Gingivitis as a risk factor in periodontal disease

Background: Dental plaque has been proven to initiate and promote gingival inflammation. Histologically, various stages of gingivitis may be characterized prior to progression of a lesion to periodontitis. Clinically, gingivitis is well recognized. Material & Methods: Longitudinal studies on a p...

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Vydáno v:Journal of clinical periodontology Ročník 36; číslo s10; s. 3 - 8
Hlavní autoři: Lang, Niklaus P., Schätzle, Marc A., Löe, Harald
Médium: Journal Article Konferenční příspěvek
Jazyk:angličtina
Vydáno: Oxford, UK Blackwell Publishing Ltd 01.07.2009
Blackwell
Témata:
Adolescent
Adult
Biological and medical sciences
Dental Plaque - complications
Dental Plaque - microbiology
Dental Plaque - pathology
Disease Progression
epidemiology
Facial bones, jaws, teeth, parodontium: diseases, semeiology
gingivitis
Gingivitis - complications
Gingivitis - etiology
Gingivitis - pathology
Host-Pathogen Interactions
Humans
Kaplan-Meier Estimate
Longitudinal Studies
Male
Medical sciences
Non tumoral diseases
Otorhinolaryngology. Stomatology
Periodontal Attachment Loss - etiology
Periodontal Index
Periodontitis - etiology
periodontitis progression
prevention
risk factor
Risk Factors
tooth loss
Tooth Loss - etiology
Young Adult
Prevention
Periodontal disease
Periodontitis
Stomatology
Teeth
Risk factor
Tooth
Dentistry
Epidemiology
Gingivitis
tooth loss
periodontitis progression
ISSN:0303-6979, 1600-051X, 1600-051X
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Popis
Shrnutí:Background: Dental plaque has been proven to initiate and promote gingival inflammation. Histologically, various stages of gingivitis may be characterized prior to progression of a lesion to periodontitis. Clinically, gingivitis is well recognized. Material & Methods: Longitudinal studies on a patient cohort of 565 middle class Norwegian males have been performed over a 26‐year period to reveal the natural history of initial periodontitis in dental‐minded subjects between 16 and 34 years of age at the beginning of the study. Results: Sites with consistent bleeding (GI=2) had 70% more attachment loss than sites that were consistenly non‐inflamed (GI=0). Teeth with sites that were consistently non‐inflamed had a 50‐year survival rate of 99.5%, while teeth with consistently inflamed gingivae yielded a 50‐year survival rate of 63.4%. Conclusion: Based on this longitudinal study on the natural history of periodontitis in a dentally well‐maintained male population it can be concluded that persistent gingivitis represents a risk factor for periodontal attachment loss and for tooth loss.
Bibliografie:ArticleID:JCPE1415
istex:A70D992FEE3972CF2CECD88BDDCD99CA7812EF71
ark:/67375/WNG-L8RSRMVQ-6
The symposium “Inflammation: is it a threat to your patients” was presented at the FDI World Dental Congress in Stockholm Sweden in September 2008 and funded by Johnson & Johnson. The authors received a speaking engagement fee and a fee for the preparation of this manuscript from Johnson & Johnson Ltd. The studies have been partially funded by the Clinical Research Foundation (CRF) for the Promotion of Oral Health, Brienz, BE, Switzerland.
Dedication
Conflict of interest and source of funding statement
This manuscript is dedicated to the memory of our co‐author, Harald Löe, friend, colleague and mentor, who died on 9 August 2008 during the preparation of this paper. Harald's foresight in carrying out the surveys on the natural history of periodontal disease made it possible to answer the pertinent questions on the significant role of gingivitis in periodontitis progression and tooth loss. Originally, he was scheduled to present this paper at the FDI Congress in Stockholm in September 2008.
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ISSN:0303-6979
1600-051X
1600-051X
DOI:10.1111/j.1600-051X.2009.01415.x