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A 10-year prospective study of tobacco smoking and periodontal health.

https://arctichealth.org/en/permalink/ahliterature67464
Source
J Periodontol. 2000 Aug;71(8):1338-47
Publication Type
Article
Date
Aug-2000
Author
J. Bergström
S. Eliasson
J. Dock
Author Affiliation
Department of Periodontology, Karolinska Institutet, Stockholm, Sweden.
Source
J Periodontol. 2000 Aug;71(8):1338-47
Date
Aug-2000
Language
English
Publication Type
Article
Keywords
Adult
Age Factors
Aged
Alveolar Bone Loss - epidemiology
Analysis of Variance
Cohort Studies
Comparative Study
Dental Plaque Index
Female
Follow-Up Studies
Gingival Hemorrhage - epidemiology
Humans
Linear Models
Longitudinal Studies
Male
Middle Aged
Music
Observer Variation
Oral Hygiene
Periodontal Diseases - epidemiology
Periodontal Pocket - epidemiology
Population Surveillance
Prospective Studies
Regression Analysis
Smoking - epidemiology
Smoking Cessation - statistics & numerical data
Sweden - epidemiology
Abstract
BACKGROUND: To date only a few studies have evaluated the long-term influence of smoking and smoking cessation on periodontal health. The present study, therefore, was undertaken with the aim to prospectively investigate the influence of smoking exposure over time on the periodontal health condition in a targeted population before and after a follow-up interval of 10 years. METHODS: The primary study base consisted of a population of occupational musicians that was investigated the first time in 1982 and scheduled for reinvestigation in 1992 and 2002. The 1992 investigation included 101 individuals from the baseline study constituting a prospective cohort including 16 smokers, who had continued to smoke throughout the entire length of the 10-year period; 28 former smokers who had ceased smoking an average of approximately 9 years before the commencement of the baseline study; 40 non-smokers, who denied ever having smoked tobacco; and 17 individuals whose smoking pattern changed or for whom incomplete data were available. The clinical and radiographic variables used for the assessment of the periodontal health condition of the individual were frequency of periodontally diseased sites (probing depth > or =4 mm), gingival bleeding (%), and periodontal bone height (%). The oral hygiene standard was evaluated by means of a standard plaque index. RESULTS: The changes over the 10 years with respect to frequency of diseased sites indicated an increased frequency in continuous smokers versus decreased frequencies in former smokers and non-smokers. Controlling for age and frequency of diseased sites at baseline, the 10-year change was significantly associated with smoking (P
PubMed ID
10972650 View in PubMed
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The association between current unemployment and clinically determined poor oral health.

https://arctichealth.org/en/permalink/ahliterature272088
Source
Community Dent Oral Epidemiol. 2015 Aug;43(4):325-37
Publication Type
Article
Date
Aug-2015
Author
Fouad Y H Al-Sudani
Miira M Vehkalahti
Anna L Suominen
Source
Community Dent Oral Epidemiol. 2015 Aug;43(4):325-37
Date
Aug-2015
Language
English
Publication Type
Article
Keywords
Adult
DMF Index
Female
Finland - epidemiology
Health Surveys
Humans
Interviews as Topic
Male
Middle Aged
Oral Health - statistics & numerical data
Periodontal Pocket - epidemiology
Sex Factors
Stomatognathic Diseases - epidemiology
Surveys and Questionnaires
Time Factors
Unemployment - statistics & numerical data
Abstract
The aim of this study was to assess whether current unemployment was associated with poor oral health and whether there was a difference in oral health according to the duration of the current unemployment.
As part of the Health 2000 Survey in Finland (a nationwide comprehensive health examination survey), we used its data based on interviews, questionnaires, and clinical oral examinations of the 30- to 63-year-old respondents (n = 4773). Current employment status was measured in its dichotomous form, employed versus unemployed, and length of current unemployment was classified into four categories. We measured oral health in terms of numbers of missing teeth, of sound teeth, of filled teeth, of decayed teeth, and of teeth with deepened periodontal pockets (=4 mm, =6 mm). Poisson regression models were fitted for all oral health outcomes except number of decayed teeth, for which negative binomial regression model was used. Oral health-related behaviors and sociodemographic and socioeconomic factors were added to the analyses.
The unemployed subjects had higher numbers of missing teeth, of decayed teeth, and of teeth with periodontal pockets than the employed ones. The association remained consistent even after adjustments. Oral health-related behaviors seemed to mediate the association. We found no association between unemployment and number of sound teeth. Current long-term unemployment showed stronger association with poor oral health than short-term among women.
The unemployed can be considered as a risk group for poor oral health. Oral healthcare should be reoriented toward those who are unemployed.
PubMed ID
25684113 View in PubMed
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Association between moderate to severe psoriasis and periodontitis in a Scandinavian population.

