Risk assessment for clinical attachment loss of periodontal tissue in Korean adults
Identifieur interne : 002F46 ( Pmc/Curation ); précédent : 002F45; suivant : 002F47Risk assessment for clinical attachment loss of periodontal tissue in Korean adults
Auteurs : Gun-Bak Rheu [Corée du Sud] ; Suk Ji [Corée du Sud] ; Jae-Jun Ryu [Corée du Sud] ; Jung-Bok Lee [Corée du Sud] ; Chol Shin [Corée du Sud] ; Jeong Yol Lee [Corée du Sud] ; Jung-Bo Huh [Corée du Sud] ; Sang-Wan Shin [Corée du Sud]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2011.
Abstract
The 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.
Data 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.
The 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 (
Older 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.
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DOI: 10.4047/jap.2011.3.1.25
PubMed: 21503190
PubMed Central: 3076570
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Hospital, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Ryu, Jae Jun" sort="Ryu, Jae Jun" uniqKey="Ryu J" first="Jae-Jun" last="Ryu">Jae-Jun Ryu</name><affiliation wicri:level="1"><nlm:aff id="A3">Medical College Department of Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Medical College Department of Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Jung Bok" sort="Lee, Jung Bok" uniqKey="Lee J" first="Jung-Bok" last="Lee">Jung-Bok Lee</name><affiliation wicri:level="1"><nlm:aff id="A4">Institute of Human Genetics, College of Medicine, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Institute of Human Genetics, College of Medicine, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Shin, Chol" sort="Shin, Chol" uniqKey="Shin C" first="Chol" last="Shin">Chol Shin</name><affiliation wicri:level="1"><nlm:aff id="A5">Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, College of Medicine, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Jeong Yol" sort="Lee, Jeong Yol" uniqKey="Lee J" first="Jeong Yol" last="Lee">Jeong Yol Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Huh, Jung Bo" sort="Huh, Jung Bo" uniqKey="Huh J" first="Jung-Bo" last="Huh">Jung-Bo Huh</name><affiliation wicri:level="1"><nlm:aff id="A6">Department of Prosthodontics, Graduate School of Dentistry, Pusan National University, Yangsan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Graduate School of Dentistry, Pusan National University, Yangsan</wicri:regionArea></affiliation></author><author><name sortKey="Shin, Sang Wan" sort="Shin, Sang Wan" uniqKey="Shin S" first="Sang-Wan" last="Shin">Sang-Wan Shin</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21503190</idno><idno type="pmc">3076570</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3076570</idno><idno type="RBID">PMC:3076570</idno><idno type="doi">10.4047/jap.2011.3.1.25</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">002F46</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002F46</idno><idno type="wicri:Area/Pmc/Curation">002F46</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002F46</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Risk assessment for clinical attachment loss of periodontal tissue in Korean adults</title><author><name sortKey="Rheu, Gun Bak" sort="Rheu, Gun Bak" uniqKey="Rheu G" first="Gun-Bak" last="Rheu">Gun-Bak Rheu</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Ji, Suk" sort="Ji, Suk" uniqKey="Ji S" first="Suk" last="Ji">Suk Ji</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Periodontology, Anam Hospital, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Anam Hospital, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Ryu, Jae Jun" sort="Ryu, Jae Jun" uniqKey="Ryu J" first="Jae-Jun" last="Ryu">Jae-Jun Ryu</name><affiliation wicri:level="1"><nlm:aff id="A3">Medical College Department of Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Medical College Department of Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Jung Bok" sort="Lee, Jung Bok" uniqKey="Lee J" first="Jung-Bok" last="Lee">Jung-Bok Lee</name><affiliation wicri:level="1"><nlm:aff id="A4">Institute of Human Genetics, College of Medicine, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Institute of Human Genetics, College of Medicine, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Shin, Chol" sort="Shin, Chol" uniqKey="Shin C" first="Chol" last="Shin">Chol Shin</name><affiliation wicri:level="1"><nlm:aff id="A5">Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, College of Medicine, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Jeong Yol" sort="Lee, Jeong