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Risk indicators for third molar caries and periodontal disease in senior adults.
J Oral Maxillofac Surg. 2007 May; 65(5):958-63.JO

Abstract

PURPOSE

This study was designed to identify risk indicators for the prevalence at enrollment and incidence over 36 months of periodontal pathology and coronal caries experience affecting third molars in a community-based study of people over 65 years of age.

SUBJECTS AND METHODS

Data from a subsample of 810 dentate subjects from the Piedmont 65+ Study were available for analyses. All visible teeth were examined. Periodontal probing measures were taken at 2 sites, mesiobuccal and buccal/facial. Clinical data on caries experience were collected by visual-tactile examination. At enrollment, 340 subjects had at least 1 visible third molar; all were examined for caries experience. Periodontal probing measures were available for 277 of these same subjects. The significance of the possible risk indicators for periodontal pathology and caries affecting third molars was determined by chi(2) tests. Statistical significance was set at .05. Logistic multivariable models were used to derive odds ratios and 95% confidence intervals.

RESULTS

African-American subjects were more likely to have visible third molars (P < .01). Caucasian subjects were more likely to have third molar coronal caries experience (P < .01), as were subjects with greater than a high school education and those with a dental visit within 3 years (both P < .01). However, African American subjects were more likely to have periodontal pathology, CALs >/= 3 mm on third molars (P < .01), as were those who used tobacco (P < .01). None of the other risk indicators we studied were associated with progression of periodontal pathology or coronal caries experience on visible third molars.

CONCLUSION

In this population study of senior adults, Caucasians and African Americans appear to have different levels of risk for caries experience and periodontal pathology affecting retained third molars.

Authors+Show Affiliations

Department of Dental Ecology, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17448848

Citation

Moss, Kevin L., et al. "Risk Indicators for Third Molar Caries and Periodontal Disease in Senior Adults." Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, vol. 65, no. 5, 2007, pp. 958-63.
Moss KL, Beck JD, Mauriello SM, et al. Risk indicators for third molar caries and periodontal disease in senior adults. J Oral Maxillofac Surg. 2007;65(5):958-63.
Moss, K. L., Beck, J. D., Mauriello, S. M., Offenbacher, S., & White, R. P. (2007). Risk indicators for third molar caries and periodontal disease in senior adults. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 65(5), 958-63.
Moss KL, et al. Risk Indicators for Third Molar Caries and Periodontal Disease in Senior Adults. J Oral Maxillofac Surg. 2007;65(5):958-63. PubMed PMID: 17448848.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk indicators for third molar caries and periodontal disease in senior adults. AU - Moss,Kevin L, AU - Beck,James D, AU - Mauriello,Sally M, AU - Offenbacher,Steven, AU - White,Raymond P,Jr PY - 2006/01/03/received PY - 2006/03/03/revised PY - 2006/03/29/accepted PY - 2007/4/24/pubmed PY - 2007/5/26/medline PY - 2007/4/24/entrez SP - 958 EP - 63 JF - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JO - J Oral Maxillofac Surg VL - 65 IS - 5 N2 - PURPOSE: This study was designed to identify risk indicators for the prevalence at enrollment and incidence over 36 months of periodontal pathology and coronal caries experience affecting third molars in a community-based study of people over 65 years of age. SUBJECTS AND METHODS: Data from a subsample of 810 dentate subjects from the Piedmont 65+ Study were available for analyses. All visible teeth were examined. Periodontal probing measures were taken at 2 sites, mesiobuccal and buccal/facial. Clinical data on caries experience were collected by visual-tactile examination. At enrollment, 340 subjects had at least 1 visible third molar; all were examined for caries experience. Periodontal probing measures were available for 277 of these same subjects. The significance of the possible risk indicators for periodontal pathology and caries affecting third molars was determined by chi(2) tests. Statistical significance was set at .05. Logistic multivariable models were used to derive odds ratios and 95% confidence intervals. RESULTS: African-American subjects were more likely to have visible third molars (P < .01). Caucasian subjects were more likely to have third molar coronal caries experience (P < .01), as were subjects with greater than a high school education and those with a dental visit within 3 years (both P < .01). However, African American subjects were more likely to have periodontal pathology, CALs >/= 3 mm on third molars (P < .01), as were those who used tobacco (P < .01). None of the other risk indicators we studied were associated with progression of periodontal pathology or coronal caries experience on visible third molars. CONCLUSION: In this population study of senior adults, Caucasians and African Americans appear to have different levels of risk for caries experience and periodontal pathology affecting retained third molars. SN - 0278-2391 UR - https://www.unboundmedicine.com/medline/citation/17448848/Risk_indicators_for_third_molar_caries_and_periodontal_disease_in_senior_adults_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0278-2391(06)01355-3 DB - PRIME DP - Unbound Medicine ER -