Assessment of risk for periodontal disease. II. Risk indicators for alveolar bone loss

This study examined the risk indicators for alveolar bone loss associated with periodontal infection. A cross-section of 1,361 subjects aged 25 to 74 years, from Erie County, NY were evaluated for interproximal alveolar bone loss and potential explanatory variables including age, gender, history of...

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Veröffentlicht in:Journal of periodontology (1970) Jg. 66; H. 1; S. 23
Hauptverfasser: Grossi, S G, Genco, R J, Machtei, E E, Ho, A W, Koch, G, Dunford, R, Zambon, J J, Hausmann, E
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.01.1995
Schlagworte:
Adult
Age Factors
Aged
Alveolar Bone Loss - epidemiology
Alveolar Bone Loss - etiology
Alveolar Bone Loss - microbiology
Bacteroides - isolation & purification
Chi-Square Distribution
Female
Humans
Logistic Models
Male
Middle Aged
Periodontal Attachment Loss - complications
Porphyromonas gingivalis - isolation & purification
Proportional Hazards Models
Risk Factors
Sex Factors
Smoking - adverse effects
ISSN:0022-3492
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Zusammenfassung:This study examined the risk indicators for alveolar bone loss associated with periodontal infection. A cross-section of 1,361 subjects aged 25 to 74 years, from Erie County, NY were evaluated for interproximal alveolar bone loss and potential explanatory variables including age, gender, history of systemic diseases, smoking, and presence of 8 subgingival bacteria. Interproximal alveolar bone loss was measured from the alveolar crest to the CEJ and a mean computed for each subject. The mean bone loss per subject (BL) ranged from 0.4 to 8.8 mm, and this outcome variable was grouped into 4 ordered categories. The degree of association between the explanatory variables and BL was examined utilizing an ordinal stepwise logistic regression model. Factors which were positively associated with more severe bone loss included subgingival colonization with B. forsythus (O.R. 2.52; 95% CI: 1.98 to 3.17) or P. gingivalis (O.R. 1.73; 95% CI: 1.27 to 2.37), race (Native American, Asian, or Pacific Islanders) with an O.R. 2.40 (95% CI: 1.21 to 4.79), and gender with males having higher odds than females. Smokers had greater odds for more severe bone loss compared to non-smokers ranging from 3.25 (95% CI: 2.33 to 4.54) to 7.28 (95% CI: 5.09 to 10.31) for light and heavy smokers, respectively. Individuals at older ages also showed more severe levels of bone loss. History of kidney disease (O.R. 0.55; 95% CI: 0.35 to 0.89) and history of allergies (O.R. 0.76; 95% CI: 0.59 to 0.98) were inversely associated with severity of bone loss.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0022-3492
DOI:10.1902/jop.1995.66.1.23