Prevalence and associated factors of periodontal conditions among 55- to 74-year-old adults in China: results from the 4th National Oral Health Survey

Sun, Haoyun; Du, Minquan; Tai, Baojun; Chang, Shuli; Wang, Yixuan; Jiang, Han

doi:10.1007/s00784-020-03306-4

Cited by 42 publications

(49 citation statements)

References 24 publications

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“…In the previous study using the same database (Sun et al, 2018), the number of teeth with CAL ≥4 mm was significantly different between subjects lived in urban and rural areas. However, there were no significant differences in periodontal conditions between urban and rural areas in the present study.…”

Section: Discussionmentioning

confidence: 78%

The prevalence and severity of periodontal disease in Mainland China: Data from the Fourth National Oral Health Survey (2015–2016)

Jiao

Jing

et al. 2020

J Clinic Periodontology

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143

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AimTo evaluate periodontal conditions in adults in mainland China based on data from the 4th National Oral Health Survey.Materials and methodsData of adult subjects (35‐ to 44‐year‐old group [N = 4409], 55‐ to 64‐year‐old group [N = 4622], and 65‐ to 74‐year‐old group [N = 4428]) were analysed. Demographic, socio‐economic, personal habit, dental history, and health attitude data were obtained using a questionnaire. Periodontal condition was assessed using the standardized case definitions of the 2018 classification scheme. A multivariate analysis was performed to investigate the relationship between periodontitis severity and age, smoking status, gender, and region using generalized additive models after adjusting for confounders.ResultsThe frequency of subjects with periodontitis was 52.8%, 69.3%, and 64.6% in the three age groups, respectively. The frequency of subjects with severe periodontitis (stage III or IV) was 10.6%, 37.3%, and 43.5% in the three age groups, respectively. The severity of periodontal disease was positively associated with age. Current and former smokers exhibited significantly greater disease severity than non‐smokers after adjustment for confounders. No significant difference of severity was found between males and females.ConclusionWithin the limitations of the study, the prevalence of periodontitis is very high among adults in mainland China. Periodontal status is associated with age and smoking status.

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Section: Discussionmentioning

confidence: 78%

The prevalence and severity of periodontal disease in Mainland China: Data from the Fourth National Oral Health Survey (2015–2016)

Jiao

Jing

et al. 2020

J Clinic Periodontology

Self Cite

143

117

View full text Add to dashboard Cite

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“…Periodontitis was found to have a higher prevalence in Chinese than before and became one of the major reasons for tooth loss [1,2]. According to the classification of periodontal diseases in 2018 [25], chronic and aggressive periodontitis are now grouped under a single category ("Periodontitis").…”

Section: Discussionmentioning

confidence: 99%

“…Periodontitis is a chronic, inflammatory oral disease with a high prevalence in Chinese patients [1,2]. As a multifactorial disease, periodontitis is believed to be caused by interplay among oral microorganisms, the hosts, and environmental factors [3].…”

Section: Introductionmentioning

confidence: 99%

Occurrence and quantification of Anelloviruses and Herpesviruses in gingival tissue in Chinese Shanghai sub-population

et al. 2020

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Background: Herpesviruses and bacteria and their interplay have long been believed to play important roles in the pathogenesis of periodontitis, but other microbial entities in the oral environment might also be involved. Anelloviruses are commonly detected in human, including in oral samples. The aim of the present study was to explore the occurrence and co-occurrence of human cytomegalovirus (HCMV), Epstein-Barr virus (EBV), and human anelloviruses (HTTVs) in gingival tissue samples collected from participants recruited in Shanghai, China. Methods: Gingival tissues were collected from 159 participants (57 with aggressive periodontitis (AP), 59 with chronic periodontitis (CP) and 43 with healthy periodontal status). The presence of HCMV, EBV, torque teno virus (TTV), torque teno mini virus (TTMV) and torque teno midi virus (TTMDV) DNA was detected by nested-PCR. The virus loads were quantified by real-time PCR. Results: The detection rates of EBV, TTV, TTMV and TTMDV were significantly higher in the AP and CP groups compared to the healthy group (all P < 0.01). A statistically significant association was found between EBV, TTV and TTMV virus load and periodontitis (all P < 0.05). Participants infected with EBV showed significantly higher infection rates and higher virus loads of TTV and TTMV than the EBV-negative group (all P < 0.05). The coexistence rates of EBV and anelloviruses and the coexistence of three HTTVs were significantly higher in AP and CP groups (all P < 0.01). Conclusions: Collectively, results obtained in this study suggest that HTTVs and the coexistence of EBV and HTTVs in particular, may be associated with periodontitis. Possible mechanisms of the interaction between herpesviruses and anelloviruses in the context of periodontitis require further investigation.