https://arctichealth.org/en/permalink/ahliterature266915
Source
BMC Oral Health. 2014;14:139
Publication Type
Article
Date
2014
Author
Rasa Skudutyte-Rysstad
Ellen Margrethe Slevolden
Bjørn Frode Hansen
Leiv Sandvik
Hans Ragnar Preus
Source
BMC Oral Health. 2014;14:139
Date
2014
Language
English
Publication Type
Article
Keywords
Adult
Aged
Alveolar Bone Loss - epidemiology
Case-Control Studies
Chronic Disease
Dental Care - statistics & numerical data
Dental Plaque - epidemiology
Educational Status
Female
Gingival Hemorrhage - epidemiology
Humans
Male
Middle Aged
Norway - epidemiology
Oral Hygiene - statistics & numerical data
Periodontal Attachment Loss - epidemiology
Periodontal Pocket - epidemiology
Periodontitis - epidemiology
Pharmaceutical Preparations - administration & dosage
Prevalence
Psoriasis - epidemiology
Smoking - epidemiology
Tooth Loss - epidemiology
Young Adult
Abstract
The aim of the present study was to compare the prevalence of periodontitis and alveolar bone loss among individuals with psoriasis and a group of randomly selected controls.
Fifty individuals with psoriasis and 121 controls completed a structured questionnaire, and were examined clinically and radiographically. Oral examination included numbers of missing teeth, probing pocket depth (PPD), clinical attachment level (CAL), presence of dental plaque and bleeding on probing, as well as alveolar bone loss from radiographs. Questionnaires requested information on age, gender, education, dental care, smoking habits, general diseases and medicament use. For adjustment for baseline differences between psoriasis individuals and controls the propensity score based on gender, age and education was computed using multivariate logistic regression. A subsample analysis for propensity score matched psoriasis individuals (n?=?50) and controls (n?=?50) was performed.
When compared with controls, psoriasis individuals had significantly more missing teeth and more sites with plaque and bleeding on probing. The prevalence of moderate and severe periodontitis was significantly higher among psoriasis individuals (24%) compared to healthy controls (10%). Similarly, 36% of psoriasis cases had one or more sites with radiographic bone loss =3 mm, compared to 13% of controls. Logistic regression analysis showed that the association between moderate/severe periodontitis and psoriasis remained statistically significant when adjusted for propensity score, but was attenuated when smoking was entered into the model. The association between psoriasis and one or more sites with bone loss =3 mm remained statistically significant when adjusted for propensity score and smoking and regularity of dental visits. In the propensity score (age, gender and education) matched sample (n?=?100) psoriasis remained significantly associated with moderate/severe periodontitis and radiographic bone loss.
Within the limits of the present study, periodontitis and radiographic bone loss is more common among patients with moderate/severe psoriasis compared with the general population. This association remained significant after controlling for confounders.
Notes
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Cites: Br J Dermatol. 2012 Dec;167(6):1338-4422755552
Cites: J Periodontol. 2012 Dec;83(12):1449-5422420873
Cites: Acta Odontol Scand. 2013 Nov;71(6):1423-923374087
Cites: Br J Dermatol. 2014 Feb;170(2):304-1424117435
Cites: J Periodontol. 2013 Apr;84(4):477-8522631882
PubMed ID
25427764 View in PubMed
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Association between obesity and periodontal risk indicators in adolescents.

