Third molars associated with periodontal pathology in older Americans

被引:47
作者
Elter, JR
Offenbacher, S
White, RP [1 ]
Beck, JD
机构
[1] Univ N Carolina, Sch Dent, Dept Oral & Maxillofacial Surg, Chapel Hill, NC 27599 USA
[2] Univ N Carolina, Sch Dent, Dept Dent Ecol, Chapel Hill, NC 27599 USA
[3] Univ N Carolina, Sch Dent, Dept Periodontol, Chapel Hill, NC 27599 USA
关键词
D O I
10.1016/j.joms.2004.10.004
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: The study goal was to assess the association between the presence of visible third molars and periodontal pathology in a community-dwelling sample of middle-aged and older adults. Materials and Methods: Data were obtained between 1996 and 1999 on 6,793 persons aged 52 to 74 from the Dental ARIC Study, a substudy of the Atherosclerosis Risk in Communities Study. The main independent variable was presence or absence of third molars assessed visually, and the dependent variable was assessment of periodontal disease as measured by pocket depth of 5 mm or greater (PD5 +). Periodontal measures included pocket depth, gingival recession, and attachment level on 6 sites per tooth on all remaining teeth. Second molars were compared for periodontal pathology based on the presence or absence of a visible third molar in the same quadrant. Associations were determined using odds ratios and 95% confidence intervals. Weighted multivariable models were fit using logistic regression, and variances were adjusted to account for the clustering of quadrants within persons with the use of SUDAAN (Research Triangle Institute. Research Triangle Park, NC). Results: A visible third molar was associated with 1.5 times the odds of PD5 + on the adjacent second molar, while controlling for other factors associated with the presence of third molars and periodontal disease. Other factors positively associated with PD5+ in the model were male gender, older age. smoking, and irregular and episodic dental visits. Conclusions: The finding of more severe periodontal conditions associated with visible third molars in these middle-aged and older adults indicates that third molars may continue to have a negative impact on periodontal health well into later life. The relationship between third molars and periodontal disease pathogenesis deserves further study using longitudinal data. (C) 2005 American Association of Oral and Maxillofacial Surgeons.
引用
收藏
页码:179 / 184
页数:6
相关论文
共 13 条
[1]   A STUDY OF PERIODONTAL HAZARDS OF THIRD MOLARS [J].
ASH, M ;
COSTICH, ER ;
HAYWARD, JR .
JOURNAL OF PERIODONTOLOGY, 1962, 33 (03) :209-&
[2]  
ASH MM, 1964, DENT CLIN N AM, P51
[3]   Relationship of periodontal disease to carotid artery intima-media wall thickness - The atherosclerosis risk in communities (ARIC) study [J].
Beck, JD ;
Elter, JR ;
Heiss, G ;
Couper, D ;
Mauriello, SM ;
Offenbacher, S .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 2001, 21 (11) :1816-1822
[4]   Periodontal pathology associated with asymptomatic third molars [J].
Blakey, GH ;
Marciani, RD ;
Haug, RH ;
Phillips, C ;
Offenbacher, S ;
Pabla, T ;
White, RP .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2002, 60 (11) :1227-1233
[5]   Third molars associated with periodontal pathology in the Third National Health and Nutrition Examination Survey [J].
Elter, JR ;
Cuomo, CJ ;
Offenbacher, S ;
White, RP .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2004, 62 (04) :440-445
[6]   Etiologic models for incident periodontal attachment loss in older adults [J].
Elter, JR ;
Beck, JD ;
Slade, GD ;
Offenbacher, S .
JOURNAL OF CLINICAL PERIODONTOLOGY, 1999, 26 (02) :113-123
[7]   Subgingival microbiota in healthy, well-maintained elder and periodontitis subjects [J].
Haffajee, AD ;
Cugini, MA ;
Tanner, A ;
Pollack, RP ;
Smith, C ;
Kent, RL ;
Socransky, SS .
JOURNAL OF CLINICAL PERIODONTOLOGY, 1998, 25 (05) :346-353
[9]   Influence of risk factors on the pathogenesis of periodontitis [J].
Salvi, GE ;
Lawrence, HP ;
Offenbacher, S ;
Beck, JD .
PERIODONTOLOGY 2000, 1997, 14 :173-201
[10]  
SHAH BV, 1996, SUDAAN USERS MANUAL