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“…6 The data from the Fourth National Oral Health Survey of China (2018) showed that the prevalence of bleeding on probing (BOP) was 87.4%, and the percentage of subjects with a healthy periodontium was <10% in 35-to 44-year-old Chinese adults. 7 According to the data from the National Health and Nutrition Examination Survey (NHANES) of 2009-2012, 46% of US adults had periodontitis, with 8.9% exhibiting severe periodontitis. 8 Previous studies indicated that PD was associated with many systemic conditions, such as coronary heart disease, 9 diabetes, 10 chronic obstructive pulmonary disease (COPD), 11 and stroke.…”

Section: Introductionmentioning

confidence: 99%

Relationship between periodontal disease and lung cancer: A systematic review and meta‐analysis

Wang

Yang

Zou

et al. 2020

J of Periodontal Research

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Periodontal disease (PD), as a chronic bacterial infection, might cause cardiovascular and some other systemic diseases, with recent studies reporting that it exhibits some connection with lung cancer. While studies have shown that poor oral health might increase the risk of lung cancer, the veracity of these reports is questionable. Therefore, this meta‐analysis was undertaken to investigate the association between PD and the risk of lung cancer. A search was run in PubMed, EMBASE, MEDLINE, CENTRAL, and ClinicalTrials.gov databases up to January 1, 2020. Cohort and case‐control studies investigating the correlation between PD and lung cancer were included. Eligibility assessment and data extraction were conducted independently, and a meta‐analysis was performed to synthesize the data. The association between PD, edentulism, and lung cancer was measured by the adjusted hazard ratios (HRs) or odds ratios (ORs) and their 95% confidence intervals (CIs) provided in articles. We employed appropriate effect model in terms of I2 (a fixed‐effect model for PD and a random‐effect model for edentulism) to obtain summary effect estimates. Statistical heterogeneity was investigated by chi‐square test and I2 statistics. Newcastle‐Ottawa Scale (NOS) was used to assess the quality of their method. Six cohort studies (eight references) and two case‐control studies, assessed as high‐quality, involving 167 256 participants, were included in the review. The summary estimates based on adjusted data showed an association between PD and a significant risk of lung cancer both in cohort studies (HR = 1.40, 95% CI = 1.25‐1.58; I2 = 8.7%) and case‐control studies (OR = 1.51, 95% CI = 1.16‐1.98; I2 = 36.5%). Similar features were found in the sensitivity analysis and subgroups for six cohort studies, of male only (HR = 1.36, 95% CI = 1.15‐2.60), setting the lung cancer incidence as endpoint (HR = 1.39, 95% CI = 1.24‐1.57; I2 = 23.9%), and adjusting alcohol for multifactorial HR (HR = 1.38, 95% CI = 1.21‐1.57; I2 = 39.9%). The summary HR for edentulism was 1.93 (95% CI = 1.05‐3.57; I2 = 55.3%). No obvious publication bias was detected. This systematic review and meta‐analysis demonstrated a significant association between PD and the incidence of lung cancer. Further observational studies are required by using standardized measurements to assess the periodontal status and by eliminating confounding factors, such as alcohol and diabetes, to verify such a relationship.

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Prevalence and associated factors of periodontal conditions among 55- to 74-year-old adults in China: results from the 4th National Oral Health Survey

Cited by 42 publications

References 24 publications

The prevalence and severity of periodontal disease in Mainland China: Data from the Fourth National Oral Health Survey (2015–2016)

The prevalence and severity of periodontal disease in Mainland China: Data from the Fourth National Oral Health Survey (2015–2016)

Occurrence and quantification of Anelloviruses and Herpesviruses in gingival tissue in Chinese Shanghai sub-population

Relationship between periodontal disease and lung cancer: A systematic review and meta‐analysis

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