Risk factors and socioeconomic condition effects on periodontal and dental health: A pilot study among adults over fifty years of age
Identifieur interne : 002237 ( Main/Curation ); précédent : 002236; suivant : 002238Risk factors and socioeconomic condition effects on periodontal and dental health: A pilot study among adults over fifty years of age
Auteurs : Carlo Bertoldi [Italie] ; Michele Lalla [Italie] ; John Mauricio Pradelli [Italie] ; Pierpaolo Cortellini [Suisse] ; Andrea Lucchi [Italie] ; Davide Zaffe [Italie]Source :
- European Journal of Dentistry [ 1305-7456 ] ; 2013.
Abstract
Observational studies on the association among systemic/general and oral cavity indices, tooth loss, periodontal conditions, and socioeconomic inequalities are to be still performed in the population of Southern Europe. This study aims to determine the extent of this relationship among Italian healthy adults 50 years of age and above.
Socioeconomic and lifestyle characteristics, cardiovascular indicators, and systemic indices were examined by contrasting the dental indices among adult people of Northern Italy. Data were processed through correlation analysis, and multivariate analysis was carried out using seemingly unrelated regressions.
A total of 118 adults 50 years of age and above, after anamnesis, underwent systemic and dental examination. Their socioeconomic status was found to be inversely associated only with smoking and dental parameters. Unexpected outcomes between lifestyle and risk factors were detected. The statistical analysis showed an uneven correlation among dental indices and between those indices and the socioeconomic status, such as, a periodontal condition, apparently free from influences, unusually became worse as the socioeconomic status enhanced.
The study outcomes indicate a relationship between tooth loss and conservative endodontic therapy, but they result in alternative choices. Nevertheless, the socioeconomic status has an inverse relationship with tooth loss and conservative endodontic therapy, but a direct relation with worsening of the periodontal condition. This pilot study highlights a need for the public health administration to adopt a socioeconomic assessment not only based on the household income, but also to accordingly improve its therapeutic course.
Url:
DOI: 10.4103/1305-7456.115418
PubMed: 24926214
PubMed Central: 4053623
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first="Michele" last="Lalla">Michele Lalla</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Economics, Division of Statistics, University of Modena and Reggio Emilia, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Economics, Division of Statistics, University of Modena and Reggio Emilia, Modena</wicri:regionArea><wicri:noRegion>Modena</wicri:noRegion></affiliation></author><author><name sortKey="Pradelli, John Mauricio" sort="Pradelli, John Mauricio" uniqKey="Pradelli J" first="John Mauricio" last="Pradelli">John Mauricio Pradelli</name><affiliation wicri:level="1"><nlm:aff id="aff3">Old Age Service, Local Health Care Agency of Modena, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Old Age Service, Local Health Care Agency of Modena, Modena</wicri:regionArea><wicri:noRegion>Modena</wicri:noRegion></affiliation></author><author><name sortKey="Cortellini, Pierpaolo" sort="Cortellini, 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xml:lang="en" level="a" type="main">Risk factors and socioeconomic condition effects on periodontal and dental health: A pilot study among adults over fifty years of age</title><author><name sortKey="Bertoldi, Carlo" sort="Bertoldi, Carlo" uniqKey="Bertoldi C" first="Carlo" last="Bertoldi">Carlo Bertoldi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, Modena</wicri:regionArea><wicri:noRegion>Modena</wicri:noRegion></affiliation></author><author><name sortKey="Lalla, Michele" sort="Lalla, Michele" uniqKey="Lalla M" first="Michele" last="Lalla">Michele Lalla</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Economics, Division of Statistics, University of Modena and Reggio Emilia, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Economics, Division of Statistics, University of Modena and Reggio Emilia, Modena</wicri:regionArea><wicri:noRegion>Modena</wicri:noRegion></affiliation></author><author><name sortKey="Pradelli, John Mauricio" sort="Pradelli, John Mauricio" uniqKey="Pradelli J" first="John Mauricio" last="Pradelli">John Mauricio Pradelli</name><affiliation wicri:level="1"><nlm:aff id="aff3">Old Age Service, Local Health Care Agency of Modena, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Old Age Service, Local Health Care Agency of Modena, Modena</wicri:regionArea><wicri:noRegion>Modena</wicri:noRegion></affiliation></author><author><name