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Etiologic models for incident periodontal attachment loss in older adults

Identifieur interne : 009425 ( Main/Exploration ); précédent : 009424; suivant : 009426

Etiologic models for incident periodontal attachment loss in older adults

Auteurs : John R. Elter [États-Unis] ; James D. Beck [États-Unis] ; Gary D. Slade [États-Unis] ; Steven Offenbacher [États-Unis]

Source :

RBID : ISTEX:BE3439BB627FF7FC073F5447F16DBAD8CDA6ADE9

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English descriptors

Abstract

Abstract. Etiologic factors for incident periodontal attachment loss (ALOSS) have not been conclusively identified. The purpose of this study was to develop etiologic models for ALOSS in older adults. Data on 697 older blacks and whites were obtained from 5 sequential examinations over 7 years in the Piedmont 65+ dental study, a complex random sample of older adults in North Carolina. Multivariable Poisson regression models were fit for average number of ALOSS events per person or site month at risk. In models for whites, molar sites, sites with adjacent caries, sites in persons who had: Porphyromonas gingivalis (P.g.) at least 2% of total microbial count (TMC), never had a dental checkup, more depression symptoms, fewer than 12 years of education, higher BANA score, or smoked, had significantly higher rates of ALOSS. In a separate model for blacks, interproximal and molar sites, sites in blacks who had: P.g. at least 2% of TMC, higher BANA score, never had a dental checkup, lower socioeconomic status (SES), or smoked, had significantly higher rates of ALOSS. These results confirm a multifactorial etiology for ALOSS in older adults and indicate that interventions aimed at infection, smoking, and preventive dental care utilization, may be most useful.

Url:
DOI: 10.1034/j.1600-051X.1999.260209.x


Affiliations:


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Le document en format XML

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<term>Actinomycetemcomitans</term>
<term>Adult periodontitis</term>
<term>Adultes ages</term>
<term>Aloss</term>
<term>Aloss event</term>
<term>Aloss events</term>
<term>Aloss progression</term>
<term>Alteren erwachsenen</term>
<term>Attachment</term>
<term>Attachment loss</term>
<term>Attachment loss table</term>
<term>Average incidence densities</term>
<term>Average incidence density rates</term>
<term>Average number</term>
<term>Bacterial colonization</term>
<term>Bana</term>
<term>Bana score</term>
<term>Baseline</term>
<term>Beck</term>
<term>Burt eklund</term>
<term>Caries</term>
<term>Causal chain</term>
<term>Certain factors</term>
<term>Cesd</term>
<term>Cesd depression score</term>
<term>Checkup</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Colonization</term>
<term>Comm dent</term>
<term>Complex sampling design</term>
<term>Continuous variables</term>
<term>Coronal caries</term>
<term>Deeper pockets</term>
<term>Dent</term>
<term>Dental care</term>
<term>Dental checkup</term>
<term>Dental study</term>
<term>Depression symptoms</term>
<term>Design effects</term>
<term>Destructive periodontitis</term>
<term>Disease progression</term>
<term>Dontalen stutzgewebeverlustes</term>
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<term>Etiologic</term>
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<term>Etiologic fraction</term>
<term>Etiologic models</term>
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<term>Gingivalis</term>
<term>Greater incidence density</term>
<term>Higher bana score</term>
<term>Higher depression scores</term>
<term>Higher rates</term>
<term>Human services</term>
<term>Immune response</term>
<term>Incidence</term>
<term>Incidence densities</term>
<term>Incidence density</term>
<term>Incidence density methodology</term>
<term>Incidence density rates</term>
<term>Incidence density ratio</term>
<term>Incidence density strategy</term>
<term>Incidenz paro</term>
<term>Intermedia</term>
<term>Interval</term>
<term>Jamais fait examiner leurs dents</term>
<term>Koch</term>
<term>Loesche</term>
<term>Longitudinal data</term>
<term>Longitudinal study</term>
<term>Lower incidence density</term>
<term>Lower levels</term>
<term>Major depression</term>
<term>Major depressive disorder</term>
<term>Measurement error</term>
<term>Mesiobuccal sites</term>
<term>Modeling</term>
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<term>Molar teeth</term>
<term>Month examination</term>
<term>Month interval</term>
<term>More depression symptoms</term>
<term>More years</term>
<term>Multivariable</term>
<term>Multivariable models</term>
<term>Multivariable poisson regression model</term>
<term>Multivariable poisson regression models</term>
<term>Natural history</term>
<term>Observation time</term>
<term>Older adults</term>
<term>Older blacks</term>
<term>Oral health</term>
<term>Oral hygiene</term>
<term>Other factors</term>
<term>Periodontal</term>
<term>Periodontal attachment loss</term>
<term>Periodontal disease</term>
<term>Periodontal disease progression</term>
<term>Periodontal diseases</term>
<term>Periodontal health</term>
<term>Periodontal status</term>
<term>Periodontitis</term>
<term>Periodontol</term>
<term>Person level</term>
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<term>Poisson</term>
<term>Poisson regression models</term>
<term>Porphyromonas gingivalis</term>
<term>Potential etiologic factors</term>
<term>Predictive models</term>
<term>Present study</term>
<term>Preventive behaviors</term>
<term>Previous studies</term>
<term>Progression</term>
<term>Psychosocial factors</term>
<term>Refractory periodontitis</term>
<term>Risk factor</term>
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<term>Risk indicators</term>
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<term>Score bana eleve</term>
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<term>Standard deviation</term>
<term>Standard deviations</term>
<term>Standard errors</term>
<term>Subsequent interval</term>
<term>Sudaanc</term>
<term>Tobacco smoking</term>
<term>Tooth mobility</term>
<term>Weighted poisson regression</term>
<term>Whites blacks</term>
<term>Whites variances</term>
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<term>Actinobacillus actinomycetemcomitans</term>
<term>Actinomycetemcomitans</term>
<term>Adult periodontitis</term>
<term>Adultes ages</term>
<term>Aloss</term>
<term>Aloss event</term>
<term>Aloss events</term>
<term>Aloss progression</term>
<term>Alteren erwachsenen</term>
<term>Attachment</term>
<term>Attachment loss</term>
<term>Attachment loss table</term>
<term>Average incidence densities</term>
<term>Average incidence density rates</term>
<term>Average number</term>
<term>Bacterial colonization</term>
<term>Bana</term>
<term>Bana score</term>
<term>Baseline</term>
<term>Beck</term>
<term>Burt eklund</term>
<term>Caries</term>
<term>Causal chain</term>
<term>Certain factors</term>
<term>Cesd</term>
<term>Cesd depression score</term>
<term>Checkup</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Colonization</term>
<term>Comm dent</term>
<term>Complex sampling design</term>
<term>Continuous variables</term>
<term>Coronal caries</term>
<term>Deeper pockets</term>
<term>Dent</term>
<term>Dental care</term>
<term>Dental checkup</term>
<term>Dental study</term>
<term>Depression symptoms</term>
<term>Design effects</term>
<term>Destructive periodontitis</term>
<term>Disease progression</term>
<term>Dontalen stutzgewebeverlustes</term>
<term>Elter</term>
<term>Etiologic</term>
<term>Etiologic factors</term>
<term>Etiologic fraction</term>
<term>Etiologic models</term>
<term>Etiologic role</term>
<term>Etiology</term>
<term>Females males months months</term>
<term>Gingival recession</term>
<term>Gingivalis</term>
<term>Greater incidence density</term>
<term>Higher bana score</term>
<term>Higher depression scores</term>
<term>Higher rates</term>
<term>Human services</term>
<term>Immune response</term>
<term>Incidence</term>
<term>Incidence densities</term>
<term>Incidence density</term>
<term>Incidence density methodology</term>
<term>Incidence density rates</term>
<term>Incidence density ratio</term>
<term>Incidence density strategy</term>
<term>Incidenz paro</term>
<term>Intermedia</term>
<term>Interval</term>
<term>Jamais fait examiner leurs dents</term>
<term>Koch</term>
<term>Loesche</term>
<term>Longitudinal data</term>
<term>Longitudinal study</term>
<term>Lower incidence density</term>
<term>Lower levels</term>
<term>Major depression</term>
<term>Major depressive disorder</term>
<term>Measurement error</term>
<term>Mesiobuccal sites</term>
<term>Modeling</term>
<term>Molar</term>
<term>Molar sites</term>
<term>Molar teeth</term>
<term>Month examination</term>
<term>Month interval</term>
<term>More depression symptoms</term>
<term>More years</term>
<term>Multivariable</term>
<term>Multivariable models</term>
<term>Multivariable poisson regression model</term>
<term>Multivariable poisson regression models</term>
<term>Natural history</term>
<term>Observation time</term>
<term>Older adults</term>
<term>Older blacks</term>
<term>Oral health</term>
<term>Oral hygiene</term>
<term>Other factors</term>
<term>Periodontal</term>
<term>Periodontal attachment loss</term>
<term>Periodontal disease</term>
<term>Periodontal disease progression</term>
<term>Periodontal diseases</term>
<term>Periodontal health</term>
<term>Periodontal status</term>
<term>Periodontitis</term>
<term>Periodontol</term>
<term>Person level</term>
<term>Piedmont</term>
<term>Poisson</term>
<term>Poisson regression models</term>
<term>Porphyromonas gingivalis</term>
<term>Potential etiologic factors</term>
<term>Predictive models</term>
<term>Present study</term>
<term>Preventive behaviors</term>
<term>Previous studies</term>
<term>Progression</term>
<term>Psychosocial factors</term>
<term>Refractory periodontitis</term>
<term>Risk factor</term>
<term>Risk factors</term>
<term>Risk indicators</term>
<term>Same person</term>
<term>Score bana eleve</term>
<term>Score duncan</term>
<term>Site level</term>
<term>Site location</term>
<term>Sites chez</term>
<term>Standard deviation</term>
<term>Standard deviations</term>
<term>Standard errors</term>
<term>Subsequent interval</term>
<term>Sudaanc</term>
<term>Tobacco smoking</term>
<term>Tooth mobility</term>
<term>Weighted poisson regression</term>
<term>Whites blacks</term>
<term>Whites variances</term>
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<front>
<div type="abstract" xml:lang="en">Abstract. Etiologic factors for incident periodontal attachment loss (ALOSS) have not been conclusively identified. The purpose of this study was to develop etiologic models for ALOSS in older adults. Data on 697 older blacks and whites were obtained from 5 sequential examinations over 7 years in the Piedmont 65+ dental study, a complex random sample of older adults in North Carolina. Multivariable Poisson regression models were fit for average number of ALOSS events per person or site month at risk. In models for whites, molar sites, sites with adjacent caries, sites in persons who had: Porphyromonas gingivalis (P.g.) at least 2% of total microbial count (TMC), never had a dental checkup, more depression symptoms, fewer than 12 years of education, higher BANA score, or smoked, had significantly higher rates of ALOSS. In a separate model for blacks, interproximal and molar sites, sites in blacks who had: P.g. at least 2% of TMC, higher BANA score, never had a dental checkup, lower socioeconomic status (SES), or smoked, had significantly higher rates of ALOSS. These results confirm a multifactorial etiology for ALOSS in older adults and indicate that interventions aimed at infection, smoking, and preventive dental care utilization, may be most useful.</div>
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