2003
DOI: 10.1034/j.1600-051x.2003.00414.x
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Clinical course of chronic periodontitis

Abstract: This study has shown that, as men approach 60 years of age, gingival sites that throughout the 26 years of observation bled on probing had approximately 70% more attachment loss than sites that were consistently non-inflamed (GI = 0). Before 40 years of age, there was a slight increase in periodontal attachment loss due to pocket formation, but after this, the frequency increased significantly. Loss of attachment due to gingival recession was very small in all three groups. The fact that sites with non-inflame… Show more

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Cited by 196 publications
(231 citation statements)
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“…Both susceptibility to gingivitis and susceptibility to periodontitis represent subject-level phenomena. This is an important difference compared with studies that aim to determine whether gingivitis precedes periodontitis in the pathogenesis of periodontal disease, where the local, site-level relationship between the two conditions is of primary interest (Albandar et al, 1998;Schatzle et al, 2003). How ever, the assessment of gingivitis susceptibility has to account for tooth-specific determinants of gingivitis, e.g., plaque and calculus.…”
Section: Discussionmentioning
confidence: 95%
“…Both susceptibility to gingivitis and susceptibility to periodontitis represent subject-level phenomena. This is an important difference compared with studies that aim to determine whether gingivitis precedes periodontitis in the pathogenesis of periodontal disease, where the local, site-level relationship between the two conditions is of primary interest (Albandar et al, 1998;Schatzle et al, 2003). How ever, the assessment of gingivitis susceptibility has to account for tooth-specific determinants of gingivitis, e.g., plaque and calculus.…”
Section: Discussionmentioning
confidence: 95%
“…1 Over time, chronic gingivitis can lead to loss of periodontal attachment in certain individuals. 2 Epidemiological studies have revealed that advanced destructive periodontal disease is present in 5% to 15% of the population, with severe periodontal breakdown most common in individuals over the age of 40 years. 3 The prevalence of periodontal disease in young individuals has been studied in diverse populations.…”
Section: Introductionmentioning
confidence: 99%
“…23,24 There are, however, indications that the long-term presence of gingivitis is associated with increased attachment loss. 39 In fact, gingivitis and periodontitis are considered a continuum of the same disease. 21 These observations point out for a renewed interest in the preventive measures for gingivitis.…”
Section: Introductionmentioning
confidence: 99%