire MK, Nunn ME. 1996 Jul;67(7):658-65. doi: 10.1902/jop.1996.67.7.658. Neither of these factors was found to be significant in worsening of prognosis. The coefficients from this model were able to predict accurately the 5-year and 8-year prognoses 81% of the time. The Pervasive Refusal Syndrome is a recently described syndrome of child psychiatric disorder. Increased probing depth, more severe furcation involvement, greater mobility, unsatisfactory crown-to-root ratio, malpositioned teeth, and teeth used as fixed abutments resulted in worse initial prognoses. 2002;29 Suppl 3:82-9; discussion 90-1. doi: 10.1034/j.1600-051x.29.s-3.2.x. McGuire MA, Robotin MC, Bourke JP, Yip ASB, Johnson DC, Dewsnap BI II. Prior work has evaluated the validity of using various clinical measured parameters for assigning periodontal prognosis as well as for predicting tooth survival and change in … II. 2009 Nov-Dec;40(10):821-31. HHS In addition, good hygiene was found to increase the probability of improvement in prognosis while initial mobility was found to decrease the likelihood of improvement in prognosis. publisher = "American Academy of Periodontology", https://doi.org/10.1902/jop.1996.67.7.658. The effectiveness of clinical parameters in developing an accurate prognosis. Prognosis versus actual outcome. Neither of these factors was found to be significant in worsening of prognosis. McGuire and Nunn Prognosis Paper series-Paper 4-Looked into GENETIC components and its relation to SMOKING -IL-1 genotype-positive increased risk of tooth loss. The coefficients from this model were able to predict accurately the 5-year and 8-year prognoses 81% of the time. The results of this study indicate that some clinical factors used in the assignment of prognoses are clearly associated with changes in clinical condition over time. A multiple linear regression model was constructed for predicting initial prognosis based on initial clinical data. Advances in the accuracy of the diagnosis of Alzheimer's disease as well as progress in the genetics, aetiopathology, and therapeutics of the condition have stimulated a debate on whether patients should be informed of their diagnosis. In addition, good hygiene was found to increase the probability of improvement in prognosis while initial mobility was found to decrease the likelihood of improvement in prognosis. This site needs JavaScript to work properly. When teeth with "good" prognoses were excluded, the predictive accuracy dropped approximately 50%. This system contained a more detailed stratification of individual teeth:
Good Prognosis (one or more): Etiologic factors controlled and adequate periodontal support. In spite of anticipated poor prognosis, the tooth lesion healed. The effectiveness of clinical parameters in developing an accurate prognosis. A Comparison of Clinical and Radiological Parameters in the Evaluation of Molar Furcation Involvement in Periodontitis. by 2.7 times -heavy smoking increased risk of tooth loss by 2.9. times -COMBINED effect of IL-1 positive AND heavy. The theory of learned helplessness has an extensive research and treatment literature. II. Research output: Contribution to journal › Article › peer-review. This model suggests that patients are twice as likely to loose their teeth if there is increasing mobility, if they have a parafunctional habit and do not wear a biteguard, or if they smoke. Thus, this low sensitivity or capability of anticipating the TLPD event represents a major limitation of peri-odontal prognosis. A systematic review on the use of residual probing depth, bleeding on probing and furcation status following initial periodontal therapy to predict further attachment and tooth loss. Increased probing depth, more severe furcation involvement, greater mobility, unsatisfactory crown-to-root ratio, malpositioned teeth, and teeth used as fixed abutments resulted in worse initial prognoses.  |  McGuire and Nunn (1996)
Evaluated 100 treated periodontal patients (2,484 teeth) under maintenance care for 5 years, with 38 of these patients followed for 8 years.