Yol" uniqKey="Lee J" first="Jeong Yol" last="Lee">Jeong Yol Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Huh, Jung Bo" sort="Huh, Jung Bo" uniqKey="Huh J" first="Jung-Bo" last="Huh">Jung-Bo Huh</name><affiliation wicri:level="1"><nlm:aff id="A6">Department of Prosthodontics, Graduate School of Dentistry, Pusan National University, Yangsan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Graduate School of Dentistry, Pusan National University, Yangsan</wicri:regionArea></affiliation></author><author><name sortKey="Shin, Sang Wan" sort="Shin, Sang Wan" uniqKey="Shin S" first="Sang-Wan" last="Shin">Sang-Wan Shin</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author></analytic><series><title level="j">The Journal of Advanced Prosthodontics</title><idno type="ISSN">2005-7806</idno><idno type="eISSN">2005-7814</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>PURPOSE</title><p>The 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.</p></sec><sec><title>MATERIALS AND METHODS</title><p>Data 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.</p></sec><sec><title>RESULTS</title><p>The 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 (<italic>P</italic> < .0001), gender (<italic>P</italic> < .0001) and smoking (<italic>P</italic> < .05) were only significantly related.</p></sec><sec><title>CONCLUSION</title><p>Older 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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bouchard, P" uniqKey="Bouchard P">P Bouchard</name></author><author><name sortKey="Boutouyrie, P" uniqKey="Boutouyrie P">P Boutouyrie</name></author><author><name sortKey="Mattout, C" uniqKey="Mattout C">C Mattout</name></author><author><name sortKey="Bourgeois, D" uniqKey="Bourgeois D">D 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id><journal-id journal-id-type="publisher-id">JAP</journal-id><journal-title-group><journal-title>The Journal of Advanced Prosthodontics</journal-title></journal-title-group><issn pub-type="ppub">2005-7806</issn><issn pub-type="epub">2005-7814</issn><publisher><publisher-name>The Korean Academy of Prosthodontics</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21503190</article-id><article-id pub-id-type="pmc">3076570</article-id><article-id pub-id-type="doi">10.4047/jap.2011.3.1.25</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Risk assessment for clinical attachment loss of periodontal tissue in Korean adults</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Rheu</surname><given-names>Gun-Bak</given-names></name><degrees>DDS</degrees><degrees>MSD</degrees><xref ref-type="aff" rid="A1">1</xref><xref ref-type="author-notes" rid="FN1">a</xref></contrib><contrib contrib-type="author"><name><surname>Ji</surname><given-names>Suk</given-names></name><degrees>DDS</degrees><degrees>PhD</degrees><xref ref-type="aff" rid="A2">2</xref><xref ref-type="author-notes" rid="FN1">a</xref></contrib><contrib contrib-type="author"><name><surname>Ryu</surname><given-names>Jae-Jun</given-names></name><degrees>DDS</degrees><degrees>PhD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Jung-Bok</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Shin</surname><given-names>Chol</given-names></name><degrees>MD</degrees><degrees>PhD</degrees><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Jeong Yol</given-names></name><degrees>DDS</degrees><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Huh</surname><given-names>Jung-Bo</given-names></name><degrees>DDS</degrees><degrees>MSD</degrees><xref ref-type="aff" rid="A6">6</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Shin</surname><given-names>Sang-Wan</given-names></name><degrees>DDS</degrees><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</aff><aff id="A2"><label>2</label>Department of Periodontology, Anam Hospital, Korea University, Seoul, Korea.</aff><aff id="A3"><label>3</label>Medical College Department of Dentistry, Korea University, Seoul, Korea.</aff><aff id="A4"><label>4</label>Institute of Human Genetics, College of Medicine, Korea University, Seoul, Korea.</aff><aff id="A5"><label>5</label>Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea.</aff><aff id="A6"><label>6</label>Department of Prosthodontics, Graduate School of Dentistry, Pusan National University, Yangsan, Korea.</aff><author-notes><corresp>Corresponding author: Sang-Wan Shin. Department of Prosthodontics, Graduate School of Clinical Dentistry, Korea University, 97, Gurodonggil, Guro-Gu, Seoul, 152-703, Korea. Tel. 82 2 818 6874: <email>swshin@korea.ac.kr</email></corresp><fn id="FN1" fn-type="equal"><p><sup>a</sup>These authors contributed equally to this work.