The Journal of Advanced Prosthodontics

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Risk assessment for clinical attachment loss of periodontal tissue in Korean adults

  • Rheu, Gun-Bak (Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University) ;
  • Ji, Suk (Department of Periodontology, Anam Hospital, Korea University) ;
  • Ryu, Jae-Jun (Medical College Dept. of Dentistry, Korea University) ;
  • Lee, Jung-Bok (Institute of Human Genetics, College of Medicine, Korea University) ;
  • Shin, Chol (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Lee, Jeong-Yol (Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University) ;
  • Huh, Jung-Bo (Department of Prosthodontics, Graduate School of Dentistry, Pusan National University) ;
  • Shin, Sang-Wan (Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University)
  • Received : 2011.02.08
  • Accepted : 2011.03.11
  • Published : 2011.03.31
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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 ${\geq}$ 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.

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References

  1. Bouchard P, Boutouyrie P, Mattout C, Bourgeois D. Risk assessment for severe clinical attachment loss in an adult population. J Periodontol 2006;77:479-89. https://doi.org/10.1902/jop.2006.050128
  2. Papapanou PN. Epidemiology of periodontal diseases: an update. J Int Acad Periodontol 1999;1:110-6.
  3. Reich E, Hiller KA. Reasons for tooth extraction in the western states of Germany. Community Dent Oral Epidemiol 1993;21:379-83. https://doi.org/10.1111/j.1600-0528.1993.tb01103.x
  4. Ministry of Helath & Welfare. Korea Centers for Disease Control and Prevention. 2007 Statistics of National Health 2008. p. 66.
  5. Southerland JH, Taylor GW, Moss K, Beck JD, Offenbacher S. Commonality in chronic inflammatory diseases: periodontitis, diabetes, and coronary artery disease. Periodontol 2000 2006;40:130-43. https://doi.org/10.1111/j.1600-0757.2005.00138.x
  6. Kinane D, Bouchard P; Group E of European Workshop on Periodontology. Periodontal diseases and health: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol 2008;35:333-7.
  7. Raghavendran K, Mylotte JM, Scannapieco FA. Nursing homeassociated pneumonia, hospital-acquired pneumonia and ventilator- associated pneumonia: the contribution of dental biofilms and periodontal inflammation. Periodontol 2000 2007;44:164-77. https://doi.org/10.1111/j.1600-0757.2006.00206.x
  8. Kinane DF. Causation and pathogenesis of periodontal disease. Periodontol 2000 2001;25:8-20. https://doi.org/10.1034/j.1600-0757.2001.22250102.x
  9. Nunn ME. Understanding the etiology of periodontitis: an overview of periodontal risk factors. Periodontol 2000 2003;32:11-23. https://doi.org/10.1046/j.0906-6713.2002.03202.x
  10. Albandar JM. Global risk factors and risk indicators for periodontal diseases. Periodontol 2000 2002;29:177-206. https://doi.org/10.1034/j.1600-0757.2002.290109.x
  11. Holtfreter B, Schwahn C, Biffar R, Kocher T. Epidemiology of periodontal diseases in the Study of Health in Pomerania. J Clin Periodontol 2009;36:114-23. https://doi.org/10.1111/j.1600-051X.2008.01361.x
  12. Baelum V, Manji F, Wanzala P, Fejerskov O. Relationship between CPITN and periodontal attachment loss findings in an adult population. J Clin Periodontol 1995;22:146-52.
  13. Dye BA, Selwitz RH. The relationship between selected measures of periodontal status and demographic and behavioural risk factors. J Clin Periodontol 2005;32:798-808. https://doi.org/10.1111/j.1600-051X.2005.00742.x
  14. Morris AJ, Steele J, White DA. The oral cleanliness and periodontal health of UK adults in 1998. Br Dent J 2001;191:186-92.
  15. Dye BA, Tan S, Smith V, Lewis BG, Barker LK, Thornton-Evans G, Eke PI, Beltra′n-Aguilar ED, Horowitz AM, Li CH. Trends in oral health status: United States, 1988-1994 and 1999-2004. Vital Health Stat 2007;11:1-92.