sortKey="Cortellini, Pierpaolo" sort="Cortellini, Pierpaolo" uniqKey="Cortellini P" first="Pierpaolo" last="Cortellini">Pierpaolo Cortellini</name><affiliation wicri:level="3"><nlm:aff id="aff4">European Research Group on Periodontology (ERGOPERIO), Berne, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>European Research Group on Periodontology (ERGOPERIO), Berne</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName></affiliation></author><author><name sortKey="Lucchi, Andrea" sort="Lucchi, Andrea" uniqKey="Lucchi A" first="Andrea" last="Lucchi">Andrea Lucchi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, Modena</wicri:regionArea><wicri:noRegion>Modena</wicri:noRegion></affiliation></author><author><name sortKey="Zaffe, Davide" sort="Zaffe, Davide" uniqKey="Zaffe D" first="Davide" last="Zaffe">Davide Zaffe</name><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Biomedical, Metabolic, and Neural Sciences, Section of Human Morphology, University of Modena and Reggio Emilia, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical, Metabolic, and Neural Sciences, Section of Human Morphology, University of Modena and Reggio Emilia, Modena</wicri:regionArea><wicri:noRegion>Modena</wicri:noRegion></affiliation></author></analytic><series><title level="j">European Journal of Dentistry</title><idno type="ISSN">1305-7456</idno><idno type="eISSN">1305-7464</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Objective:</title><p>Observational studies on the association among systemic/general and oral cavity indices, tooth loss, periodontal conditions, and socioeconomic inequalities are to be still performed in the population of Southern Europe. This study aims to determine the extent of this relationship among Italian healthy adults 50 years of age and above.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Socioeconomic and lifestyle characteristics, cardiovascular indicators, and systemic indices were examined by contrasting the dental indices among adult people of Northern Italy. Data were processed through correlation analysis, and multivariate analysis was carried out using seemingly unrelated regressions.</p></sec><sec id="st3"><title>Results:</title><p>A total of 118 adults 50 years of age and above, after anamnesis, underwent systemic and dental examination. Their socioeconomic status was found to be inversely associated only with smoking and dental parameters. Unexpected outcomes between lifestyle and risk factors were detected. The statistical analysis showed an uneven correlation among dental indices and between those indices and the socioeconomic status, such as, a periodontal condition, apparently free from influences, unusually became worse as the socioeconomic status enhanced.</p></sec><sec id="st4"><title>Conclusions:</title><p>The study outcomes indicate a relationship between tooth loss and conservative endodontic therapy, but they result in alternative choices. Nevertheless, the socioeconomic status has an inverse relationship with tooth loss and conservative endodontic therapy, but a direct relation with worsening of the periodontal condition. This pilot study highlights a need for the public health administration to adopt a socioeconomic assessment not only based on the household income, but also to accordingly improve its therapeutic course.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Albandar, J" uniqKey="Albandar J">J Albandar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Borrell, L" uniqKey="Borrell L">L Borrell</name></author><author><name sortKey="Burt, B" uniqKey="Burt B">B Burt</name></author><author><name sortKey="Neighbors, H" uniqKey="Neighbors H">H Neighbors</name></author><author><name sortKey="Taylor, G" uniqKey="Taylor G">G Taylor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mack, F" uniqKey="Mack F">F Mack</name></author><author><name sortKey="Mojon, P" uniqKey="Mojon P">P Mojon</name></author><author><name sortKey="Budtz J Rgensen, E" uniqKey="Budtz J Rgensen E">E 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León-Viedas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bernabe, E" uniqKey="Bernabe E">E Bernabé</name></author><author><name sortKey="Suominen, Al" uniqKey="Suominen A">AL Suominen</name></author><author><name sortKey="Nordblad, A" uniqKey="Nordblad A">A Nordblad</name></author><author><name sortKey="Vehkalahti, Mm" uniqKey="Vehkalahti M">MM Vehkalahti</name></author><author><name sortKey="Hausen, H" uniqKey="Hausen H">H Hausen</name></author><author><name sortKey="Knuuttila, M" uniqKey="Knuuttila M">M Knuuttila</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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