Java project on periodontal diseases: causes of tooth loss in a cohort of untreated individuals

Objective To assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care. Material & Methods The study population consisted of 98 subjects from a tea estate on West Java, Indonesia, that had been part of a prospective...

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Published in:	Journal of clinical periodontology Vol. 42; no. 9; pp. 824 - 831
Main Authors:	van der Velden, Ubele, Amaliya, Amaliya, Loos, Bruno G., Timmerman, Mark F., van der Weijden, Fridus A., Winkel, Edwin G., Abbas, Frank
Format:	Journal Article
Language:	English
Published:	United States Blackwell Publishing Ltd 01.09.2015
Subjects:	Adult Age Factors caries Dental care Dental caries Dental Caries - complications Dentistry Female Follow-Up Studies Gum disease Humans Indonesia - epidemiology Longitudinal Studies Male Occupations periodontitis Periodontitis - complications Prognosis Prospective Studies Sex Factors Teeth tooth loss Tooth Loss - epidemiology Tooth Loss - etiology untreated disease Young Adult untreated disease tooth loss periodontitis caries
ISSN:	0303-6979, 1600-051X, 1600-051X
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Abstract	Objective To assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care. Material & Methods The study population consisted of 98 subjects from a tea estate on West Java, Indonesia, that had been part of a prospective longitudinal study and provided full datasets of clinical assessments between 1987, 1994 and 2002. In 2011, complete sets of dental radiographs were made which was combined with the survey forms and clinical slides from the previous assessments in order to estimate reasons for tooth loss. Results Thirty‐seven subjects lost no teeth, whereas 61 subjects lost 185 teeth. In this group, 45.9% lost ≤2 teeth, 32.8% lost 3 to 4 teeth and 19.7% lost ≥5 teeth. The majority of teeth were lost due to caries. In five subjects, tooth loss could be attributed solely to periodontitis, whereas in four subjects teeth were lost due to both caries and periodontits. Analyses of the predictor variables age, gender, smoking, education, presence of caries and severe periodontitis showed that male gender and caries were significantly associated with tooth loss. Conclusion The majority of teeth in this population were lost due to caries.
AbstractList	To assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care. The study population consisted of 98 subjects from a tea estate on West Java, Indonesia, that had been part of a prospective longitudinal study and provided full datasets of clinical assessments between 1987, 1994 and 2002. In 2011, complete sets of dental radiographs were made which was combined with the survey forms and clinical slides from the previous assessments in order to estimate reasons for tooth loss. Thirty-seven subjects lost no teeth, whereas 61 subjects lost 185 teeth. In this group, 45.9% lost ≤2 teeth, 32.8% lost 3 to 4 teeth and 19.7% lost ≥5 teeth. The majority of teeth were lost due to caries. In five subjects, tooth loss could be attributed solely to periodontitis, whereas in four subjects teeth were lost due to both caries and periodontits. Analyses of the predictor variables age, gender, smoking, education, presence of caries and severe periodontitis showed that male gender and caries were significantly associated with tooth loss. The majority of teeth in this population were lost due to caries. Objective To assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care. Material & Methods The study population consisted of 98 subjects from a tea estate on West Java, Indonesia, that had been part of a prospective longitudinal study and provided full datasets of clinical assessments between 1987, 1994 and 2002. In 2011, complete sets of dental radiographs were made which was combined with the survey forms and clinical slides from the previous assessments in order to estimate reasons for tooth loss. Results Thirty‐seven subjects lost no teeth, whereas 61 subjects lost 185 teeth. In this group, 45.9% lost ≤2 teeth, 32.8% lost 3 to 4 teeth and 19.7% lost ≥5 teeth. The majority of teeth were lost due to caries. In five subjects, tooth loss could be attributed solely to periodontitis, whereas in four subjects teeth were lost due to both caries and periodontits. Analyses of the predictor variables age, gender, smoking, education, presence of caries and severe periodontitis showed that male gender and caries were significantly associated with tooth loss. Conclusion The majority of teeth in this population were lost due to caries. To assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care.OBJECTIVETo assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care.The study population consisted of 98 subjects from a tea estate on West Java, Indonesia, that had been part of a prospective longitudinal study and provided full datasets of clinical assessments between 1987, 1994 and 2002. In 2011, complete sets of dental radiographs were made which was combined with the survey forms and clinical slides from the previous assessments in order to estimate reasons for tooth loss.MATERIAL & METHODSThe study population consisted of 98 