The Miller McEntire Periodontal Prognostic Index (i.e., “The Perio Report Card”) Usage in Practice



The Miller McEntire Periodontal Prognostic Index (MMPPI) is a simple, powerful, evidenced-based, statistically validated, and accurate motivational tool which can be used daily in clinical practice with all patients. Its usage is not limited to patients presenting with periodontitis but is routinely used with periodontally healthy patients. In other words, the MMPPI can be used for all patients. The benefits to the patient are that they better understand their long-term periodontal prognosis of 15 and 30 years. It also encourages patients to make lifestyle changes to improve their overall health including smoking cessation, blood sugar control, and compliance to their recommended preventative periodontal maintenance frequency. Accurate prognosis can be determined by scoring the most periodontally involved molar that you plan to keep. The strength of the MMPPI is that it translates clinical outcomes into patient value.


Periodontal prognosis Smoking cessation Compliance to periodontal therapy Patient motivation Patient value MMPPI 


  1. 1.
    Miller PD, McEntire ML, Marlow NM, Gellin RG (2014) Evidenced-based scoring index to determine the periodontal prognosis on molars. J Periodontal 85:214–225Google Scholar
  2. 2.
    Levine RA, Shanaman R (1995) Translating regenerative clinical outcomes into patient value. Int J Periodontics Restorative Dent 2:74–78Google Scholar
  3. 3.
    Hirschfeld L, Wasserman B (1978) A long-term survey of tooth loss in 600 treated periodontal patients. J Periodontal 49:225–237Google Scholar
  4. 4.
    McFall WT (1982) Tooth loss in 100 treated patients with periodontal disease. A long-term study. J Periodontal 53:539–549Google Scholar
  5. 5.
    Goldman MJ, Ross IF, Goteiner D (1986) Effect of periodontal therapy on patients maintained for 15 years or longer. A retrospective study. J Periodontal 57:347–353Google Scholar
  6. 6.
    Johnson GK, Guthmiller JM (2007) The impact of cigarette smoking on periodontal disease and treatment. Periodontal 44:178–194Google Scholar
  7. 7.
    Patel RA, Wilson RF, Palmer RM (2012) The effect of smoking on periodontal bone regeneration: a systematic review and meta-analysis. J Periodontal 83:143–155Google Scholar
  8. 8.
    Weinspach K, Staufenbiel I, Memenga-Nicksch S, Ernst S, Geurtsen W, Gunay H (2013) Level of information about the relationship between diabetes mellitus and periodontitis-results from a nationwide diabetes program. European J Med Res 18:6CrossRefGoogle Scholar
  9. 9.
    Mealey BL, Oates TW (2006) American Academy of Periodontalogy: diabetes mellitus and periodontal diseases. J Periodontal 77:1289–1303Google Scholar
  10. 10.
    Costa FO, Cota LOM, Lages JP, Oliveira AMSD, Oliveira PAD, Cyrino RM, Lorentz TCM, Cortelli SC, Cortelli JR (2013) Progression of periodontitis and tooth loss associated with glycemic control in individuals undergoing periodontal maintenance therapy: a 5-ye follow-up study. J Periodontal 84:595–605Google Scholar
  11. 11.
    Miller PD (1985) A classification of marginal tissue recession. Int J Periodontics Restorative Dent 2:65–70Google Scholar
  12. 12.
    Miller PD (1982) Root coverage using a free soft tissue autograft following citric acid application. I. Technique. Int J Periodontics Restorative Dent 2:65–70PubMedGoogle Scholar
  13. 13.
    Miller PD, Allen EP (1996) The development of periodontal plastic surgery. Periodontal 2000(11):7–17Google Scholar
  14. 14.
    Chambrone L, Tatakis DN (2015) Periodotnal soft tissue root coverage procedures: A systematic review from the AAP Regeneration Workshop. J Periodontal 86(2S):S8–S51Google Scholar
  15. 15.
    Levine RA (1991) Aesthetics in Periodontics: the Subepithelial connective tissue graft for root coverage: report on 20 teeth in 10 patients. Compend Contin Educ Dent XII 8:568Google Scholar
  16. 16.
    Miller PD (1987) Root coverage with the free gingival graft-factors associated with incomplete coverage. J Periodontal 58:674–681Google Scholar
  17. 17.
    Miyamoto T, Kumagai T, Lang MS, Nunn ME (2010) Compliance as a prognostic indicator. II. Impact of patient’s compliance to the individual tooth survival. J Periodontal 81:1280–1288Google Scholar
  18. 18.
    Wilson TG Jr, Glover ME, Malik AK, Scheon JA, Dorsett D (1987) Tooth loss in maintenance patients in a private periodontal practice. J Periodontal 58:231–235Google Scholar
  19. 19.
    Levine RA, Wilson TG Jr (1992) Compliance as a major risk factor in periodontal disease progression. Compend Contin Educ Dent XIII 13(12):1072Google Scholar
  20. 20.
    McGuire MK (1991) Prognosis versus actual outcome: a long-term survey of 100 treated periodontal patients under maintenance care. J Periodontal 62:51–58Google Scholar
  21. 21.
    Sgolastra F, Gatto R, Petrucci A, Monaco A (2012) Effectiveness of systemic amoxicillin/metronidazole as adjunctive therapy to scaling and root planning in the treatment of chronic periodontitis: a systematic review and meta-analysis. J Periodontal 83:1257–1269Google Scholar

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Pennsylvania Center for Dental Implants and PeriodonticsPhiladelphiaUSA
  2. 2.Kornberg School of Dentistry at Temple UniversityPhiladelphiaUSA
  3. 3.University of North Carolina at Chapel HillChapel HillUSA
  4. 4.University of Illinois at ChicagoChicagoUSA
  5. 5.New York University School of DentistryNew YorkUSA

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