The objective of this study was to assess the relative effects of age and oral hygiene on the progression of periodontitis by estimating incidence from age-specific prevalence. This study analyzed data from a representative national sample of 14,690 dentate Americans, aged from 15 to 74, seen in the first National Health and Nutrition Examination Survey (NHANES 1) in 1971-1974. Results showed that the rate of increase in the estimated incidence of periodontitis with age, throughout all age groups, is much higher among subjects with poor oral hygiene than among those with good oral hygiene. Oral hygiene was confirmed as the most important predictor for periodontitis; in all age groups, more than 95% of those examined with good oral hygiene did not have periodontitis. It was concluded that the effect of age on the progression of periodontitis could therefore be considered negligible when good oral hygiene is maintained.
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References
1.
Anerud, A.; Löe, H.; Boysen, H.; and Smith, M. (1979): The Natural History of Periodontal Disease in Man. Changes in Gingival Health and Oral Hygiene Before 40 Years of Age, J Periodont Res14:526-540.
2.
Beck, J.D.; Lainson, P.A.; Field, H.M.; and Hawkins, B.F. (1984): Risk Factors for Various Levels of Periodontal Disease and Treatment Needs in Iowa, Community Dent Oral Epidemiol12:17-22.
3.
Becker, W.; Becker, B.E.; and Berg, L.E. (1984): Periodontal Treatment Without Maintenance; A Retrospective Study in 44 Patients, J Periodontol55:505-509.
4.
Becker, W.; Berg, L.; and Becker, B.E. (1979): Untreated Periodontal Disease: A Longitudinal Study, J Periodontol50 :234-243.
5.
Berki, S.E.; Lepkowski, J.N.; Wyszewianski, L.; Landis, J.R.; Magilavy, M.L.; McLaughlin, G.; and Murt, H.A. (1985): High-volume and Low-volume Users of Health Services, United States, 1980. National Medical Care Utilization and Expenditure Survey . National Center for Health Statistics; DHHS Publ. No. (PHS) 86-20402, Series C; No. 2. Washington, D.C.: U.S. Government Printing Office.
6.
Boyle, W.D.; Via, W.F.; and McFall, W.T. (1973): Radiographic Analysis of Alveolar Crest Height and Age, J Periodontol44:236-243.
7.
Burt, B.; Eklund, S.; Landis, J.R.; Larkin, F.; Guire, K.; and Thompson, F. (1982): Diet and Dental Health, A Study of Relationships: United States - 1971 -1974. Hyattsville, Maryland: National Center for Health Statistics; DHHS Publ. No. (PHS)82-1675, Series 11; No. 225. Washington, D.C.: U.S. Government Printing Office.
8.
Burt, B.A. (1985): The Social Epidemiology of Periodontal Disease . Paper presented at the American Academy of Periodontics Conference.
9.
Burt, B.A.; Ismail, A.I.; and Eklund, S.A. (1985): Periodontal Disease, Tooth Loss, and Oral Hygiene Among Older Americans, Community Dent Oral Epidemiol13:93-96.
10.
Chilton, N.W. (1950): Some Public Health Aspects of Periodontal Disease , J Am Dent Assoc40:23-33.
11.
Chilton, N.W. and Miller, M.F. (1977): Diagnostic Methods and Epidemiology of Periodontal Disease, B. Klavan, R. Genco, H. Loe, R. Page, I. Stern , J. Thorpe, and E. Barrington, Eds., International Conference on Research in the Biology of Periodontal Disease, Chicago : University of Illinois, pp. 94-118.
12.
Douglass, C.W.; Gillings, D.; Sollecito, W.; and Gammon, M. (1983a): The Potential for Increase in the Periodontal Diseases in the Aged Population, J Periodontol54:721-730.
13.
Douglass, C.W.; Gillings, D.; Sollecito, W.; and Gammon, M. (1983b): National Trends in the Prevalence and Severity of the Periodontal Diseases, J Am Dent Assoc107:403-412.
14.
Goodson, J.M.; Tanner, A.C.R.; Haffajee, A.D.; Sorn-Berger, G.C.; and Socransky, S.S. (1982): Patterns of Progression and Regression of Advanced Destructive Periodontal Disease, J Clin Periodontol9:472-481.
15.
Greene, J.C. and Vermillion, J.R. (1964): The Simplified Oral Hygiene Index, J Am Dent Assoc68:7-13.
Hugoson, A. and Jordan, T. (1982): Frequency Distribution of Individuals Aged 20-70 Years According to Severity of Periodontal Disease, Community Dent Oral Epidemiol10:187-192.
18.
Imery, P.B. (1986): Considerations in the Statistical Analysis of Clinical Trials in Periodontitis, J Clin Periodontol13:517-528.
19.
Ismail, A.; Burt, B.; and Eklund, S. (1983): Epidemiologic Patterns of Smoking and Periodontal Disease in the United States, J Am Dent Assoc106:617-621.
20.
