Risk assessment for clinical attachment loss of periodontal tissue in Korean adults

Abstract

PURPOSEThe 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 METHODSData 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.RESULTSThe prevalences of clinical attachment between 1 and 3 mm, between 3 and < 5 mm, and ≥ 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.CONCLUSIONOlder 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.

Tobacco‐induced suppression of the vascular response to dental plaque

“…Cigarette use is a, or perhaps the, major risk factor for destructive forms of periodontal disease . Tobacco use has been associated with increased disease progression and severity, as well as with refractory disease .…”

“…Cigarette use is a, or perhaps the, major risk factor for destructive forms of periodontal disease. 1,2 Tobacco use has been associated with increased disease progression and severity, as well as with refractory disease. 3,4 Risk appears dose-related 1,5,6 while environmental smoke exposure may also be associated with increased risk of destructive forms of periodontitis.…”

Severe Loss of Clinical Attachment Level: An Independent Association With Low Hip Bone Mineral Density in Postmenopausal Females

“…In addition, our sample was homogeneous because only females were included. The homogeneity of the sample is relevant because sex is known to influence the development of periodontal diseases 27,28 . We also included postmenopausal females ≤73 years of age because older age is another contributor to periodontal diseases 19 …”

“…The homogeneity of the sample is relevant because sex is known to influence the development of periodontal dis-eases. 27,28 We also included postmenopausal females £73 years of age because older age is another contributor to periodontal diseases. 19 In contrast to other studies in the literature, 21,22 we used very strict inclusion criteria, which excluded many conditions that could potentially confound our results.…”

Safe rebuilding of the periodontal loss an experimental study

“…It is assumed that this problem affects from 16.7% to 98.9% of the adult population [1][2][3]. The development of periodontal disease contributes to the creation of bone defects and loss of attachment.…”