5 results on '"Herz, Marco M."'
Search Results
2. Periodontal pockets: Predictors for site‐related worsening after non‐surgical therapy—A long‐term retrospective cohort study.
- Author
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Herz, Marco M., Hoffmann, Nina, Braun, Sandra, Lachmann, Stefan, Bartha, Valentin, and Petsos, Hari
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TOOTH mobility , *PATIENT compliance , *PATIENT selection , *PEARSON correlation (Statistics) , *DENTAL abutments , *PERIODONTAL disease , *MULTIPLE regression analysis , *RETROSPECTIVE studies , *DESCRIPTIVE statistics , *CHI-squared test , *PERIODONTAL pockets , *LONGITUDINAL method , *ODDS ratio , *TUMOR classification , *CONFIDENCE intervals , *DATA analysis software , *DENTAL prophylaxis , *PERIODONTITIS - Abstract
Aim: To evaluate site‐related changes in periodontal pocket depth (PPD) after non‐surgical periodontal therapy and to identify predictors for PPD changes in a retrospective patient data analysis. Materials and Methods: PPD, clinical attachment level, bleeding on probing, tooth mobility (TM), furcation involvement (FI), abutment status, adherence to supportive periodontal care (SPC) and SPC follow‐ups were obtained from fully documented patient data before periodontal therapy (baseline, T0), after active periodontal therapy (APT, T1) and during SPC (T2). PPD changes were classified into deteriorated or unchanged/improved at the site level. Multi‐level logistic regression analysis was performed to identify factors influencing PPD changes during SPC. Results: This retrospective study included 51 females and 65 males (mean T0 age: 54.8 ± 10.1 years, 25 smokers, 12 diabetics) suffering from Stage III/IV periodontitis. Evaluation outcome: T0/16,044 sampling sites/2674 teeth; T1/15,636/2606; T2/14,754/2459. During 9.0 ± 2.3 years SPC, PPD decreased (−1.33 ± 0.70 mm) by 21.8% of the sites, remained unchanged by 41.4% and increased (1.40 ± 0.78 mm) by 36.8%. Distopalatal FI (p <.001, odds ratio [OR]: 0.252, 95% confidence interval [CI] for OR: 0.118–0.540), residual pockets (p <.001, OR: 0.503, 95% CI: 0.429–0.590) and TM Degrees I–III (Degree I: p =.002, OR: 0.765, 95% CI: 0.646–0.905; Degree II: p =.006, OR: 0.658, 95% CI: 0.489–0.886; Degree III: p =.023, OR: 0.398, 95% CI: 0.180–0.879) correlated significantly with increasing PPD. Conclusions: Over 75% of PPD remained unchanged or increased during SPC. Distopalatal FI, TM Degrees I–III and residual pockets after APT lead to worsening of periodontal pockets. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. Minimal periodontal basic care - no surgery, no antibiotics, low adherence. What can be expected? A retrospective data analysis.
- Author
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Bartha, Valentin, Mohr, Judith, Krumm, Boris, Herz, Marco M., Wolff, Diana, and Petsos, Hari
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PERIODONTITIS treatment ,CONSERVATIVE treatment ,FOOD habits ,TOOTH loss ,DENTAL plaque ,ORAL hygiene ,DENTAL care ,RETROSPECTIVE studies ,ACQUISITION of data ,DIABETES ,PERIODONTAL pockets ,TREATMENT duration ,RISK assessment ,RESEARCH funding ,MEDICAL records ,DESCRIPTIVE statistics ,PATIENT compliance ,SMOKING ,PERIODONTICS ,BEHAVIOR modification ,DISEASE risk factors - Abstract
Objective: This retrospective study aimed to evaluate tooth loss and the evolution of periodontal inflammatory parameters within a strict nonsurgically treated patient cohort with < 2 supportive periodontal care visits per year, defined as minimal periodontal basic care, of 2.5 to 10.7 years. Method and materials: Data for nonsurgically treated patients were checked for: complete periodontal examination data at baseline (T
0 ), after active periodontal therapy (T1 , and after ≥ 2.5 years of supportive periodontal care (T2 ); smoking, diabetes mellitus, age (at least 18 years), plaque and gingival indices, bleeding on probing, percentage of residual pockets, supportive periodontal care adherence, and number of supportive periodontal care visits were assessed as risk factors for tooth loss. Results: In total, 132 patients were included (76 female, mean age 56.7 ± 10.3 years), mean T1 -T2 : 4.5 ± 1.6 years. 26.5% of all patients lost 118 teeth (0.5 teeth/patient, 0.12 teeth/patient/year). Plaque and bleeding parameters were: mean plaque control record, 59.77 ± 28.07%; mean Papilla Bleeding Index, 47.46 ± 34.12%; mean bleeding on probing, 33.46 ± 21.52%. Supportive periodontal care duration (P = .013) and T2 bleeding on probing (P = .048) were identified as patient-related risk factors for tooth loss. Conclusion: Minimal periodontal basic care was characterized by elevated bleeding on probing, Papilla Bleeding Index, and plaque control record scores. This possibly highlights a lack of consequent applied surgical intervention (if needed) transitioning into regular supportive periodontal care, including insufficient patient behavioral changes regarding domestic oral hygiene procedures and possibly nonaddressed proinflammatory dietary habits as a negative effect. An apparently low tooth loss rate could be observed. The duration of supportive periodontal care was identified as a risk factor for tooth loss. [ABSTRACT FROM AUTHOR]- Published
