Risk indicators for tooth loss due to periodontal disease
Risk indicators for tooth loss due to periodontal disease
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DOI：
10.1902/jop.2005.76.11.1910
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发表时间：
2005-11-01
影响因子：
4.3
通讯作者：
Wang, HL
中科院分区：
文献类型：
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作者：
Al-Shammari, KF;Al-Khabbaz, AK;Wang, HL
背景：已经确定了几个牙周病严重程度的风险指标。在这项横断面比较研究中，调查了这些因素与牙周原因牙齿脱落的关系。方法：记录了21家普通牙科诊所(科威特25%的此类诊所)在30天内进行的所有拔牙。记录的信息包括患者的年龄和性别、病史发现、牙齿维护史、刷牙频率、拔牙的类型和数量以及拔牙的原因。单因素和二元Logistic回归分析中，牙周病与其他原因分别为牙周病和其他原因。每名患者因牙周病而失去的牙齿多于其他原因(2.8%+/-0.2vs1.8%+/-0.1%；P<；0.001)。Logistic回归分析显示，因牙周原因导致牙齿脱落的显著相关因素为年龄35岁(优势比[OR]3.45；95%可信区间[CI]2.79至4.26)、男性(OR 1.42；95%可信区间1.17至1.73)、从未做过牙周保养(OR 1.48；95%CI 1.23至1.78)、从不使用牙刷(OR 1.81；95%CI 1.49至2.20)、现在或过去吸烟(OR 1.56；95%可信区间1.28~1.91)、前牙类型(OR 3.23；95%CI 2.57~4.05)，以及存在下列疾病之一：糖尿病(OR 2.64；95%CI 2.19~3.18)、高血压(OR 1.73；95%CI 1.41~2.13)或类风湿性关节炎(OR 4.19；结论：年龄、男性、吸烟、缺乏专业保养、口腔卫生不到位、糖尿病、高血压、类风湿性关节炎和前牙类型等危险指标与牙周病引起的牙齿缺失有关。
Background: Several risk indicators for periodontal disease severity have been identified. The association of these factors with tooth loss for periodontal reasons was investigated in this cross-sectional comparative study.Methods: All extractions performed in 21 general dental practice clinics (25% of such clinics in Kuwait) over a 30-day period were recorded. Documented information included patient age and gender, medical history findings, dental maintenance history, toothbrushing frequency, types and numbers of extracted teeth, and the reason for the extraction. Reasons were divided into periodontal disease versus other reasons in univariate and binary logistic regression analyses.Results: A total of 1,775 patients had 3,694 teeth extracted. More teeth per patient were lost due to periodontal disease than for other reasons (2.8 +/- 0.2 versus 1.8 +/- 0.1; P < 0.001). Factors significantly associated with tooth loss due to periodontal reasons in logistic regression analysis were age > 35 years (odds ratio [OR] 3.45; 95% confidence interval [CI] 2.79 to 4.26), male gender (OR 1.42; 95% CI 1.17 to 1.73), never having periodontal maintenance (OR 1.48; 95% CI 1.23 to 1.78), never using a toothbrush (OR 1.81; 95% CI 1.49 to 2.20), current or past smoking (OR 1.56; 95% CI 1.28 to 1.91), anterior tooth type (OR 3.23; 95% Cl 2.57 to 4.05), and the presence of either of the following medical conditions: diabetes mellitus (OR 2.64; 95% Cl 2.19 to 3.18), hypertension (OR 1.73; 95% CI 1.41 to 2.13), or rheumatoid arthritis (OR 4.19; 95% Cl 2.17 to 8.11).Conclusion: Tooth loss due to periodontal disease is associated with the risk indicators of age, male gender, smoking, lack of professional maintenance, inadequate oral hygiene, diabetes mellitus, hypertension, rheumatoid arthritis, and anterior tooth type.