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A 5-year study of attachment loss and tooth loss in community-dwelling older adults.

Identifieur interne : 009A40 ( Ncbi/Curation ); précédent : 009A39; suivant : 009A41

A 5-year study of attachment loss and tooth loss in community-dwelling older adults.

Auteurs : J D Beck [États-Unis] ; T. Sharp ; G G Koch ; S. Offenbacher

Source :

RBID : pubmed:9379319

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English descriptors

Abstract

Tooth loss is a widely recognized endpoint measure for the effects of periodontal diseases and the impact of periodontal therapy. In fact, traditional clinical measures of periodontal status often are considered to be surrogate endpoints in that they are assumed to be related to tooth loss. However, the strength of the relationship between attachment loss and tooth loss in a representative population of untreated subjects has not been studied extensively. The purpose of this paper is to present the trends in attachment loss over a 5-yr period in a population of community-dwelling elderly blacks and whites. Specifically, this paper presents attachment loss trends both at the person and tooth level to address the following issues; 1) whether teeth that experience attachment loss during 1 time period are more likely to be lost at the next time period; and 2) given similar levels of attachment loss, why are some people more likely to lose teeth? In 1988, the University of North Carolina School of Dentistry initiated the Piedmont 65+ Dental Study, which was designed to elicit 800 dentate respondents in the 5-country area who were examined again at 18, 36 and 60 months. Our findings indicated that teeth with poorer attachment level at baseline had a higher probability of being lost during the next 5 yr and teeth that experienced attachment loss during a time period were more likely to be lost during the next time period than teeth without additional attachment loss. In addition, it appears that there are person-level characteristics associated with increasing tendency towards tooth loss in people with similar periodontal status, a finding that may clarify the relationship between attachment loss and tooth loss.

PubMed: 9379319

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Le document en format XML

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<nlm:affiliation>Department of Dental Ecology, University of North Carolina, Chapel Hill 27599, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Sharp, T" sort="Sharp, T" uniqKey="Sharp T" first="T" last="Sharp">T. Sharp</name>
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<name sortKey="Koch, G G" sort="Koch, G G" uniqKey="Koch G" first="G G" last="Koch">G G Koch</name>
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<name sortKey="Offenbacher, S" sort="Offenbacher, S" uniqKey="Offenbacher S" first="S" last="Offenbacher">S. Offenbacher</name>
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<title level="j">Journal of periodontal research</title>
<idno type="ISSN">0022-3484</idno>
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<term>Activities of Daily Living</term>
<term>African Continental Ancestry Group</term>
<term>Aged</term>
<term>Aggregatibacter actinomycetemcomitans (isolation & purification)</term>
<term>Attitude to Health</term>
<term>Dental Care for Aged</term>
<term>Disease</term>
<term>Drug Therapy</term>
<term>European Continental Ancestry Group</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Status</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Mouth, Edentulous (etiology)</term>
<term>Periodontal Attachment Loss (complications)</term>
<term>Plants, Toxic</term>
<term>Porphyromonas gingivalis (isolation & purification)</term>
<term>Prevotella intermedia (isolation & purification)</term>
<term>Probability</term>
<term>Risk Factors</term>
<term>Smoking (adverse effects)</term>
<term>Tobacco, Smokeless</term>
<term>Tooth (pathology)</term>
<term>Tooth Loss (etiology)</term>
<term>Toothbrushing</term>
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<term>Activités de la vie quotidienne</term>
<term>Aggregatibacter actinomycetemcomitans (isolement et purification)</term>
<term>Attitude envers la santé</term>
<term>Bouche édentée (étiologie)</term>
<term>Brossage dentaire</term>
<term>Dent (anatomopathologie)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladie</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Perte d'attache parodontale ()</term>
<term>Perte dentaire (étiologie)</term>
<term>Population d'origine africaine</term>
<term>Population d'origine européenne</term>
<term>Porphyromonas gingivalis (isolement et purification)</term>
<term>Prevotella intermedia (isolement et purification)</term>
<term>Probabilité</term>
<term>Soins dentaires pour personnes âgées</term>
<term>Sujet âgé</term>
<term>Tabac sans fumée</term>
<term>Tabagisme (effets indésirables)</term>
<term>Traitement médicamenteux</term>
<term>Végétaux toxiques</term>
<term>État de santé</term>
<term>Études de suivi</term>
<term>Études longitudinales</term>
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<term>Dent</term>
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<term>Periodontal Attachment Loss</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Tabagisme</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Mouth, Edentulous</term>
<term>Tooth Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Aggregatibacter actinomycetemcomitans</term>
<term>Porphyromonas gingivalis</term>
<term>Prevotella intermedia</term>
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<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr">
<term>Aggregatibacter actinomycetemcomitans</term>
<term>Porphyromonas gingivalis</term>
<term>Prevotella intermedia</term>
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<term>Tooth</term>
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<term>Bouche édentée</term>
<term>Perte dentaire</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Activities of Daily Living</term>
<term>African Continental Ancestry Group</term>
<term>Aged</term>
<term>Attitude to Health</term>
<term>Dental Care for Aged</term>
<term>Disease</term>
<term>Drug Therapy</term>
<term>European Continental Ancestry Group</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Status</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Plants, Toxic</term>
<term>Probability</term>
<term>Risk Factors</term>
<term>Tobacco, Smokeless</term>
<term>Toothbrushing</term>
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<term>Activités de la vie quotidienne</term>
<term>Attitude envers la santé</term>
<term>Brossage dentaire</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Maladie</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Perte d'attache parodontale</term>
<term>Population d'origine africaine</term>
<term>Population d'origine européenne</term>
<term>Probabilité</term>
<term>Soins dentaires pour personnes âgées</term>
<term>Sujet âgé</term>
<term>Tabac sans fumée</term>
<term>Traitement médicamenteux</term>
<term>Végétaux toxiques</term>
<term>État de santé</term>
<term>Études de suivi</term>
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<div type="abstract" xml:lang="en">Tooth loss is a widely recognized endpoint measure for the effects of periodontal diseases and the impact of periodontal therapy. In fact, traditional clinical measures of periodontal status often are considered to be surrogate endpoints in that they are assumed to be related to tooth loss. However, the strength of the relationship between attachment loss and tooth loss in a representative population of untreated subjects has not been studied extensively. The purpose of this paper is to present the trends in attachment loss over a 5-yr period in a population of community-dwelling elderly blacks and whites. Specifically, this paper presents attachment loss trends both at the person and tooth level to address the following issues; 1) whether teeth that experience attachment loss during 1 time period are more likely to be lost at the next time period; and 2) given similar levels of attachment loss, why are some people more likely to lose teeth? In 1988, the University of North Carolina School of Dentistry initiated the Piedmont 65+ Dental Study, which was designed to elicit 800 dentate respondents in the 5-country area who were examined again at 18, 36 and 60 months. Our findings indicated that teeth with poorer attachment level at baseline had a higher probability of being lost during the next 5 yr and teeth that experienced attachment loss during a time period were more likely to be lost during the next time period than teeth without additional attachment loss. In addition, it appears that there are person-level characteristics associated with increasing tendency towards tooth loss in people with similar periodontal status, a finding that may clarify the relationship between attachment loss and tooth loss.</div>
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