https://arctichealth.org/en/permalink/ahliterature141567
Source
Int J Pediatr Obes. 2011 Jun;6(2-2):e264-70
Publication Type
Article
Date
Jun-2011
Author
Thomas Modéer
Cecilia Blomberg
Biniyam Wondimu
Tülay Yucel Lindberg
Claude Marcus
Author Affiliation
Department of Dental Medicine, Karolinska Institutet Huddinge, Stockholm, Sweden. thomas.modeer@ki.se
Source
Int J Pediatr Obes. 2011 Jun;6(2-2):e264-70
Date
Jun-2011
Language
English
Publication Type
Article
Keywords
Adiponectin - analysis
Adolescent
Alveolar Bone Loss - epidemiology
Analysis of Variance
Body mass index
Case-Control Studies
Chi-Square Distribution
Child
Cross-Sectional Studies
Dental Plaque - epidemiology
Female
Gingival Crevicular Fluid - immunology
Gingivitis - epidemiology
Humans
Inflammation Mediators - analysis
Interleukin-1beta - analysis
Interleukin-8 - analysis
Logistic Models
Male
Obesity - diagnosis - epidemiology
Odds Ratio
Periodontal Diseases - diagnosis - epidemiology - immunology
Periodontal Pocket - epidemiology
Plasminogen Activator Inhibitor 1 - analysis
Questionnaires
Risk assessment
Risk factors
Sweden - epidemiology
Tumor Necrosis Factor-alpha - analysis
Abstract
In a cross-sectional study design we test the hypothesis of whether obesity in adolescence is associated with periodontal risk indicators or disease.
Obese adolescents (n=52) and normal weight subjects (n=52) with a mean age of 14.5 years were clinically examined with respect to dental plaque, gingival inflammation, periodontal pockets and incipient alveolar bone loss. The subjects answered a questionnaire concerning medical conditions, oral hygiene habits, smoking habits and sociodemographic background. Body mass index (BMI) was calculated and adjusted for age and gender (BMI-SDS). Samples of gingival crevicular fluid (GCF) were analyzed for the levels of adiponectin, plasminogen activator inhibitor-1 (PAI-1), interleukin-1ß (IL-ß), interleukin-8 (IL-8) and tumor necrosis factor a (TNF-a).
Obese subjects exhibited more gingival inflammation (P4 mm) (P
PubMed ID
20707762 View in PubMed
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Association between periodontal condition and hypertension in a non-smoking population aged 30-49 years: results of the Health 2000 Survey in Finland.

https://arctichealth.org/en/permalink/ahliterature268493
Source
J Clin Periodontol. 2014 Dec;41(12):1132-8
Publication Type
Article
Date
Dec-2014
Author
Emilia Ollikainen
Tuomas Saxlin
Tellervo Tervonen
Anna Liisa Suominen
Matti Knuuttila
Antti Jula
Pekka Ylöstalo
Source
J Clin Periodontol. 2014 Dec;41(12):1132-8
Date
Dec-2014
Language
English
Publication Type
Article
Keywords
Adult
Alcohol drinking - epidemiology
Anti-Inflammatory Agents - therapeutic use
Blood Pressure - physiology
Body mass index
C-Reactive Protein - analysis
Cholesterol - blood
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Dental Care - statistics & numerical data
Dental Caries - epidemiology
Diabetes mellitus
Educational Status
Female
Finland - epidemiology
Gingival Hemorrhage - epidemiology
Health Surveys
Humans
Hypertension - epidemiology
Male
Middle Aged
Motor Activity
Periodontal Index
Periodontal Pocket - epidemiology
Smoking
Toothbrushing - statistics & numerical data
Triglycerides - blood
Abstract
The aim of this cross-sectional study was to investigate whether periodontal condition is associated with hypertension and systolic blood pressure.
The study population consisted of dentate, non-diabetic, non-smoking individuals aged 30-49 years (n = 1296) in the national Health 2000 Survey in Finland. The number of teeth with deepened (=4 mm) and deep (=6 mm) periodontal pockets and the number of sextants with gingival bleeding were used as explanatory variables. Hypertension and systolic blood pressure were used as outcome variables.
There was no consistent association between the number of teeth with deepened (=4 mm) (OR 0.98, 95% CI 0.95-1.01) or deep (=6 mm) (OR 1.01, 95% CI 0.90-1.12) periodontal pockets and hypertension after adjusting for confounding factors. Nor was there any essential association between the number of bleeding sextants and hypertension.
Periodontal pocketing and gingival bleeding did not appear to be related to hypertension in non-diabetic, non-smoking individuals aged 30-49 years. Further studies using experimental study designs would be required to determine the role of infectious periodontal diseases in the development or progression of hypertension.
PubMed ID
25256004 View in PubMed
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The association of depression and anxiety with dental caries and periodontal disease among Finnish adults.

