Anatomical, microbiological, and genetic considerations in treatment of Chinese periodontal patients

The aim of the present narrative review was to highlight considerations when treating Chinese patients with periodontal diseases. These considerations can be broadly categorized into anatomical, microbiological, and genetic considerations. Anatomical considerations are tooth-related factors causing site-specific issues, and these include incisal palatal groove, root concavities, three-rooted permanent mandibular first molar, furcation entrance dimensions, cervical enamel projections, root trunk length, and molar root fusion. Aggregatibacter actinomycetemcomitans was found to be commensal in the oral flora of Chinese. The association between a single gene polymorphism and periodontal disease has not been unequivocally proven in Chinese populations. Despite these subtle differences compared to other ethnic populations, studies of Chinese participants from various geographic regions have demonstrated that periodontal disease in this particular ethnic group can be successfully treated.