Prevalence, extent, and severity of periodontitis among Australian older adults: Comparison of two generations.
Prevalence, extent, and severity of periodontitis among Australian older adults: Comparison of two generations.
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DOI：
10.1002/jper.21-0458
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发表时间：
2022-09
影响因子：
4.3
通讯作者：
Jamieson, Lisa M.
中科院分区：
文献类型：
--
作者：
Ju, Xiangqun;Harford, Jane;Luzzi, Liana;Jamieson, Lisa M.
慢性牙周炎在老年人中非常普遍。该研究旨在比较两代澳大利亚老年人的牙周病。我们假设牙周炎的患病率和严重程度从上一代到最近一代会下降。数据来自1991年至1992年（SADLS I）和2013年至2014年（SADLS II）的南澳大利亚牙科纵向研究（SADLS）;澳大利亚年龄≥60岁的老年人的基于人群的纵向调查。使用美国牙周病学会、美国疾病控制和预防中心（AAP/CDC）和2018年欧洲牙周病联合会（EFP/AAP）分类病例定义来定义和计算慢性牙周炎的患病率。在调整其他协变量后，使用多变量log-Poisson回归模型来确定重度牙周炎的风险指标。分别有801和355名参与者在SADLS I和II中进行了牙周检查。根据CDC/AAP和EFP/AAP病例定义，最近一代人的重度牙周炎患病率（88%和56%）分别高于上一代人（75%和46.7%）。最近一代的平均缺牙数（6）低于上一代（13）。严重牙周炎的患病率在年轻年龄组、男性、非澳大利亚出生的人以及两代人中的吸烟者中高出约两倍。我们的研究结果表明，最近一代的老年人有更高的患病率和严重程度的慢性牙周炎比上一代。我们的研究结果表明，老龄化，男性，出生在海外，家庭收入低，没有牙科保险，目前吸烟者是与澳大利亚老年人严重牙周炎相关的重要危险因素。
Chronic periodontitis is highly prevalent among older adults. The study aimed to compare periodontal disease among Australian older adults in two generations. We hypothesized that the prevalence and severity of periodontitis would decrease from the previous generation to the recent generation. Data were obtained from the South Australian Dental Longitudinal Study (SADLS) in 1991 to 1992 (SADLS I) and 2013 to 2014 (SADLS II); population‐based longitudinal surveys of Australian older adults aged ≥60 years. American Academy of Periodontology, the US Centers for Disease Control and Prevention (AAP/CDC), and the 2018 European Federation of Periodontology (EFP/AAP) classification case definitions were used to define and calculate prevalence of chronic periodontitis. Multivariable log‐Poisson regression models were used to identify risk indicators for severe periodontitis after adjusting for other covariates. There were a total of 801 and 355 participants that underwent a periodontal exam in SADLS I and II, respectively. The prevalence of severe periodontitis was higher in the recent generation (88% and 56%) than the previous generation (75% and 46.7%) under the CDC/AAP and EFP/AAP case definitions, respectively. The mean number of missing teeth was lower in the recent generation (6) than the previous generation (13). The prevalence ratio of severe periodontitis was around two times higher in the younger age group, men, those not born in Australia, and current smokers across both generations. Our findings indicated that the recent generation of older adults has higher prevalence and severity of chronic periodontitis than the previous generation. Our findings indicated that aging, being male, born overseas, low household income, no dental insurance, and being a current smoker are significant risk factors associated with severe periodontitis among older Australians.