Influence of risk factors on the pathogenesis of periodontitis

Salvi, Giovanni E.; Lawrence, Herenia P.; Offenbacher, Steven; Beck, James D.

doi:10.1111/j.1600-0757.1997.tb00197.x

Cited by 229 publications

(187 citation statements)

References 285 publications

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“…Diabetes mellitus, smoking and certain microorganisms in the dental biofilm are considered risk factors of periodontal breakdown 25 . Although other periodontitis risk indicators have been studied (for instance: stress, osteoporosis and genetic factors), few analytical epidemiological studies have been conducted establishing the relationship between obesity and periodontitis and using the clinical periodontal attachment loss parameter as the outcome factor 3,28 .…”

Section: Discussionmentioning

confidence: 99%

Obesity and periodontal disease in diabetic pregnant women

et al. 2005

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ABSTRACT:This cross-sectional study investigated the impact of pregestational overweight and obesity on periodontal status of patients with gestational diabetes mellitus (GDM). Sixty pregnant women with gestational diabetes mellitus (GDM) were recruited for the study. According to the pregestational body mass index (BMI), patients were classified into 3 groups: normal, overweight or obese. The periodontal assessment parameters were the presence of gingival bleeding (GB) and bleeding on probing (BOP) per tooth. Clinical attachment loss (CAL) was assessed per tooth and classified according to following values: 1) absence of attachment loss; 2) between 1 and 2 mm, 3) between 3 and 5 mm; and 4) CAL ≥ 6 mm. The means of individual percentage of teeth with GB and BOP and the means of the individual classified values of CAL were compared through ANOVA. Differences between the groups were established through post hoc Bonferroni test for multiple comparisons (p < 0.05). The analysis revealed significant differences between the normal group and the obese group considering GB (52.76% ± 27.99% and 78.85% ± 27.44%, respectively) and CAL (2.21 ± 0.41 and 2.61 ± 0.54, respectively). Although an increase was found in BOP as the BMI increased (ranging from 55.65% to 75.31%), no statistically significant differences were found among the groups. Patients with GDM and pregestational obesity had significantly more gingivitis and periodontal attachment loss that those with normal pregestational BMI. Periodontal treatment should be considered in the establishment of future recommendations for metabolic control for this special group of patients. DESCRIPTORS: Diabetes, gestational; Obesity; Gingivitis; Periodontitis; Oral manifestations. RESUMO:O objetivo do presente estudo foi examinar o efeito da massa corporal prévia à gestação (IMC -índice de massa corpórea) sobre o periodonto de pacientes com diabete mellitus gestacional (DMG). A amostra constituiu-se de 60 gestantes classificadas em 3 grupos segundo o IMC: normal, sobrepeso ou obeso. Os parâmetros de avaliação periodontal foram sangramento gengival (SG), sangramento à sondagem (SS) e perda de inserção clínica periodontal (PI) categorizada de acordo com os seguintes valores: 1) correspondente à ausência de perda de inserção; 2) PI entre 1 e 2 mm, 3) PI entre 3 e 5 mm; e 4) PI ≥ 6 mm. Médias das porcentagens dos dentes com SG e SS e as médias dos valores categorizados, por dente, da perda de inserção foram comparadas por meio do teste ANOVA e as diferenças entre os grupos foram estabelecidas por meio do teste post hoc de Bonferroni para comparações múltiplas (p < 0,05). Diferenças estatisticamente significantes foram identificadas entre o grupo normal e obeso com relação às médias percentuais da presença de SG (52,76 ± 27,99% e 78,85 ± 27,44%, respectivamente) e às médias da categorização da PI (2,21 ± 0,41 mm e 2,61 ± 0,54 mm, respectivamente). Embora tenha se observado aumento no percentual médio de SS à medida do incremento do IMC, não foram observadas diferenças estatisticament...

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Section: Discussionmentioning

confidence: 99%

Obesity and periodontal disease in diabetic pregnant women

et al. 2005

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“…They acknowledged that while poor interdental oral hygiene remained an important factor in the onset of periodontitis, smoking appeared to be directly related to periodontitis, independent of other factors such as age, sex, race, oral hygiene or socio-economic status. 27,28 Salvi et al 27 concluded that smoking was an independent risk factor for periodontitis, with cigarette smokers more than five times more likely to develop severe periodontitis than non-smokers. The level of risk was proportional to the number of pack-years (pack-years refers to the number of packs per week multiplied by 52 multiplied by the number of years of smoking).…”

Section: Relationship Between Smoking and Periodontal Diseasementioning

confidence: 99%

“…Localised gingival recession and attachment loss at specific sites have been attributed to the use of chewable tobacco products. 27,35 There is also a link between smokeless tobacco with leukoplakia 35,36 and oral carcinomas. 37 No differences in periodontal indices could be found between periodontitis sufferers and the method of smoking.…”

Section: Relationship Between Smoking and Periodontal Diseasementioning

confidence: 99%

Poor patient awareness of the relationship between smoking and periodontal diseases

Lung¹,

Kelleher²,

Porter³

et al. 2005

Br Dent J

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“…It is clear that the risk of periodontal disease varies greatly from one patient to another. [4][5][6][7][8] Today many practitioners are providing better and more complete service to their patients because they are beginning to incorporate the principles of the information-intense medical model. 9 Changes in our political and social structure have affected how health care is being managed.…”

Section: Introductionmentioning

confidence: 99%

The Role of Genetic Predisposition in Diagnosis and Therapy of Periodontal Diseases in Type 1 Diabetes Mellitus

Albrecht¹

2011

Type 1 Diabetes Complications

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Influence of risk factors on the pathogenesis of periodontitis

Cited by 229 publications

References 285 publications

Obesity and periodontal disease in diabetic pregnant women

Obesity and periodontal disease in diabetic pregnant women

Poor patient awareness of the relationship between smoking and periodontal diseases

The Role of Genetic Predisposition in Diagnosis and Therapy of Periodontal Diseases in Type 1 Diabetes Mellitus

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