Risk assessment for clinical attachment loss of periodontal tissue in Korean adults
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
PURPOSE. The purpose of this study was to assess the prevalence and extent of clinical attachment loss of periodontal tissue and to find out variables related to clinical attachment loss (CAL) in Korean adults older than 40 years of age. MATERIALS AND METHODS. Data were collected from 2,519 subjects who were part of a cohort study conducted in Ansan city by Korea University Medical School for Korean Genome project. Age, sex, smoking, drinking, fast glucose, blood pressure, obesity and total cholesterol levels were examined. The oral examination included probing pocket depth, gingival recession and CAL of Ramford's teeth. The severity of periodontitis was classified based on the mean value of CAL. The relationship between each risk factor and the severity of CAL was independently estimated using the chi-square test, the test or one-way ANOVA. Multiple regression analysis was used to determine the significance of each factor in the periodontal disease. RESULTS. The prevalences of clinical attachment between 1 and 3 mm, between 3 and < 5 mm, and ≥ 5 mm were 80.27%, 16.75% and < 1%, respectively. Although the univariate analysis showed age, gender, smoking, fasting glucose, blood pressure and total cholesterol levels were significantly related to the severity of CAL, multiple regression analysis indicated that age (P < .0001), gender (P < .0001) and smoking (P < .05) were only significantly related. CONCLUSION. Older age, male gender and smoking were significant risk factor for the increase of CAL, and these may be useful indicators of periodontitis high-risk groups.
Abstract
PURPOSE. The purpose of this study was to assess the prevalence and extent of clinical attachment loss of periodontal tissue and to find out variables related to clinical attachment loss (CAL) in Korean adults older than 40 years of age. MATERIALS AND METHODS. Data were collected from 2,519 subjects who were part of a cohort study conducted in Ansan city by Korea University Medical School for Korean Genome project. Age, sex, smoking, drinking, fast glucose, blood pressure, obesity and total cholesterol levels were examined. The oral examination included probing pocket depth, gingival recession and CAL of Ramford's teeth. The severity of periodontitis was classified based on the mean value of CAL. The relationship between each risk factor and the severity of CAL was independently estimated using the chi-square test, the test or one-way ANOVA. Multiple regression analysis was used to determine the significance of each factor in the periodontal disease. RESULTS. The prevalences of clinical attachment between 1 and 3 mm, between 3 and < 5 mm, and ≥ 5 mm were 80.27%, 16.75% and < 1%, respectively. Although the univariate analysis showed age, gender, smoking, fasting glucose, blood pressure and total cholesterol levels were significantly related to the severity of CAL, multiple regression analysis indicated that age (P < .0001), gender (P < .0001) and smoking (P < .05) were only significantly related. CONCLUSION. Older age, male gender and smoking were significant risk factor for the increase of CAL, and these may be useful indicators of periodontitis high-risk groups.
참고문헌 (36)
- Bouchard P, "Risk assessment for severe clinical attachment loss in an adult population", J Periodontol, 77, pp.479~489 (2006)
- Papapanou PN, "Epidemiology of periodontal diseases: an update", J Int Acad Periodontol, 1, pp.110~116 (1999)
- Reich E, "Reasons for tooth extraction in the western states of Germany", Community Dent Oral Epidemiol, 21, pp.379~383 (1993)
- Ministry of Helath & Welfare. Korea Centers for Disease Control and Prevention, "Statistics of National Health 2008", 66~ (2007)
- Southerland JH, "Commonality in chronic inflammatory diseases: periodontitis, diabetes, and coronary artery disease", Periodontol 2000, 40, pp.130~143 (2006)
- Kinane D, "Group E of European Workshop on Periodontology. Periodontal diseases and health: Consensus Report of the Sixth European Workshop on Periodontology", J Clin Periodontol, 35, pp.333~337 (2008)
