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Longitudinal evaluation of periodontitis and tooth loss among older adults

Nilsson, Helena ; Sanmartin Berglund, Johan and Renvert, Stefan (2019) In Journal of Clinical Periodontology 46(10). p.1041-1049
Abstract

Aim: To evaluate pattern of change in periodontal variables and tooth loss in a twelve-year follow-up study of older adults living in Sweden. Methods: In a prospective population study of older adults, a clinical examination and radiographic dental examination were performed at baseline (2001–2003) and after 12 years (2013–2015). In 375 individuals, the number and proportion of sites with a distance ≥4 mm and ≥5 mm from cemento-enamel junction to the bone level, the number and proportion of teeth with pockets ≥5 mm and number of teeth lost were calculated. Dental caries was registered. Periodontitis was defined as having ≥2 sites with ≥5 mm distance from cemento-enamel junction to the marginal bone level and ≥1 tooth with pockets ≥5 mm.... (More)

Aim: To evaluate pattern of change in periodontal variables and tooth loss in a twelve-year follow-up study of older adults living in Sweden. Methods: In a prospective population study of older adults, a clinical examination and radiographic dental examination were performed at baseline (2001–2003) and after 12 years (2013–2015). In 375 individuals, the number and proportion of sites with a distance ≥4 mm and ≥5 mm from cemento-enamel junction to the bone level, the number and proportion of teeth with pockets ≥5 mm and number of teeth lost were calculated. Dental caries was registered. Periodontitis was defined as having ≥2 sites with ≥5 mm distance from cemento-enamel junction to the marginal bone level and ≥1 tooth with pockets ≥5 mm. Results: A diagnosis of periodontitis was evident in 39% of the individuals, and 23% of the individuals lost ≥3 teeth over the study period. The proportion of sites with ≥4 mm and ≥5 mm bone loss increased with age, while the proportion of teeth with pockets remained stable. Periodontitis was the strongest predictor for losing ≥3 teeth, OR 2.9 (p <.001) in the final model. Conclusions: Periodontitis is a risk factor for future tooth loss among older adults.

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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
epidemiology, older adults, periodontitis, public health, tooth loss
in
Journal of Clinical Periodontology
volume
46
issue
10
pages
1041 - 1049
publisher
Wiley-Blackwell
external identifiers
  • pmid:31294471
  • scopus:85071337987
ISSN
0303-6979
DOI
10.1111/jcpe.13167
language
English
LU publication?
no
id
0e41ea46-89a8-4085-a0ba-889c813a52f0
date added to LUP
2019-09-09 11:19:34
date last changed
2024-06-12 00:14:56
@article{0e41ea46-89a8-4085-a0ba-889c813a52f0,
  abstract     = {{<p>Aim: To evaluate pattern of change in periodontal variables and tooth loss in a twelve-year follow-up study of older adults living in Sweden. Methods: In a prospective population study of older adults, a clinical examination and radiographic dental examination were performed at baseline (2001–2003) and after 12 years (2013–2015). In 375 individuals, the number and proportion of sites with a distance ≥4 mm and ≥5 mm from cemento-enamel junction to the bone level, the number and proportion of teeth with pockets ≥5 mm and number of teeth lost were calculated. Dental caries was registered. Periodontitis was defined as having ≥2 sites with ≥5 mm distance from cemento-enamel junction to the marginal bone level and ≥1 tooth with pockets ≥5 mm. Results: A diagnosis of periodontitis was evident in 39% of the individuals, and 23% of the individuals lost ≥3 teeth over the study period. The proportion of sites with ≥4 mm and ≥5 mm bone loss increased with age, while the proportion of teeth with pockets remained stable. Periodontitis was the strongest predictor for losing ≥3 teeth, OR 2.9 (p &lt;.001) in the final model. Conclusions: Periodontitis is a risk factor for future tooth loss among older adults.</p>}},
  author       = {{Nilsson, Helena and Sanmartin Berglund, Johan and Renvert, Stefan}},
  issn         = {{0303-6979}},
  keywords     = {{epidemiology; older adults; periodontitis; public health; tooth loss}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{1041--1049}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Journal of Clinical Periodontology}},
  title        = {{Longitudinal evaluation of periodontitis and tooth loss among older adults}},
  url          = {{http://dx.doi.org/10.1111/jcpe.13167}},
  doi          = {{10.1111/jcpe.13167}},
  volume       = {{46}},
  year         = {{2019}},
}