Risk factors for tooth loss over a 28-year period.
Identifieur interne : 00B790 ( Main/Exploration ); précédent : 00B789; suivant : 00B791Risk factors for tooth loss over a 28-year period.
Auteurs : B A Burt ; A I Ismail ; E C Morrison ; E D BeltranSource :
- Journal of dental research [ 0022-0345 ] ; 1990.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Attache épithéliale (anatomopathologie), Bouche édentée (épidémiologie), Bouche édentée (étiologie), Chute dentaire (épidémiologie), Chute dentaire (étiologie), Enquêtes de santé dentaire, Enquêtes et questionnaires, Facteurs de risque, Humains, Maladies parodontales (anatomopathologie), Maladies parodontales (épidémiologie), Michigan (épidémiologie), Modèles logistiques, Mâchoire partiellement édentée (épidémiologie), Mâchoire partiellement édentée (étiologie), Odds ratio, Études de cohortes, Études de suivi.
- MESH :
- anatomopathologie : Attache épithéliale, Maladies parodontales.
- épidémiologie : Bouche édentée, Chute dentaire, Maladies parodontales, Michigan, Mâchoire partiellement édentée.
- étiologie : Bouche édentée, Chute dentaire, Mâchoire partiellement édentée.
- Adulte d'âge moyen, Enquêtes de santé dentaire, Enquêtes et questionnaires, Facteurs de risque, Humains, Modèles logistiques, Odds ratio, Études de cohortes, Études de suivi.
English descriptors
- KwdEn :
- Cohort Studies, Dental Health Surveys, Epithelial Attachment (pathology), Follow-Up Studies, Humans, Jaw, Edentulous, Partially (epidemiology), Jaw, Edentulous, Partially (etiology), Logistic Models, Michigan (epidemiology), Middle Aged, Mouth, Edentulous (epidemiology), Mouth, Edentulous (etiology), Odds Ratio, Periodontal Diseases (epidemiology), Periodontal Diseases (pathology), Risk Factors, Surveys and Questionnaires, Tooth Exfoliation (epidemiology), Tooth Exfoliation (etiology).
- MESH :
- geographic , epidemiology : Michigan.
- epidemiology : Jaw, Edentulous, Partially, Mouth, Edentulous, Periodontal Diseases, Tooth Exfoliation.
- etiology : Jaw, Edentulous, Partially, Mouth, Edentulous, Tooth Exfoliation.
- pathology : Epithelial Attachment, Periodontal Diseases.
- Cohort Studies, Dental Health Surveys, Follow-Up Studies, Humans, Logistic Models, Middle Aged, Odds Ratio, Risk Factors, Surveys and Questionnaires.
Abstract
Over 500 residents of Tecumseh, Michigan, were dentially examined in 1959 as part of a community-wide health study. In 1987, the dental examinations were repeated, with use of the same criteria as in 1959, for 167 dentate persons from the original group. Another 28 reported by telephone that they had become edentulous since 1959. This report uses a historical cohort analysis for exploration of the risk factors for tooth loss, both total and partial, over the 28-year period. Over that time, the edentulous lost an average of 18.0 teeth (95% confidence interval 15.5, 20.7), whereas the age-matched 90 dentate persons lost only 3.2 (2.2, 4.2) teeth each. Descriptive data showed the edentulous to have higher baseline scores for plaque, calculus, and gingivitis, and a higher proportion of them smoked, though only loss of periodontal attachment (LPA) of 4 mm or more, early loss of first molars, and educational attainment were significant risk factors in regression analysis. Odds ratios for these three variables were 4.0 (1.2, 12.8), 2.0 (1.3, 3.1), and 0.6 (0.4, 0.9), respectively. The strongest risk factors for partial tooth loss among 116 dentate persons were baseline gingivitis (which was correlated with LPA of 4 mm or more) and the baseline number of teeth present, with odds ratios of 2.4 (1.2, 5.2) and 0.8 (0.7, 1.0), respectively. While the analysis had to be carried out without caries data, it was concluded that total tooth loss is a social-behavioral issue as much as it is disease-related. Social-behavioral factors were less clearly related to partial tooth loss in dentate persons; oral disease characteristics were the most prominent risk factors for partial tooth loss.