- Raghavendran K, "Nursing homeassociated pneumonia, hospital-acquired pneumonia and ventilator-associated pneumonia: the contribution of dental biofilms and periodontal inflammation", Periodontol 2000, 44, pp.164~177 (2007)
- Kinane DF, "Causation and pathogenesis of periodontal disease", Periodontol 2000, 25, pp.8~20 (2001)
- Nunn ME, "Understanding the etiology of periodontitis: an overview of periodontal risk factors", Periodontol 2000, 32, pp.11~23 (2003)
- Albandar JM, "Global risk factors and risk indicators for periodontal diseases", Periodontol 2000, 29, pp.177~206 (2002)
- Holtfreter B, "Epidemiology of periodontal diseases in the Study of Health in Pomerania", J Clin Periodontol, 36, pp.114~123 (2009)
- Baelum V, "Relationship between CPITN and periodontal attachment loss findings in an adult population", J Clin Periodontol, 22, pp.146~152 (1995)
- Dye BA, "The relationship between selected measures of periodontal status and demographic and behavioural risk factors", J Clin Periodontol, 32, pp.798~808 (2005)
- Morris AJ, "The oral cleanliness and periodontal health of UK adults in 1998", Br Dent J, 191, pp.186~192 (2001)
- Dye BA, "Trends in oral health status: United States, 1988-1994 and 1999-2004", Vital Health Stat, 11, pp.1~92 (2007)
- Bourgeois D, "Epidemiology of periodontal status in dentate adults in France, 2002-2003", J Periodontal Res, 42, pp.219~227 (2007)
- Seabra RC, "Soares RV. Impact of clinical experience on the accuracy of probing depth measurements", Quintessence Int, 39, pp.559~565 (2008)
- Papapanou PN, "Periodontal status in relation to age and tooth type. A cross-sectional radiographic study", J Clin Periodontol, 15, pp.469~478 (1988)
- Kingman A, "Effect of partial recording protocols on severity estimates of periodontal disease", J Clin Periodontol, 35, pp.659~667 (2008)
- Beck JD, "Reducing the bias of probing depth and attachment level estimates using random partial-mouth recording", Community Dent Oral Epidemiol, 34, pp.1~10 (2006)
- Van Dyke TE, "Risk factors for periodontitis", J Int Acad Periodontol, 7, pp.3~7 (2005)
- Papapanou PN, "Considerations on the contribution of ageing to loss of periodontal tissue support", J Clin Periodontol, 18, pp.611~615 (1991)
- Genco RJ, "Current view of risk factors for periodontal diseases", J Periodontol, 67, pp.1041~1049 (1996)
- Susin C, "Periodontal attachment loss in an urban population of Brazilian adults: effect of demographic, behavioral, and environmental risk indicators", J Periodontol, 75, pp.1033~1041 (2004)
- Christensen LB, "Self-reported oral hygiene practices among adults in Denmark", Community Dent Health, 20, pp.229~235 (2003)
- Roberts-Thomson KF, "Access to dental care by young South Australian adults", Aust Dent J, 48, pp.169~174 (2003)
- Palmer RM, "Mechanisms of action of environmental factors-tobacco smoking", J Clin Periodontol, 32, pp.180~195 (2005)
- Borrell LN, "Analytical epidemiology of periodontitis", J Clin Periodontol, 32, pp.132~158 (2005)
- van Winkelhoff AJ, "Smoking affects the subgingival microflora in periodontitis", J Periodontol, 72, pp.666~671 (2001)
- Preshaw PM, "Cross-susceptibility between periodontal disease and type 2 diabetes mellitus: an immunobiological perspective", Periodontol 2000, 45, pp.138~157 (2007)
- Nishimura F, "The periodontal host response with diabetes", Periodontol 2000, 43, pp.245~253 (2007)
- Perlstein MI, "Influence of obesity and hypertension on the severity of periodontitis in rats", Oral Surg Oral Med Oral Pathol, 43, pp.707~719 (1977)
- Saito T, "Relationship between upper body obesity and periodontitis", J Dent Res, 80, pp.1631~1636 (2001)
- Reeves AF, "Total body weight and waist circumference associated with chronic periodontitis among adolescents in the United States", Arch Pediatr Adolesc Med, 160, pp.894~899 (2006)
- Saito T, "Metabolic disorders related to obesity and periodontal disease", Periodontol 2000, 43, pp.254~266 (2007)
- Khader YS, "The association between periodontal disease and obesity among adults in Jordan", J Clin Periodontol, 36, pp.18~24 (2009)