  16. Bourgeois D, Bouchard P, Mattout C. Epidemiology of periodontal status in dentate adults in France, 2002-2003. J Periodontal Res 2007;42:219-27. https://doi.org/10.1111/j.1600-0765.2006.00936.x
  17. Seabra RC, Costa FO, Costa JE, Van Dyke T, Soares RV. Impact of clinical experience on the accuracy of probing depth measurements. Quintessence Int 2008;39:559-65.
  18. Papapanou PN, Wennstro¨m JL, Gro¨ndahl K. Periodontal status in relation to age and tooth type. A cross-sectional radiographic study. J Clin Periodontol 1988;15:469-78. https://doi.org/10.1111/j.1600-051X.1988.tb01602.x
  19. Kingman A, Susin C, Albandar JM. Effect of partial recording protocols on severity estimates of periodontal disease. J Clin Periodontol 2008;35:659-67. https://doi.org/10.1111/j.1600-051X.2008.01243.x
  20. Beck JD, Caplan DJ, Preisser JS, Moss K. Reducing the bias of probing depth and attachment level estimates using random partial- mouth recording. Community Dent Oral Epidemiol 2006;34:1-10. https://doi.org/10.1111/j.1600-0528.2006.00252.x
  21. Van Dyke TE, Sheilesh D. Risk factors for periodontitis. J Int Acad Periodontol 2005;7:3-7.
  22. Papapanou PN, Lindhe J, Sterrett JD, Eneroth L. Considerations on the contribution of ageing to loss of periodontal tissue support. J Clin Periodontol 1991;18:611-5. https://doi.org/10.1111/j.1600-051X.1991.tb00098.x
  23. Genco RJ. Current view of risk factors for periodontal diseases. J Periodontol 1996;67:1041-9.
  24. Susin C, Dalla Vecchia CF, Oppermann RV, Haugejorden O, Albandar JM. Periodontal attachment loss in an urban population of Brazilian adults: effect of demographic, behavioral, and environmental risk indicators. J Periodontol 2004;75:1033-41. https://doi.org/10.1902/jop.2004.75.7.1033
  25. Christensen LB, Petersen PE, Krustrup U, Kj􀝚ller M. Self-reported oral hygiene practices among adults in Denmark. Community Dent Health 2003;20:229-35.
  26. Roberts-Thomson KF, Stewart JF. Access to dental care by young South Australian adults. Aust Dent J 2003;48:169-74. https://doi.org/10.1111/j.1834-7819.2003.tb00027.x
  27. Palmer RM, Wilson RF, Hasan AS, Scott DA. Mechanisms of action of environmental factors-tobacco smoking. J Clin Periodontol 2005;32:180-95. https://doi.org/10.1111/j.1600-051X.2005.00786.x
  28. Borrell LN, Papapanou PN. Analytical epidemiology of periodontitis. J Clin Periodontol 2005;32:132-58. https://doi.org/10.1111/j.1600-051X.2005.00799.x
  29. van Winkelhoff AJ, Bosch-Tijhof CJ, Winkel EG, van der Reijden WA. Smoking affects the subgingival microflora in periodontitis. J Periodontol 2001;72:666-71. https://doi.org/10.1902/jop.2001.72.5.666
  30. Preshaw PM, Foster N, Taylor JJ. Cross-susceptibility between periodontal disease and type 2 diabetes mellitus: an immunobiological perspective. Periodontol 2000 2007;45:138-57. https://doi.org/10.1111/j.1600-0757.2007.00221.x
  31. Nishimura F, Iwamoto Y, Soga Y. The periodontal host response with diabetes. Periodontol 2000 2007;43:245-53. https://doi.org/10.1111/j.1600-0757.2006.00171.x
  32. Perlstein MI, Bissada NF. Influence of obesity and hypertension on the severity of periodontitis in rats. Oral Surg Oral Med Oral Pathol 1977;43:707-19. https://doi.org/10.1016/0030-4220(77)90055-X
  33. Saito T, Shimazaki Y, Koga T, Tsuzuki M, Ohshima A. Relationship between upper body obesity and periodontitis. J Dent Res 2001;80:1631-6. https://doi.org/10.1177/00220345010800070701
  34. Reeves AF, Rees JM, Schiff M, Hujoel P. Total body weight and waist circumference associated with chronic periodontitis among adolescents in the United States. Arch Pediatr Adolesc Med 2006;160:894-9. https://doi.org/10.1001/archpedi.160.9.894
  35. Saito T, Shimazaki Y. Metabolic disorders related to obesity and periodontal disease. Periodontol 2000 2007;43:254-66. https://doi.org/10.1111/j.1600-0757.2006.00186.x
  36. Khader YS, Bawadi HA, Haroun TF, Alomari M, Tayyem RF. The association between periodontal disease and obesity among adults in Jordan. J Clin Periodontol 2009;36:18-24. https://doi.org/10.1111/j.1600-051X.2008.01345.x

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