Janson, J.; Pilot, T.; and Corba, N. (1981): Histologic Evaluation of Probe Penetration during Clinical Assessment of Periodontol Attachment Levels, J Clin Periodontol8:98-106.
21.
Kelley, J.E. and Harvey, C.R. (1979): Basic Data on Dental Examination Findings of Persons 1-74 Years, U.S., 1971-1974. National Center for Health Statistics; NHEW Publ. No. (PHS) 79-1662, Series 11, No. 214. Washington, D.C.: U.S. Government Printing Office.
22.
Kleinbaum, D.G.; Kupper, L.L.; and Morgenstern, H. (1982): Epidemiologic Research Principles and Quantitative Methods, Belmont, CA: Lifetime Learning Publishers, pp. 19-39.
23.
Last, J., Ed. (1983): A Dictionary of Epidemiology, New York: Oxford University Press, pp. 7-34.
24.
Leske, M.C.; Ederer, F.; and Podgor, M. (1981): Estimating Incidence From Age-specific Prevalence in Glaucoma, Am J Epidemiol113:606-613.
25.
Lindhe, J.; Haffajee, A.D.; and Socransky, S.S. (1983): Progression of Periodontal Disease in Adult Subjects in the Absence of Periodontal Therapy, J Clin Periodontol10:433-442.
26.
Lindhe, J.; Socransky, S.; and Wennstrom, J. (1986): Design of Clinical Trials of Traditional Therapies of Periodontitis, J Clin Periodontol13:488-497.
27.
Listgarten, M.A.; Schifter, C.C.; and Laster, L. (1985): 3-year Longitudinal Study of the Periodontol Status of an Adult Population with Gingivitis, J Clin Periodontol12:225-238.
28.
Löe, H.; Anerud, A.; Boysen, H.; and Smith, M. (1978a): The Natural History of Periodontal Disease in Man: Study Design and Baseline Data, J Periodont Res13:550-563.
29.
Löe, H.; Anerud, A.; Boysen, H.; and Smith, M. (1978b): The Natural History of Periodontal Disease in Man. The Rate of Periodontal Destruction Before 40 Years of Age, J Periodontol49:607-620.
30.
McHugh, W.D.; Caffesse, R.G.; Caton, J.G.; Hazen, S.P.; Mellonig, J.T.; Pihlstrom, B.L.; Ranney, R.R.; Rob-Ertson, P.B.; and Schluger, S. (1982): Proceedings of the State of the Art Workshop, J Periodontol53:475-501.
31.
Nyman, S.; Lindhe, J.; and Karring, T. (1983): Reattachment-New Attachment. In: Textbook of Clinical Periodontology, J. Lindhe , Ed., Copenhagen:Munksgaard , pp. 410-432.
32.
Polson, A.M.; Caton, J.G.; Yeaple, R.N.; and Zander, H.A. (1980): Histological Determination of Probe Tip Penetration into Gingival Sulcus of Humans using an Electronic Pressure Sensitive Probe , J Clin Periodontol7:479-488.
33.
Ramfjord, S.P.; Emslie, R.D.; Greene, J.C.; Held, A.J.; and Waerhaug, J. (1968): Epidemiological Studies of Periodontol Disease , Am J Publ Hlth58:1713-1722.
34.
Russell, A.L. (1956): A System of Classification and Scoring for Prevalence Surveys of Periodontol Disease, J Dent Res35 :350-359.
35.
Russell, A.L. (1967): The Periodontal Index, J Periodontol38:585-591.
36.
Scherp, H. (1964): Current Concepts in Periodontal Research: Epidemiological Contributions, J Am Dent Assoc68:667-675.
37.
Sheiham, A. (1979): The Epidemiology of Dental Caries and Periodontal Disease. Paper given at the symposium "Prevention of Major Dental Disorders,"Marabou, Sundbyberg, Sweden.
38.
Socransky, S.S.; Haffajee, A.D.; Goodson, J.M.; and Lindhe, J. (1984): New Concepts of Destructive Periodontal Disease , J Clin Periodontol11:21-31.
39.
Suomi, J.D.; Greene, J.C.; Vermillion, J.R.; Doyle, J.; Chang, J.J.; and Leatherwood, F.C. (1971): The Effect of Controlled Oral Hygiene Procedures on the Progression of Periodontol Disease in Adults: Results After Third and Final Year, J Periodontol42:152-160.
40.
Van Der Velden, V. (1980): The Influence of Periodontal Health on Probing Depth and Bleeding Tendency, J Clin Periodontol7:123-139.
41.
Waerhaug, J. (1966): Epidemiology of Periodontal Disease - Review of Literature. In: World Workshop in Periodontics, S.P. Ramfjord, D.A. Kerr , and M.M. Ash, Eds., Ann Arbor: University of Michigan, pp. 181-211.
42.
World Health Organization (1978): Epidemiology, Etiology, and Prevention of Periodontal Diseases. Technical Report Series No. 621. Geneva: WHO.
