The overall goal of periodontal risk management (PRM) is to prevent disease from occurring and to substantially lower the risk for future progression of periodontitis in patients with evidence of disease.
Oral healthcare must be delivered with specific cost-benefits in mind (utility) and with a holistic approach recognized by:
1. The patient
2. Third party (the community/health insurance)
3. Health Care providers.
Successful PRM can only be achieved if accurate information is made available and if the ability of any diagnostic test to correctly identify patients with disease is appreciated in relation to:
Disease prevalence in the population
The nature of disease (etiology/infection)
The host response (a genetically driven host immune response)
The efficacy of therapy.
The likelihood of successful prevention of periodontitis or successful management of patients who have been treated with initial cause related therapy (ICRT) must significantly exceed the effect of chance alone (OR 1:1).