Explanatory models for clinical and subjective indicators of periodontal disease in an adult population

Unell, Lennart; Söderfeldt, Björn; Halling, Anders; Birkhed, Dowen

doi:10.1034/j.1600-051x.2000.027001022.x

Cited by 17 publications

(11 citation statements)

References 11 publications

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“…It has been suggested that this indicates comorbidity between such conditions in subjects with a multitude of health problems. In a study investigating explanatory models of periodontal disease, a significant association was found between gum bleeding and dry mouth (27).…”

Section: Discussionmentioning

confidence: 99%

A 15‐yr longitudinal study of xerostomia in a Swedish population of 50‐yr‐old subjects

Johansson

Unell

Ekbäck

et al. 2009

European J Oral Sciences

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The aim of this study was to determine the changes in prevalence of xerostomia in subjects from 50 to 65 yr of age. Questionnaires were sent to all subjects who were born in 1942 and were living in two Swedish counties in 1992, 1997, 2002, and 2007. The analyses focused on those who answered the questionnaires both in 1992 and in 2007. The response rate was 71.4% (n = 6,346) in 1992 and 73.1% (n = 6,078) in 2007. Of those who answered the questionnaire in 1992, 74.3% (n = 4,714) also responded in 2007. There was an almost linear increase in the prevalence of xerostomia at the four study time-points (i.e. when the subjects were 50, 55, 60, and 65 yr of age). Xerostomia was more prevalent at night than during the day. The pooled prevalence of night-time and daytime xerostomia was 6% at 50 yr of age and 15% at 65 yr of age, and it was higher in women than in men on both occasions. Logistic regression analyses showed that impaired health and smoking were significantly associated with daytime xerostomia but not with night-time xerostomia. Despite the increase in prevalence of xerostomia from 50 to 65 yr of age, there was considerable variation during the observation period. The incidence rate was 13% (507/4,015) and the disappearance rate was 42% (104/250) (dichotomized answers).

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Section: Discussionmentioning

confidence: 99%

A 15‐yr longitudinal study of xerostomia in a Swedish population of 50‐yr‐old subjects

Johansson

Unell

Ekbäck

et al. 2009

European J Oral Sciences

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“…As many studies have shown, the development of periodontal disease is a multifactorial process involving both social and personal factors. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Few papers, however, had explored the role of these factors that influence CP simultaneously, nor did they estimate the proportion of CP that could be attributable to one or more risk factors considered. In this study, we evaluated potential risk factors and found that toothbrushing frequency, mental illness, and smoking were significantly associated with chronic periodontitis.…”

Section: Discussionmentioning

confidence: 99%

“…However, most of the studies only explored the role of one or a few of these risk factors, although the variation in severity of CP cannot be explained only by just a few risk factors. 13 Moreover, clinical measurements in many studies only examined specific teeth for CP, 6,8,[11][12][13][14] which may produce biased estimates of the association between putative risk factors and disease, and, in turn, might underestimate prevalence. 15 Since lifestyles vary from country to country, CP may be influenced by different risk factors.…”

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confidence: 99%

Lifestyle and Psychosocial Factors Associated with Chronic Periodontitis in Taiwanese Adults

Teng

Lee

Hung

et al. 2003

Journal of Periodontology

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“…There are consistent socioeconomic inequalities in most indicators of oral health (1–10). Those in lower socioeconomic groups have poorer dental health than those in higher socioeconomic groups.…”

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confidence: 99%

The impact of educational level on oral health‐related quality of life in older people in London

Tsakos¹,

Sheiham²,

Iliffe

et al. 2009

European J Oral Sciences

110

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There are socioeconomic inequalities in oral health, but the relationship between education and oral health-related quality of life (OHRQoL) among older adults has not been adequately studied. This study assessed whether there is an educational gradient in OHRQoL among older people in London. We employed secondary analysis of baseline data (n = 1,090) from a randomized controlled trial of health-risk appraisal on community-dwelling non-disabled people 65 yr of age and older, registered with three group medical practices in suburban London. Multiple linear regressions were used to analyze the association between OHRQoL [measured using the Geriatric Oral Health Assessment Index (GOHAI)] and education, adjusted for age, gender, pension status, and denture wearing. Overall, 30.6% reported low levels of OHRQoL. Eating discomfort was the most frequent problem (24% reported 'often/always'), while concerns about appearance were also prevalent. Significant variations in OHRQoL existed between socioeconomic groups. In adjusted analyses, there was a clear education gradient in OHRQoL, with worse perceptions at each lower level of education. Low educational level has an independent negative impact on OHRQoL in older people, which is not explained by differences in income or in denture wearing between educational groups. Policies targeting lower educated groups should be complemented with whole-population strategies for the reduction of oral health inequalities.

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Explanatory models for clinical and subjective indicators of periodontal disease in an adult population

Cited by 17 publications

References 11 publications

A 15‐yr longitudinal study of xerostomia in a Swedish population of 50‐yr‐old subjects

A 15‐yr longitudinal study of xerostomia in a Swedish population of 50‐yr‐old subjects

Lifestyle and Psychosocial Factors Associated with Chronic Periodontitis in Taiwanese Adults

The impact of educational level on oral health‐related quality of life in older people in London

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