Java project on periodontal diseases: causes of tooth loss in a cohort of untreated individuals

Journal of Clinical Periodontology - Tập 42 Số 9 - Trang 824-831 - 2015
U. van der Velden1,2,3,4,5,6,7,8, Amaliya Amaliya9, Bruno G. Loos5, M. F. Timmerman5,10, G.A. van der Weijden11,5, E. G. Winkel12,13, Frank Abbas12,13
11081 LA Amsterdam
2Academic Centre for Dentistry Amsterdam
3Address:
4Department of Periodontology
5Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University, Amsterdam, the Netherlands
6Gustav Mahlerlaan 3004
7The Netherlands
8Ubele van der Velden
9Department of Periodontology, Padjadjaran State University, Bandung, Indonesia
10Practice for Periodontology and Implantology Nijmegen/Horst, Nijmegen, The Netherlands
11Clinic for Periodontology Utrecht, Utrecht, The Netherlands
12Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
13Clinic for Periodontology Amsterdam, Amsterdam, The Netherlands

Tóm tắt

AbstractObjectiveTo assess the relative contribution of caries and periodontal disease to tooth loss over 24 years in a cohort deprived of regular dental care.Material & MethodsThe study population consisted of 98 subjects from a tea estate on West Java, Indonesia, that had been part of a prospective longitudinal study and provided full datasets of clinical assessments between 1987, 1994 and 2002. In 2011, complete sets of dental radiographs were made which was combined with the survey forms and clinical slides from the previous assessments in order to estimate reasons for tooth loss.ResultsThirty‐seven subjects lost no teeth, whereas 61 subjects lost 185 teeth. In this group, 45.9% lost ≤2 teeth, 32.8% lost 3 to 4 teeth and 19.7% lost ≥5 teeth. The majority of teeth were lost due to caries. In five subjects, tooth loss could be attributed solely to periodontitis, whereas in four subjects teeth were lost due to both caries and periodontits. Analyses of the predictor variables age, gender, smoking, education, presence of caries and severe periodontitis showed that male gender and caries were significantly associated with tooth loss.ConclusionThe majority of teeth in this population were lost due to caries.

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