Incidence of periodontal attachment loss over 5 years among older South Australians.
Incidence of periodontal attachment loss over 5 years among older South Australians.
复制标题
南澳大利亚老年人 5 年内牙周附着丧失的发生率。
DOI：
10.1111/j.0303-6979.2004.00460.x
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发表时间：
2004
期刊：
影响因子：
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通讯作者：
Chalmers,JaneM
中科院分区：
文献类型：
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作者：
Thomson,WMurray;Slade,GaryD;Beck,JamesD;Elter,JohnR;Spencer,AJohn;Chalmers,JaneM
AbstractObjectives：本研究描述了老年澳大利亚人牙周附着丧失（ALOSS）的5年发病率，材料和方法：临床检查数据在基线和5年从南澳大利亚60岁以上的队列研究的参与者中获得。牙周测量（牙龈退缩，GR;探测深度，PD）进行了每颗牙齿在3个网站。 结果：在基线检查的801名个体中，约有342名（42.7%）在5年后重新检查，提供了来自总共15，522个部位（6102个在上颌骨，9420个在下颌骨）的纵向数据。大多数部位的GR或PD均未显示变化。使用3+ mm的变化阈值，ALOSS发生在2.3%的近颊部位、2.5%的颊部位和3.4%的远舌部位。 磨牙远舌侧部位的进展率最高。ALOSS的主要成分是GR增加。总体而言，仅10.1%的观察到的ALOSS是由PD增加引起的。近三分之二的发生ALOSS的部位在基线时ALOSS <3 mm。 ALOSS的加权5年发生率估计值为43.2%（N=145），在糖尿病患者或自基线以来失去1+颗牙齿的患者中更高。吸烟是不是一个显着的predictor.Conclusion：老年人南澳大利亚州的ALOSS率和模式在很大程度上是相似的，最近报道的北澳大利亚。老年人的大多数ALOSS表现为GR增加，而不是PD。糖尿病患者应成为牙周病强化一级和二级预防的目标。
AbstractObjectives:This study described the 5‐year incidence of periodontal attachment loss (ALOSS) among older Australians.Material and method:Clinical examination data were obtained at baseline and 5 years from participants in a cohort study of South Australians aged 60+. Periodontal measurements (gingival recession, GR; probing depth, PD) were made for each tooth at 3 sites. An incident case of ALOSS was identified as an individual having 2+ sites with 3+ mm ALOSS.Results:Some 342 (42.7%) of the 801 individuals examined at baseline were re‐examined after 5 years, contributing longitudinal data from a total of 15,522 sites (6102 in the maxilla and 9420 in the mandible). Most sites showed no change in either GR or PD. Using a threshold of 3+ mm for change, ALOSS occurred at 2.3% of mesiobuccal sites, 2.5% of buccal sites, and 3.4% of distolingual sites. Distolingual sites on molars showed the highest progression rates. The major component of ALOSS was increased GR. Overall, only 10.1% of the observed ALOSS was contributed by increases in PD. Nearly two‐thirds of the sites that experienced ALOSS had <3 mm of ALOSS at baseline. The weighted 5‐year incidence estimate for ALOSS was 43.2% (N=145), and was higher among diabetics or those who had lost 1+ teeth since baseline. Smoking was not a significant predictor.Conclusion:The rates and patterns of ALOSS among older South Australians are largely similar to those recently reported for North Carolinians. Most ALOSS in older people manifests as increases in GR, rather than PD. Diabetics should be targeted for intensive primary and secondary prevention of periodontal disease.