Risk assessment for severe clinical attachment loss in an adult population
Risk assessment for severe clinical attachment loss in an adult population
复制标题
DOI：
10.1902/jop.2006.050128
复制
发表时间：
2006-03-01
影响因子：
4.3
通讯作者：
Bourgeois, Denis
中科院分区：
文献类型：
--
作者：
Bouchard, Philippe;Boutouyrie, Pierre;Bourgeois, Denis
背景资料：本研究进行了识别变量相关的严重临床附着丧失（CAL）在成年French population.Methods：这一横断面调查采用了2,132名受试者的第一次全国牙周病和全身检查调查（NPASES 1）年龄在35至64岁，每个至少有6颗牙齿。从2002年9月至2003年6月，通过按年龄、性别、社会经济地位和地理区域分层的配额方法获得了具有全国代表性的样本。受试者有一个完整的全口牙周检查的四个网站，每颗牙齿，评估缺失的牙齿，和一些实验室测试和问卷调查。根据CAL的严重程度和范围对每个受试者的牙周状况进行评估。数据采用Logistic回归分析进行单变量和多变量模型分析。百分之十九点七（19.7%）的受试者CAL > 5 mm。当牙科变量不包括在分析中时（模型1），（OR = 1.8）、男性（OR = 1.7）、体重指数（OR = 1.2）和白色血细胞计数（OR = 2.2）与严重CAL有显著相关性。模型2，包括牙科变量，除了模型1变量，显示了一个显着更高的风险严重CAL也存在与年龄（OR = 1.6）和男性（OR = 1.7）。牙齿的数量（OR = 1.1），和平均牙龈出血指数（OR= 1.7）的牙科变量与严重CAL显着相关。结论：结果表明，年龄和性别是强大的独立预测临床附着丧失，是平均牙龈出血指数。在较小程度上，缺牙的数量是一个很好的预测变量。重度临床附着丧失的患者特征还包括体重指数和白色血细胞计数。偶尔饮酒可能与CAL严重程度降低有关。
Background: This study was carried out to identify variables related to severe clinical attachment loss (CAL) in an adult French population.Methods: This cross-sectional survey employed 2,132 subjects of the First National Periodontal and Systemic Examination Survey (NPASES 1) aged 35 to 64 years, each with at least six teeth. A nationally representative sample was obtained from September 2002 to June 2003 by a quota method stratified on age, gender, socioeconomic status, and geographic areas. The subjects had a complete full-mouth periodontal examination of four sites per tooth, assessment of missing teeth, and a number of laboratory tests and questionnaires. The periodontal status of each subject was assessed by criteria based on the severity and extent of CAL. The data were analyzed by univariable and multivariable models using logistic regression analyses.Results: Nineteen and seven-tenths percent (19.7%) of the subjects had CAL > 5 mm. When dental variables were not included in the analysis (model 1), age (odds ratio [OR] = 1.8), male gender (OR = 1.7), body mass index (OR = 1.2), and white blood cell count (OR = 2.2) showed significant association with severe CAL. A significantly higher risk was also present in non-drinkers and regular drinkers compared to occasional drinkers (OR= 1.6). Model 2, including dental variables in addition to model 1 variables, showed that a significantly higher risk for severe CAL was also present with age (OR = 1.6) and in males (OR = 1.7). The number of teeth (OR = 1.1), and the mean gingival bleeding index (OR= 1.7) were the dental variables significantly associated with severe CAL.Conclusions: The results indicated that age and gender are powerful independent predictors of clinical attachment loss, as is the mean gingival bleeding index. To a lesser extent, the number of missing teeth was a good predictive variable. The patient profile for severe clinical attachment loss also included body mass index and white blood cell count. Occasional drinking may be associated with decreased severity of CAL.