DOI: 10.1177/00220345900690050201
PubMed: 2335645
Affiliations:
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over a 28-year period.</title><author><name sortKey="Burt, B A" sort="Burt, B A" uniqKey="Burt B" first="B A" last="Burt">B A Burt</name><affiliation><nlm:affiliation>School of Public Health, University of Michigan, Ann Arbor 48109-2029.</nlm:affiliation><wicri:noCountry code="subField">Ann Arbor 48109-2029</wicri:noCountry></affiliation></author><author><name sortKey="Ismail, A I" sort="Ismail, A I" uniqKey="Ismail A" first="A I" last="Ismail">A I Ismail</name></author><author><name sortKey="Morrison, E C" sort="Morrison, E C" uniqKey="Morrison E" first="E C" last="Morrison">E C Morrison</name></author><author><name sortKey="Beltran, E D" sort="Beltran, E D" uniqKey="Beltran E" first="E D" last="Beltran">E D Beltran</name></author></analytic><series><title level="j">Journal of dental research</title><idno type="ISSN">0022-0345</idno><imprint><date when="1990" type="published">1990</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords 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dentaire (étiologie)</term><term>Enquêtes de santé dentaire</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Humains</term><term>Maladies parodontales (anatomopathologie)</term><term>Maladies parodontales (épidémiologie)</term><term>Michigan (épidémiologie)</term><term>Modèles logistiques</term><term>Mâchoire partiellement édentée (épidémiologie)</term><term>Mâchoire partiellement édentée (étiologie)</term><term>Odds ratio</term><term>Études de cohortes</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Michigan</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Attache épithéliale</term><term>Maladies parodontales</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Mouth, Edentulous</term><term>Periodontal Diseases</term><term>Tooth Exfoliation</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Mouth, Edentulous</term><term>Tooth Exfoliation</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Epithelial Attachment</term><term>Periodontal Diseases</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term><term>Chute dentaire</term><term>Maladies parodontales</term><term>Michigan</term><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Bouche édentée</term><term>Chute dentaire</term><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cohort Studies</term><term>Dental Health Surveys</term><term>Follow-Up Studies</term><term>Humans</term><term>Logistic Models</term><term>Middle Aged</term><term>Odds Ratio</term><term>Risk Factors</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Enquêtes de santé dentaire</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Humains</term><term>Modèles logistiques</term><term>Odds ratio</term><term>Études de cohortes</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Over 500 residents of Tecumseh, Michigan, were dentially examined in 1959 as part of a community-wide health study. In 1987, the dental examinations were repeated, with use of the same criteria as in 1959, for 167 dentate persons from the original group. Another 28 reported by telephone that they had become edentulous since 1959. This report uses a historical cohort analysis for exploration of the risk factors for tooth loss, both total and partial, over the 28-year period. Over that time, the edentulous lost an average of 18.0 teeth (95% confidence interval 15.5, 20.7), whereas the age-matched 90 dentate persons lost only 3.2 (2.2, 4.2) teeth each. Descriptive data showed the edentulous to have higher baseline scores for plaque, calculus, and gingivitis, and a higher proportion of them smoked, though only loss of periodontal attachment (LPA) of 4 mm or more, early loss of first molars, and educational attainment were significant risk factors in regression analysis. Odds ratios for these three variables were 4.0 (1.2, 12.8), 2.0 (1.3, 3.1), and 0.6 (0.4, 0.9), respectively. The strongest risk factors for partial tooth loss among 116 dentate persons were baseline gingivitis (which was correlated with LPA of 4 mm or more) and the baseline number of teeth present, with odds ratios of 2.4 (1.2, 5.2) and 0.8 (0.7, 1.0), respectively. While the analysis had to be carried out without caries data, it was concluded that total tooth loss is a social-behavioral issue as much as it is disease-related. Social-behavioral factors were less clearly related to partial tooth loss in dentate persons; oral disease characteristics were the most prominent risk factors for partial tooth loss.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Beltran, E D" sort="Beltran, E D" uniqKey="Beltran E" first="E D" last="Beltran">E D Beltran</name><name sortKey="Burt, B A" sort="Burt, B A" uniqKey="Burt B" first="B A" last="Burt">B A Burt</name><name sortKey="Ismail, A I" sort="Ismail, A I" uniqKey="Ismail A" first="A I" last="Ismail">A I Ismail</name><name sortKey="Morrison, E C" sort="Morrison, E C" uniqKey="Morrison E" first="E C" last="Morrison">E C Morrison</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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