https://arctichealth.org/en/permalink/ahliterature275072
Source
Community Dent Oral Epidemiol. 2015 Dec;43(6):540-9
Publication Type
Article
Date
Dec-2015
Author
Elsa K Delgado-Angulo
Wael Sabbah
Anna L Suominen
Miira M Vehkalahti
Matti Knuuttila
Timo Partonen
Anne Nordblad
Aubrey Sheiham
Richard G Watt
Georgios Tsakos
Source
Community Dent Oral Epidemiol. 2015 Dec;43(6):540-9
Date
Dec-2015
Language
English
Publication Type
Article
Keywords
Adult
Aged
Anxiety - epidemiology
Dental Caries - epidemiology
Depression - epidemiology
Female
Finland - epidemiology
Humans
Interview, Psychological
Male
Middle Aged
Periodontal Diseases - epidemiology
Periodontal Pocket - epidemiology
Psychiatric Status Rating Scales
Surveys and Questionnaires
Abstract
To explore the association of depression and anxiety with two oral health outcomes, dental caries and periodontal disease and assess possible mediators for any of the associations.
Secondary analysis of the Finnish Health 2000 Survey. Depression was assessed with Beck's Depression Inventory and anxiety with Composite International Diagnostic Interview. Number of decayed teeth included carious lesions reaching dentine; periodontal disease was number of teeth with periodontal pockets of 4 mm or deeper. Third molars were excluded. The association of mental disorders and oral health was tested in regression models adjusted for confounders and potential mediators.
Depression was associated with number of decayed teeth only among 35- to 54-year-olds. The association between anxiety and the number of decayed teeth was not statistically significant. Depression and periodontal pocketing were not significantly associated.
Depression was significantly associated with number of decayed teeth only among participants aged 35-54 old and not with other age groups. Neither depression nor anxiety was significantly related to periodontal disease.
PubMed ID
26130047 View in PubMed
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Association of lifestyle with periodontal health.

https://arctichealth.org/en/permalink/ahliterature11391
Source
Community Dent Oral Epidemiol. 1995 Jun;23(3):155-8
Publication Type
Article
Date
Jun-1995
Author
T K Sakki
M L Knuuttila
S S Vimpari
M S Hartikainen
Author Affiliation
Department of Periodontology and Geriatric Dentistry, University of Oulu, Finland.
Source
Community Dent Oral Epidemiol. 1995 Jun;23(3):155-8
Date
Jun-1995
Language
English
Publication Type
Article
Keywords
Alcohol Drinking - adverse effects
Cohort Studies
Dental Care - utilization
Diet
Female
Finland - epidemiology
Health Behavior
Humans
Life Style
Likelihood Functions
Logistic Models
Male
Middle Aged
Periodontal Pocket - epidemiology - etiology - psychology
Smoking - adverse effects
Social Class
Socioeconomic Factors
Statistics, nonparametric
Toothbrushing - utilization
Abstract
All the 1012, 55-yr-old citizens of Oulu (a medium-sized Finnish town) were invited to a clinical examination, and 780 of them participated. The associations of lifestyle with periodontal health were analyzed in the 527 dentate subjects. Periodontal pockets deeper than 3 mm were recorded as a percentage of the surfaces at risk. Lifestyle was measured by questions about dietary habits, smoking habits, alcohol consumption and physical activity. Lifestyle had an independent association with periodontal health. Periodontal pocketing increased with an unhealthier lifestyle. Lifestyle could explain some of the social and sex differences in periodontal health.
PubMed ID
7634770 View in PubMed
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Changes in periodontal disease indicators in 35-year-old Oslo citizens from 1973 to 1984.

https://arctichealth.org/en/permalink/ahliterature67925
Source
J Clin Periodontol. 1990 Apr;17(4):249-54
Publication Type
Article
Date
Apr-1990
Author
B F Hansen
E. Bjertness
P. Gjermo
Author Affiliation
Department of Oral Diagnosis, Dental Faculty, University of Oslo.
Source
J Clin Periodontol. 1990 Apr;17(4):249-54
Date
Apr-1990
Language
English
Publication Type
Article
Keywords
Adult
Dental Calculus - epidemiology
Dental Care - statistics & numerical data
Dental Plaque Index
Female
Gingivitis - epidemiology
Health Services Needs and Demand - statistics & numerical data
Health Services Research - statistics & numerical data
Humans
Male
Norway - epidemiology
Oral Hygiene Index
Periodontal Diseases - epidemiology - therapy
Periodontal Index
Periodontal Pocket - epidemiology
Random Allocation
Abstract
Periodontal disease indicators were evaluated according to the periodontal treatment need system (PTNS) in random samples of 35-year-old citizens of Oslo in 1973 and 1984. The study indicated that although periodontal disease was a common finding in both samples, there was a significant reduction in score C (indicating need for complex periodontal treatment) in 1984 compared to 1973. Whereas 37.9% of the subjects showed inflamed pockets deeper than 5 mm (score C) in 1973, only 22.9% scored C in 1984 (non-Caucasians excluded). This reduction was most pronounced in females. The mean number of C-quadrants in subjects needing complex periodontal treatment was also reduced from 2.0 in 1973 to 1.7 in 1984. Further analyses of the 1984 sample showed that the mean number of C-quadrants was significantly lower in subjects with low OHI-S scores and in regular dental visitors, whereas sex, years at school, toothbrushing frequency, interdental cleaning habits, previous periodontal therapy, self-experienced need for treatment, health attitude or smoking habits, did not seem to influence the prevalence of score C.
PubMed ID
2347950 View in PubMed
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Changes in periodontal treatment needs. A follow-up study of Oslo citizens from the ages of 35 to 50 years.