subjects from a tea estate on West Java, Indonesia, that had been part of a prospective longitudinal study and provided full datasets of clinical assessments between 1987, 1994 and 2002. In 2011, complete sets of dental radiographs were made which was combined with the survey forms and clinical slides from the previous assessments in order to estimate reasons for tooth loss.Thirty-seven subjects lost no teeth, whereas 61 subjects lost 185 teeth. In this group, 45.9% lost ≤2 teeth, 32.8% lost 3 to 4 teeth and 19.7% lost ≥5 teeth. The majority of teeth were lost due to caries. In five subjects, tooth loss could be attributed solely to periodontitis, whereas in four subjects teeth were lost due to both caries and periodontits. Analyses of the predictor variables age, gender, smoking, education, presence of caries and severe periodontitis showed that male gender and caries were significantly associated with tooth loss.RESULTSThirty-seven subjects lost no teeth, whereas 61 subjects lost 185 teeth. In this group, 45.9% lost ≤2 teeth, 32.8% lost 3 to 4 teeth and 19.7% lost ≥5 teeth. The majority of teeth were lost due to caries. In five subjects, tooth loss could be attributed solely to periodontitis, whereas in four subjects teeth were lost due to both caries and periodontits. Analyses of the predictor variables age, gender, smoking, education, presence of caries and severe periodontitis showed that male gender and caries were significantly associated with tooth loss.The majority of teeth in this population were lost due to caries.CONCLUSIONThe majority of teeth in this population were lost due to caries. Objective To assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care. Material & Methods The study population consisted of 98 subjects from a tea estate on West Java, Indonesia, that had been part of a prospective longitudinal study and provided full datasets of clinical assessments between 1987, 1994 and 2002. In 2011, complete sets of dental radiographs were made which was combined with the survey forms and clinical slides from the previous assessments in order to estimate reasons for tooth loss. Results Thirty-seven subjects lost no teeth, whereas 61 subjects lost 185 teeth. In this group, 45.9% lost ≤2 teeth, 32.8% lost 3 to 4 teeth and 19.7% lost ≥5 teeth. The majority of teeth were lost due to caries. In five subjects, tooth loss could be attributed solely to periodontitis, whereas in four subjects teeth were lost due to both caries and periodontits. Analyses of the predictor variables age, gender, smoking, education, presence of caries and severe periodontitis showed that male gender and caries were significantly associated with tooth loss. Conclusion The majority of teeth in this population were lost due to caries.
Author	Timmerman, Mark F. Loos, Bruno G. van der Velden, Ubele Amaliya, Amaliya Abbas, Frank van der Weijden, Fridus A. Winkel, Edwin G.
Author_xml	– sequence: 1 givenname: Ubele surname: van der Velden fullname: van der Velden, Ubele email: Address:, u.vd.velden@acta.nl organization: Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University, Amsterdam, The Netherlands – sequence: 2 givenname: Amaliya surname: Amaliya fullname: Amaliya, Amaliya organization: Department of Periodontology, Padjadjaran State University, Bandung, Indonesia – sequence: 3 givenname: Bruno G. surname: Loos fullname: Loos, Bruno G. organization: Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University, Amsterdam, The Netherlands – sequence: 4 givenname: Mark F. surname: Timmerman fullname: Timmerman, Mark F. organization: Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University, Amsterdam, The Netherlands – sequence: 5 givenname: Fridus A. surname: van der Weijden fullname: van der Weijden, Fridus A. organization: Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University, Amsterdam, The Netherlands – sequence: 6 givenname: Edwin G. surname: Winkel fullname: Winkel, Edwin G. organization: Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands – sequence: 7 givenname: Frank surname: Abbas fullname: Abbas, Frank organization: Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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Keywords	untreated disease tooth loss periodontitis caries
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Snippet	Objective To assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care.... To assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care. The study... Objective To assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care.... To assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care.OBJECTIVETo...
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SubjectTerms	Adult Age Factors caries Dental care Dental caries Dental Caries - complications Dentistry Female Follow-Up Studies Gum disease Humans Indonesia - epidemiology Longitudinal Studies Male Occupations periodontitis Periodontitis - complications Prognosis Prospective Studies Sex Factors Teeth tooth loss Tooth Loss - epidemiology Tooth Loss - etiology untreated disease Young Adult
Title	Java project on periodontal diseases: causes of tooth loss in a cohort of untreated individuals
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