28. Clínica de Odontología Restauradora Avanzada. McGuire MK, Nunn ME. J Periodontol 67:658-665,1996. McGuire and Nunn, 1996 ~The prognosis of a periodontally compromised tooth in individual patients is difficult to predict accurately. / McGuire, Michael K.; Nunn, Martha E. T1 - Prognosis versus actual outcome. ... McGuire, Nunn 1996 Take a look at the table included:-different criteria for individual prognosis vs overall prognosis The coefficients from this model were able to predict accurately the 5-year and 8-year prognoses 81% of the time. Histological comparison of different compressive forces on particulate grafts during alveolar ridge preservation: a prospective proof-of-concept study. T1 - Prognosis Versus Actual Outcome. Prognosis versus actual outcome. title = "Prognosis versus actual outcome. Fair Prognosis with McGuire and Nunn. Prognosis versus actual outcome. The combined effect of IL-1GP and heavy smoking increased the risk of tooth loss by 7.7 times. 3 ‡ 9.97 year s 2,509 2 ... McGuire MK, Nunn ME. Five sub categories. This study evaluated 100 treated periodontal patients (2,484 teeth) under maintenance care for 5 years, with 38 of these patients followed for 8 years, to determine the relationship of assigned prognoses to the clinical criteria commonly used in the development of prognosis. The effectiveness of clinical parameters in developing an accurate prognosis. The value of clinical parameters traditionally used to assign prognosis was found to be dependent on IL-genotype and smoking status. J Periodontol. function of the initial prognosis (McGuire and Nunn, 1996b). Dive into the research topics of 'Prognosis versus actual outcome. McGuire MK, Nunn ME. The effectiveness of clinical parameters in developing an accurate prognosis". Multiple logistic regression models indicated that improvement in prognoses and worsening in prognoses were both strongly associated with initial probing depth, initial furcation involvement, initial tooth malposition, and smoking when adjusted for initial prognosis. These percentages were much higher for questionable prognosis: the TLPD prediction failed in between 37% and 74% of cases (Becker et al., 1984; McFall, 1982; McGuire & Nunn, 1996). Y1 - 1996/7. In this study, survival analysis was used to evaluate the relationship of these common clinical parameters to an actual end point, tooth loss. Similarly, in a series of studies, McGuire and Nunn (1991, 1996) 2, 3 concluded that it is difficult to predict the prognosis of teeth with an initial prognosis of less than good. Prognosis versus actual outcome. Prognosis versus actual outcome. 2020 Mar;15(1):50-58. doi: 10.1016/j.jds.2019.08.008. Epub 2019 Nov 15. AB - The assignment of prognosis is one of the most important functions undertaken in clinical practice, yet there is little evidence to support the current decision-making process which is based on an outdated model of disease etiology and progression. Lee SJ, Kang DY, Cho IW, Shin HS, Shin SI, Fischer KR, Park JC. @article{4e36ebabc6a74d118336d1288f5286e9. Smoking decreased the likelihood of improvement by 60% and doubled the likelihood of worsening in prognosis at 5 years. However, the study using Gram staining techniques failed to show a significant difference in the subgingival microflora between smokers and nonsmokers. Search across a wide variety of disciplines and sources: articles, theses, books, abstracts and court opinions. Please enable it to take advantage of the complete set of features! AU - McGuire, Michael K. AU - Nunn, Martha E. PY - 1996/7. PMID: 8832476 McGuire MK, Nunn ME. Circulation 1996;94:571-577. II. In addition, good hygiene was found to increase the probability of improvement in prognosis while initial mobility was found to decrease the likelihood of improvement in prognosis. Smoking decreased the likelihood of improvement by 60% and doubled the likelihood of worsening in prognosis at 5 years. J Periodontol 67:666-674, 1996. Furthermore, initial prognosis did not adequately explain the condition of the tooth or accurately predict the tooth's survival. This case report describes the successful management of a left mandibular first molar with a combined periodontic-endodontic lesion in a 35-year-old Caucasian woman with aggressive periodontitis using a concerted approach including endodontic treatment, periodontal therapy, and a periodontal regenerative procedure using an enamel matrix derivate. Multiple logistic regression models indicated that improvement in prognoses and worsening in prognoses were both strongly associated with initial probing depth, initial furcation involvement, initial tooth malposition, and smoking when adjusted for initial prognosis. Chen MH, Yin HJ, Chang HH, Kao CT, Tu CC, Chen YW. Mitschke J, Peikert SA, Vach K, Frisch E. J Clin Med. N2 - The assignment of prognosis is one of the most important functions undertaken in clinical practice, yet there is little evidence to support the current decision-making process which is based on an outdated model of disease etiology and progression. This study evaluated 100 treated periodontal patients (2,484 teeth) under maintenance care for 5 years, with 38 of these patients followed for 8 years, to determine the relationship of assigned prognoses to the clinical criteria commonly used in the development of prognosis. The effectiveness of clinical parameters in accurately predicting tooth survival. Fair prognosis: Approximately 25% attachment loss and/or Class I furcation involvement location and depth allow proper … Teeth with worse prognosis have a worse survival rate, but the commonly taught clinical parameters used in the traditional method of assignment of prognosis do not adequately explain that relationship. Favorable Prognosis Classification by Caton and Kwok. II. 2019 Dec;53(4):326-336. doi: 10.15644/asc53/4/3. A Cox proportional hazards regression model showed that initial probing depth, initial furcation involvement, initial mobility, initial percent bone loss, presence of a parafunctional habit without a biteguard, and smoking were all associated with an increased risk of tooth loss. McGuire MA, Johnson DC, Nunn G, Yung T, Uther JB, Ross DL. J Clin Periodontol. AU - McGuire, Michael K. AU - Nunn, Martha E. PY - 1999/1/1. A multiple linear regression model was constructed for predicting initial prognosis based on initial clinical data. Table 1 Classification of prognosis after McGuire (1991). III. Martha E. Nunn, William G. Carney, Stuart J. McNally, The Miller–McEntire Score for Molars Provides an Evidence-based Approach to Assigning Periodontal Prognosis for Molar Teeth, Journal of Evidence Based Dental Practice, 10.1016/j.jebdp.2015.03.009, 15, 2, (73-76), (2015). The effectiveness of clinical parameters in accurately predicting tooth survival. IV: The effectiveness of clinical parameters and IL-1 genotype in accurately predicting prognoses and tooth survival. Taxol: a unique antineoplastic agent with significant activity in advanced ovarian epithelial neoplasms. II. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. In addition, smoking and increased initial bone loss were both found to be associated with increased risk of tooth loss while fixed abutment status was associated with a decreased risk of tooth loss. II. The development of an accurate prognosis is an integral component of treatment planning in the practice of periodontics. J Periodontol. McGuire MK, Nunn ME. Poor Prognosis with McGuire and Nunn.  |  abstract = "The assignment of prognosis is one of the most important functions undertaken in clinical practice, yet there is little evidence to support the current decision-making process which is based on an outdated model of disease etiology and progression. A systematic review and suggested approach. These results seem to indicate that the effect of these clinical parameters on tooth survival is only partially reflected in the assigned prognosis initially, suggesting that perhaps some of the clinical parameters should be weighed more heavily than others when assigning prognosis. 1996; 67:666–674. Since most periodontally involved teeth are compromised, further work should include the development of a more effective method for assigning prognoses that is based on clear, objective clinical criteria. J Periodontol 1996;67:666-74. Prognosis versus actual outcome. The results of this study indicate that some clinical factors used in the assignment of prognoses are clearly associated with changes in clinical condition over time. In the 1990s, McGuire and Nunn docu-mented a series of papers based on a longi-tudinal investigation that followed 100 patients at 5, 8, and 15 years. Prognosis versus actual outcome. Prognosis versus actual outcome. Furthermore, initial prognosis did not adequately explain the condition of the tooth or accurately predict the tooth's survival. [ Links ] 26. 1984, McGuire & Nunn, 1996). COVID-19 is an emerging, rapidly evolving situation. T he assignment of prognosis is one of the most important functions undertaken in clinical practice, yet there is little evidence to support the current decision‐making process which is based on an outdated model of disease etiology and progression. II The effectiveness of clinical parameters in developing an accurate prognosis. perio status can be stabilized w/ … The method of generalized estimating equations (GEE) for correlated data was utilized to determine the relationship of each clinical factor to the assignment of initial prognosis, improvement in prognosis at 5 years, and worsening in prognosis at 5 years. 2013 May;44(5):447-56. doi: 10.3290/j.qi.a29182. The effectiveness of clinical parameters in accurately predicting tooth survival. II. PubMed PMID: 8832477. According to The Merriam-Webster Dictionary, “Prognosis” is defined as “the prospect of recovery as anticipated from the usual course of disease or peculiarities of the case.” In medicine, however, the term is commonly defined by the mortality rate. A multiple linear regression model was constructed for predicting initial prognosis based on initial clinical data. The method of generalized estimating equations (GEE) for correlated data was utilized to determine the relationship of each clinical factor to the assignment of initial prognosis, improvement in prognosis at 5 years, and worsening in prognosis at 5 years. Multiple logistic regression models indicated that improvement in prognoses and worsening in prognoses were both strongly associated with initial probing depth, initial furcation involvement, initial tooth malposition, and smoking when adjusted for initial prognosis. TYPES OF PROGNOSIS McGuire MK, Nunn ME, 1996, based on studies evaluating tooth mortality, the following classification has been proposed: Good prognosis: Control of etiologic factors adequate periodontal support easy to maintain by the patient and clinician. J Periodontal Implant Sci. The effectiveness of clinical parameters in developing an accurate prognosis. A multiple linear regression model was constructed for predicting initial prognosis based on initial clinical data. USA.gov. Prognosis versus actual outcome. Michael K. McGuire, Martha E. Nunn Date 07/1996 Volume 67 Issue 7 Page start 658 Page end 665 DOI 10.1902/jop.1996.67.7.658 Is part of Journal Title Journal of Periodontology ISSN 0022-3492 EISSN 1943-3670 Short title Journal of Periodontology 4: McGuire MK, Nunn ME. II. Nach McGuire und Nunn kann durch den initialen Befund festgelegt werden, welche Prognose eines Zahnes zu erwarten ist. When teeth with {"}good{"} prognoses were excluded, the predictive accuracy dropped approximately 50%. IV. 2020 May 14;50(3):197-206. doi: 10.5051/jpis.2020.50.3.197. The effectiveness of clinical parameters in developing an accurate prognosis. 1982, Becker et al. One hypothesis for the increased periodontal changes noted in smokers is that the periodontal pockets of smokers tend to be more anaerobic compared to nonsmokers.8 An anaerobic environment could conceivably promote the growth of Gram-negative periodontal pathogens in the subgingival plaque. - published after Dr. Oh graduated. author = "McGuire, {Michael K.} and Nunn, {Martha E.}". Case Description. McGuire & Nunn - prognosis of individual teeth is hard if the tooth does not have a "good" prognosis" - based on keeping vs. losing tooth (a.k.a. Together they form a unique fingerprint. J Periodontol. 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