- 2022
- Full Text
- View/download PDF
4. Motives for studying dental medicine in Germany.
- Author
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Herz, Marco M. and ElAyouti, Ashraf
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DENTISTRY , *DENTAL schools , *DENTAL education , *DENTISTS' attitudes , *SOCIAL status , *SECONDARY school students , *DENTAL students - Abstract
Introduction: Aim of this study was to investigate the motives for studying dental medicine of pupils and students accepted for first semester. Methods: Motives of pupils from secondary schools (grades 10–12) around Tübingen and accepted students at the Dental School Tübingen were evaluated using a five‐level Likert scale. Information about age, gender, family, apprenticeship and university enrolment was also included in the assessment. Results: A total of 402 out of 409 participants filled out the questionnaires. Of these, 390 (280 females and 110 males) could be evaluated; the mean age was 17.4 years. Sixty‐one planned an apprenticeship and 64 already completed it; 93 were readily accepted at university. All participants highly rated the motives "help patients" and "good career prospects." As next, women chose "diversified activity" and men "scientific interest." Participants who planned an apprenticeship rated "help patients" significantly higher than the other participants, whilst the motive "high responsibility of the dental profession" amongst interviewees with completed apprenticeship was highly significant in comparison with the rest. Conclusion: Empathy for patients and high responsibility of the dental profession are more important than prestige or social standing. An apprenticeship seems to greatly influence the career choice by giving more weight to "high responsibility of the dental profession." In future, such results can help universities design selection tests to target specific groups. The high proportion of female dentists and the attitude towards work and family of the generations Y and Z may bring change to the traditional practice model in Germany. [ABSTRACT FROM AUTHOR]
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- 2022
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- View/download PDF
5. Country and gender differences in the motivation of dental students—An international comparison.
- Author
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Haslach, Sandra D., Aytepe, Zeynep, Kokkari, Anne, Azrak, Birgül, Ehlers, Vicky, Herz, Marco M., Jerg‐Bretzke, Lucia, and Geibel, Margrit‐Ann
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DENTAL education ,DENTAL schools ,DENTAL students ,PRACTICE of dentistry ,ACADEMIC motivation - Abstract
Purpose: The objective of this study, conducted in Germany, Finland and Turkey, was to identify whether motivations to study dentistry varied by country, gender or year of study. Methods: The multicentre pilot study was conducted in English language in 2014. Participants (n = 469 dental students) were either in the first or last year of study. The response rate was 91%. Results: The sample comprised 63% females and 37% males, reflecting the common gender distribution in dental education. A total of 236 first year students (50.3%) and 233 final year students (49.7%) took part in the study. The participants were aged 21‐25 years and of 15 different nationalities, mostly from Turkey, Germany and Finland. Considering who motivated them most to become a dentist, the most common answer was "self‐motivated" (49.5%). 23.4% of the students stated having been motivated by a "family member or friend, who is a dentist," while 24.3% said they had been motivated by a "family member or friend, who is not a dentist." —Very few students (2.8%) recorded having been motivated by a "high school or college counsellor." Motivations for choosing dentistry as a career included "ability to help people," "self‐employment," "income potential," "working with hands" and "status and prestige," all of which were rated as highly important. "Time management" and "career variety" were rated as moderately important. Significant statistical differences were observed by country and gender. For the German students, a dental relative was significantly more often relevant than for the Finnish and Turkish students, who were more often influenced by family members or friends not working in the dental field. "Time management" seemed to be significantly more important to female than to male students. Conclusion: In line with a feminisation of the workforce in dentistry, a well‐structured working environment and well‐thought‐out time management may play an increased role in future work force planning (Gender dentistry: International vergleichende Studie zu Karrierewahl und Spezialisierungswünschen von Zahnmedizinstudenten. Ulm: Universität Ulm). [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
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