</p></fn></author-notes><pub-date pub-type="ppub"><month>3</month><year>2011</year></pub-date><pub-date pub-type="epub"><day>31</day><month>3</month><year>2011</year></pub-date><volume>3</volume><issue>1</issue><fpage>25</fpage><lpage>32</lpage><history><date date-type="received"><day>08</day><month>2</month><year>2011</year></date><date date-type="rev-recd"><day>21</day><month>2</month><year>2011</year></date><date date-type="accepted"><day>11</day><month>3</month><year>2011</year></date></history><permissions><copyright-statement>© 2011 The Korean Academy of Prosthodontics</copyright-statement><copyright-year>2011</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec><title>PURPOSE</title><p>The 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.</p></sec><sec><title>MATERIALS AND METHODS</title><p>Data 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.</p></sec><sec><title>RESULTS</title><p>The 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 (<italic>P</italic> < .0001), gender (<italic>P</italic> < .0001) and smoking (<italic>P</italic> < .05) were only significantly related.</p></sec><sec><title>CONCLUSION</title><p>Older 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.</p></sec></abstract><kwd-group><kwd>Korean</kwd><kwd>Periodontal attachment loss</kwd><kwd>Periodontitis</kwd><kwd>Epidemiology</kwd><kwd>Risk factor</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" position="float"><label>Fig. 1</label><caption><p>Correlations between degrees of CAL (mm) and risk factors. A: Age (ANOVA model: <italic>P</italic> = .0003). The difference in CAL was statistically significant between the patients aged 40 - 49 and those aged 50 - 59 years or those aged 60 - 69 years (Scheffé's method), B: Gender. The difference in CAL was statistically significant between both sexes (2-sample t test, <italic>P</italic> < .0001), C: Smoking (ANOVA model, <italic>P</italic> < .0001). The difference in CAL was statistically significant between never and past smokers and between never and current smokers (Scheffé's method), D: Drinking. ANOVA model, <italic>P</italic> < .0001). The difference in CAL was statistically significant between never/past and current drinkers (Scheffé's method), E: Glucose. (ANOVA model, <italic>P</italic> < .0001). The difference in CAL was statistically significant between the participants with a blood glucose level of ≥126 mg/dl and those with ≤109 mg/dl or those with 110 - 125 mg/dl (Scheffé's method): F, Blood pressure. (ANOVA model, <italic>P</italic> < .0003). The difference in CAL was statistically significant between the participants with a blood pressure of < 120/80 mm Hg and those with 120/80 -139/89 or those with ≥140/90 mm Hg (Scheffé's method). G. Obesity. The difference in CAL was not statistically significant between the 3 groups (Scheffé's method), H: Total-cholesterol. (ANOVA model, <italic>P</italic> < .0003). The difference in CAL was statistically significant between the participants with a blood total cholesterol level of < 130 mg/dl and those with 130 - 219 mg/dl or those with ≥ 220 mg/dl (Scheffé's method).</p></caption><graphic xlink:href="jap-3-25-g001"></graphic></fig><table-wrap id="T1" position="float"><label>Table 1</label><caption><p>Characteristics and clinical status of participants</p></caption><graphic xlink:href="jap-3-25-i001"></graphic></table-wrap><table-wrap id="T2" position="float"><label>Table 2</label><caption><p>Periodontal status of participants</p></caption><graphic xlink:href="jap-3-25-i002"></graphic></table-wrap><table-wrap id="T3" position="float"><label>Table 3</label><caption><p>Correlations between the degrees of CAL and risk factors</p></caption><graphic xlink:href="jap-3-25-i003"></graphic><table-wrap-foot><fn><p>Data are presented as a number (%). CAL, clinical attachment level; normal group, mean CAL < 1 mm; mild group, mean CAL 1 - 3 mm; moderate group, mean CAL 3 - 5 mm; severe group, mean CAL > 5 mm.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T4" position="float"><label>Table 4</label><caption><p>Multiple regression analysis of the associations between risk factors and CAL</p></caption><graphic xlink:href="jap-3-25-i004"></graphic><table-wrap-foot><fn><p>Female was regarded as 1, and male gender as 0; smoking was regarded as smoking (1) or non-smoking (0); drinking was regarded as drinking (1) or non-drinking (0). <sup>*</sup><italic>P</italic> < .05.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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