Tooth loss and periodontitis by socio-economic status and inflammation in a longitudinal population-based study.

Autor:	Buchwald, Sabine, Kocher, Thomas, Biffar, Reiner, Harb, Ali, Holtfreter, Birte, Meisel, Peter
Předmět:	TOOTH loss ACADEMIC medical centers PERIODONTITIS C-reactive protein CHI-squared test CONFIDENCE intervals DATABASES INFLAMMATION INTERVIEWING MULTIVARIATE analysis PERIODONTIUM examination POISSON distribution QUESTIONNAIRES REGRESSION analysis RESEARCH funding STATISTICS U-statistics SOCIOECONOMIC factors EQUIPMENT & supplies RELATIVE medical risk SEVERITY of illness index DATA analysis software DESCRIPTIVE statistics PROGNOSIS DISEASE risk factors
Zdroj:	Journal of Clinical Periodontology; Mar2013, Vol. 40 Issue 3, p203-211, 9p, 6 Charts
Abstrakt:	Aim To examine the associations between factors of socio-economic status ( SES), systemic inflammation and the progression of periodontitis and incidence of tooth loss. Material and Methods Data of 2566 participants from the Study of Health in Pomerania ( SHIP) with a 5-year follow-up were analysed. We evaluated attachment loss and tooth loss with regard to social variables including education, income, marital status and related risks such as smoking and obesity. Results Socio-economic factors were associated with the progression of attachment level and tooth loss during the follow-up period. Low education and low income were associated with tooth loss (incidence risk ratio IRR 1.63, p < 0.001 and 1.25, p < 0.001 respectively) and also progression of mean clinical attachment level ( p < 0.010 and p = 0.046 respectively). SES as well as smoking and obesity were also associated with increased levels of C-reactive protein ( CRP) with effect modifications between SES factors and CRP, also between gender and marital status. Tooth loss was associated with disadvantageous SES, particularly under conditions of high CRP levels ( p < 0.001). Conclusions The progression of periodontal disease is influenced by socio-economic factors. Effect modifications of socio-behavioural factors by CRP indicate that under conditions of systemic inflammation adverse SES effects may be aggravated. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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