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Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population.
J Periodontol. 2004 Oct; 75(10):1377-86.JP

Abstract

BACKGROUND

Gingival recession is a common manifestation of periodontal disease, but it is also associated with other risk factors. A few studies have investigated the epidemiology and risk factors of this condition. This study describes the epidemiology of gingival recession in a representative, urban Brazilian population and assesses various risk indicators.

METHODS

A representative sample of 1,460 subjects was selected using a multi-stage, probability, cluster sampling strategy. The subjects were interviewed using a structured questionnaire and had a full-mouth clinical examination in a mobile examination center.

RESULTS

More than half (51.6%) and 22.0% of the individuals and 17.0% and 5.8% of teeth per individual showed gingival recession > or = 3 mm and > or = 5 mm, respectively. The prevalence, extent, and severity of recession correlated with age. Recession showed a nonlinear relationship with age, with 25 to 50 year olds showing the highest level of recession. Males aged > or = 30 years showed significantly higher prevalence and extent of gingival recession than females. The percentage of teeth with recession was significantly higher in the lower socioeconomic groups irrespective of age, and in subjects > or = 30 years of age with irregular dental care than in subjects with regular care. Using a multivariable model, cigarette smoking and presence of supragingival calculus were the factors most significantly associated with localized and generalized recession, whereas gender, dental visits, and socioeconomic status were not significant risk indicators.

CONCLUSIONS

The high level of gingival recession in this Brazilian population may be primarily related to destructive periodontal disease and is significantly associated with a high level of supragingival dental calculus and cigarette smoking. Population-based programs aimed at the prevention of periodontal diseases may reduce the prevalence of severe gingival recession in this and similar populations.

Authors+Show Affiliations

Department of Periodontology, Temple University School of Dentistry, Philadelphia, PA 19140, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15562916

Citation

Susin, Cristiano, et al. "Gingival Recession: Epidemiology and Risk Indicators in a Representative Urban Brazilian Population." Journal of Periodontology, vol. 75, no. 10, 2004, pp. 1377-86.
Susin C, Haas AN, Oppermann RV, et al. Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. J Periodontol. 2004;75(10):1377-86.
Susin, C., Haas, A. N., Oppermann, R. V., Haugejorden, O., & Albandar, J. M. (2004). Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. Journal of Periodontology, 75(10), 1377-86.
Susin C, et al. Gingival Recession: Epidemiology and Risk Indicators in a Representative Urban Brazilian Population. J Periodontol. 2004;75(10):1377-86. PubMed PMID: 15562916.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. AU - Susin,Cristiano, AU - Haas,Alex N, AU - Oppermann,Rui V, AU - Haugejorden,Ola, AU - Albandar,Jasim M, PY - 2004/11/26/pubmed PY - 2005/2/4/medline PY - 2004/11/26/entrez SP - 1377 EP - 86 JF - Journal of periodontology JO - J Periodontol VL - 75 IS - 10 N2 - BACKGROUND: Gingival recession is a common manifestation of periodontal disease, but it is also associated with other risk factors. A few studies have investigated the epidemiology and risk factors of this condition. This study describes the epidemiology of gingival recession in a representative, urban Brazilian population and assesses various risk indicators. METHODS: A representative sample of 1,460 subjects was selected using a multi-stage, probability, cluster sampling strategy. The subjects were interviewed using a structured questionnaire and had a full-mouth clinical examination in a mobile examination center. RESULTS: More than half (51.6%) and 22.0% of the individuals and 17.0% and 5.8% of teeth per individual showed gingival recession > or = 3 mm and > or = 5 mm, respectively. The prevalence, extent, and severity of recession correlated with age. Recession showed a nonlinear relationship with age, with 25 to 50 year olds showing the highest level of recession. Males aged > or = 30 years showed significantly higher prevalence and extent of gingival recession than females. The percentage of teeth with recession was significantly higher in the lower socioeconomic groups irrespective of age, and in subjects > or = 30 years of age with irregular dental care than in subjects with regular care. Using a multivariable model, cigarette smoking and presence of supragingival calculus were the factors most significantly associated with localized and generalized recession, whereas gender, dental visits, and socioeconomic status were not significant risk indicators. CONCLUSIONS: The high level of gingival recession in this Brazilian population may be primarily related to destructive periodontal disease and is significantly associated with a high level of supragingival dental calculus and cigarette smoking. Population-based programs aimed at the prevention of periodontal diseases may reduce the prevalence of severe gingival recession in this and similar populations. SN - 0022-3492 UR - https://www.unboundmedicine.com/medline/citation/15562916/Gingival_recession:_epidemiology_and_risk_indicators_in_a_representative_urban_Brazilian_population_ L2 - https://doi.org/10.1902/jop.2004.75.10.1377 DB - PRIME DP - Unbound Medicine ER -