https://arctichealth.org/en/permalink/ahliterature72991
Source
J Periodontal Res. 1995 Nov;30(6):410-7
Publication Type
Article
Date
Nov-1995
Author
B F Hansen
E. Bjertness
J K Grønnesby
H M Eriksen
Author Affiliation
Department of Oral Diagnosis, University of Oslo, Norway.
Source
J Periodontal Res. 1995 Nov;30(6):410-7
Date
Nov-1995
Language
English
Publication Type
Article
Keywords
Adult
Dental Care - utilization
Educational Status
Female
Health Behavior
Health Services Needs and Demand - statistics & numerical data
Humans
Logistic Models
Longitudinal Studies
Male
Middle Aged
Norway - epidemiology
Odds Ratio
Oral Hygiene Index
Periodontal Diseases - epidemiology
Periodontal Index
Periodontal Pocket - epidemiology
Questionnaires
Research Support, Non-U.S. Gov't
Risk factors
Sampling Studies
Abstract
A random sample of 35-year-old subjects from Oslo took part in a dental survey in 1973 and were re-examined in 1988. Eighty-one subjects (85%) attended the final examination. The need for periodontal treatment was assessed by the Periodontal Treatment Need System (PTNS), and the oral hygiene by the Simplified Oral Hygiene Index (OHI-S). The participants attended a structured interview and answered a questionnaire about general and dental health habits as well as psycho-social factors. Only small changes in the distribution of subjects in the different PTNS categories were found to have taken place during the 15 years. In 1973, 56.8% were in need of scaling (Class B) and 32.1% had one or more deep inflamed pockets (Class C), and in 1988 the scores were 54.3% and 30.1% respectively. A logistic regression model was used to study the associations between risk factors and increased treatment need, as expressed by increase in the number of C-quadrants. Increased number of C-quadrants was positively associated both with short duration of education and with no interdental cleaning. Using a socio-ecological model for periodontal diseases, variables describing the items "behaviour" and "environment" were found to be most closely associated with increased need for periodontal treatment.
PubMed ID
8544105 View in PubMed
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A cross-sectional study of the associations between periodontitis and carotid arterial calcifications in an elderly population.

https://arctichealth.org/en/permalink/ahliterature275270
Source
Acta Odontol Scand. 2016;74(2):115-20
Publication Type
Article
Date
2016
Author
Viveca Wallin Bengtsson
G Rutger Persson
Johan Berglund
Stefan Renvert
Source
Acta Odontol Scand. 2016;74(2):115-20
Date
2016
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Aged, 80 and over
Alveolar Bone Loss - epidemiology
Atherosclerosis - epidemiology
Calcinosis - epidemiology
Carotid Artery Diseases - epidemiology
Cohort Studies
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Periodontal Index
Periodontal Pocket - epidemiology
Periodontitis - epidemiology
Prevalence
Radiography, Panoramic
Sex Factors
Sweden - epidemiology
Tooth Cervix - radiography
Abstract
To evaluate if the presence of periodontitis is associated with carotid arterial calcifications diagnosed on panoramic radiographs in an elderly population.
Study individuals were randomly selected from the Swedish civil registration database representing the aging population (60-96 years) in Karlskrona, Sweden. Bleeding on probing (BOP) and the deepest probing measurement at each tooth were registered. The proportions of teeth with a probing depth = 5 mm and the proportion of teeth with bleeding on probing were calculated. Analog panoramic radiographs were taken and the proportion of sites with a distance = 5 mm between the alveolar bone level and the cement-enamel junction (CEJ) were assessed. A diagnosis of periodontitis was declared if a distance between the alveolar bone level and the CEJ = 5 mm could be identified from the panoramic radiographs at > 10% of sites, probing depth of = 5 mm at one tooth or more and with BOP at > 20% of teeth.
Readable radiographs were obtained from 499 individuals. Carotid calcification was identified in 39.1%. Individuals were diagnosed with periodontitis in 18.4%. Data analysis demonstrated that individuals with periodontitis had a higher prevalence of carotid calcifications (Pearson ?(2) = 4.05 p
PubMed ID
26066062 View in PubMed
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59 records – page 1 of 6.