Periodontal Disease in Adolescents: Some Clinical and Microbiologic Correlates of Attachment Loss

Periodontal Disease in Adolescents: Some Clinical and Microbiologic Correlates of Attachment Loss
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青少年牙周病:附着丧失的一些临床和微生物学相关性

DOI:
10.1177/00220345880670121301
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发表时间:
1988
影响因子:
7.6
通讯作者:
Albert Kingman
Albert Kingman
中科院分区:
医学1区
文献类型:
--
作者:
James P. Carlos;Mary D. Wolfe;J. J. Zambon;Albert Kingman

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在14-19岁的纳瓦霍印第安青少年中研究了几个临床和微生物学变量对特定部位依恋丧失风险的影响。在四个第一恒磨牙的近中颊侧部位进行诊断。采用病例对照分析方法,A. actinomycetemcomitans、伴放线菌B.牙龈炎和B. intermedius考虑了“风险”变量,并将牙石、牙龈出血、年龄和性别作为可能的混杂因素。B的存在。中间肌显著增加了在一个位点诊断出附着丧失的可能性(优势比= 2.86)。然而,这种关联被牙石和牙龈出血所混淆;当其中一种或两种都存在时,B的作用。intermedius明显较弱。逐步多元逻辑回归分析显示,在考虑的变量中,牙石、牙龈出血和B的组合。intermedius对依恋缺失的存在给出了最简洁的解释。当存在牙石时,诊断附着丧失的机会增加5倍,牙石和牙龈出血同时存在时增加16.5倍,当这些变量加上B时增加37倍。在一个特定的位置观察到中间体。
The influence of several clinical and microbiological variables on the site-specific risk of attachment loss was studied in Navajo Indian adolescents aged 14-19. Diagnoses were made at mesio-buccal sites of the four first permanent molars. Case-control analytical methods were used, with A. actinomycetemcomitans, B. gingivalis, and B. intermedius considered the "risk" variables, and with calculus, gingival bleeding, age, and gender treated as possible confounders. The presence of B. intermedius significantly increased the likelihood that attachment loss would be diagnosed at a site (odds ratio = 2.86). However, this association was confounded by calculus and gingival bleeding; when either or both were present, the effect of B. intermedius was markedly weaker. Step-wise multiple logistic regression analyses showed that, of the variables considered, the combination of calculus, gingival bleeding, and B. intermedius gave the most parsimonious explanation of the presence of attachment loss. The chance that attachment loss would be diagnosed was increased five times when calculus was present, 16.5 times in the presence of both calculus and gingival bleeding, and 37 times when these variables plus B. intermedius were observed at a particular site.
某些龈下微生物物种在选定牙周条件下的分布。
DOI: 10.1111/j.1600-0765.1984.tb00800.x
发表时间: 1984
影响因子: 3.5
作者:
Savitt,ED;Socransky,SS
通讯作者: Socransky,SS