Assessment of risk for periodontal disease. I. Risk indicators for attachment loss

Specific risk indicators associated with either susceptibility or resistance to severe forms of periodontal disease were evaluated in a cross-section of 1,426 subjects, 25 to 74 years of age, mostly metropolitan dwellers, residing in Erie County, New York, and surrounding areas. The study sample exh...

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Veröffentlicht in:Journal of periodontology (1970) Jg. 65; H. 3; S. 260
Hauptverfasser: Grossi, S G, Zambon, J J, Ho, A W, Koch, G, Dunford, R G, Machtei, E E, Norderyd, O M, Genco, R J
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 01.03.1994
Schlagworte:
Adult
Age Factors
Aged
Air Pollutants, Occupational - adverse effects
Asbestos - adverse effects
Bacteroides - isolation & purification
Cross-Sectional Studies
Dental Plaque - microbiology
Diabetes Complications
Educational Status
Ethnic Groups
Female
Humans
Logistic Models
Male
Middle Aged
New York - epidemiology
Occupational Exposure
Odds Ratio
Oral Hygiene
Periodontal Attachment Loss - epidemiology
Periodontal Attachment Loss - etiology
Porphyromonas gingivalis - isolation & purification
Risk Factors
Sex Factors
Smoking - adverse effects
Social Class
New York
ISSN:0022-3492
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Zusammenfassung:Specific risk indicators associated with either susceptibility or resistance to severe forms of periodontal disease were evaluated in a cross-section of 1,426 subjects, 25 to 74 years of age, mostly metropolitan dwellers, residing in Erie County, New York, and surrounding areas. The study sample exhibited a wide range of periodontal disease experience defined by different levels of attachment loss. Therefore, it was possible to accurately assess associations between the extent of periodontal disease and patient characteristics including age, smoking, systemic diseases, exposure to occupational hazards, and subgingival microbial flora. Age was the factor most strongly associated with attachment loss, with odds ratios for subjects 35 to 44 years old ranging from 1.72 (95% CI: 1.18 to 2.49) to 9.01 (5.86 to 13.89) for subjects 65 to 74 years old. Diabetes mellitus was the only systemic disease positively associated with attachment loss with an odds ratio of 2.32 (95% CI: 1.17-4.60). Smoking had relative risks ranging from 2.05 (95% CI: 1.47-2.87) for light smokers increasing to 4.75 (95% CI: 3.28-6.91) for heavy smokers. The presence of two bacteria, Porphyromonas gingivalis and Bacteroides forsythus, in the subgingival flora represented risks of 1.59 (95% CI: 1.11-2.25) and 2.45 (95% CI: 1.87-3.24), respectively. Our results show that age, smoking, diabetes mellitus, and the presence of subgingival P. gingivalis and B. forsythus are risk indicators for attachment loss. These associations remain valid after controlling for gender, socioeconomic status, income, education, and oral hygiene status expressed in terms of supragingival plaque accumulation and subgingival calculus. Longitudinal, intervention, and etiology-focused studies will establish whether these indicators are true risk factors.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0022-3492
DOI:10.1902/jop.1994.65.3.260