Natural history of periodontitis: Disease progression and tooth loss over 40 years
| Autor: | Martina Lulic, Niklaus P. Lang, Christoph A. Ramseier, Walter Bürgin, Mary Dulac, Mary P. Cullinan, Age Anerud, Gregory J. Seymour, Malcolm J. Faddy, Marc Schätzle |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Time Factors Adolescent Dental Plaque Dentistry Sensitivity and Specificity 03 medical and health sciences Habits Tooth Loss Young Adult 0302 clinical medicine stomatognathic system Periodontal disease Risk Factors Periodontal Attachment Loss medicine Tooth loss Humans Dental Calculus 030212 general & internal medicine Longitudinal Studies Periodontitis Areca Periodontal Diseases Orthodontics business.industry Jaw Edentulous Partially Disease progression Smoking 030206 dentistry medicine.disease Gingivitis Markov Chains Natural history stomatognathic diseases Logistic Models Clinical attachment loss embryonic structures Chronic Periodontitis Disease Progression Periodontics Hong Kong Smoking Cessation medicine.symptom Mouth Edentulous Periodontal Index business |
| Zdroj: | Journal of clinical periodontology. 44(12) |
| ISSN: | 1600-051X |
| Popis: | To assess long-term attachment and periodontitis-related tooth loss (PTL) in untreated periodontal disease over 40 years.Data originated from the natural history of periodontitis study in Sri Lankan tea labourers first examined in 1970. In 2010, 75 subjects (15.6%) of the original cohort were re-examined.PTL over 40 years varied between 0 and 28 teeth (mean 13.1). Four subjects presented with no PTL, while 12 were edentulous. Logistic regression revealed attachment loss as a statistically significant covariate for PTL (p .004). Markov chain analysis showed that smoking and calculus were associated with disease initiation and that calculus, plaque, and gingivitis were associated with loss of attachment and progression to advanced disease. Mean attachment loss1.81 mm at the age of 30 yielded highest sensitivity and specificity (0.71) to allocate subjects into a cohort with a dentition of at least 20 teeth at 60 years of age.These results highlight the importance of treating early periodontitis along with smoking cessation, in those under 30 years of age. They further show that calculus removal, plaque control, and the control of gingivitis are essential in preventing disease progression, further loss of attachment and ultimately tooth loss. |
| Databáze: | OpenAIRE |
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