S Naorungroj1,2, G D Slade3, K Divaris4,5, G Heiss5, S Offenbacher6, J D Beck3. 1. Department of Conservative Dentistry, Faculty of Dentistry, Prince of Songkla University, Hat Yai, Thailand. 2. Common Oral Diseases and Epidemiology Research Center, Prince of Songkla University, Hat Yai, Thailand. 3. Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill, NC, USA. 4. Department of Pediatric Dentistry, School of Dentistry, University of North Carolina at Chapel Hill, NC, USA. 5. Department of Epidemiology, Gilling School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA. 6. Department of Periodontology, School of Dentistry, University of North Carolina at Chapel Hill, NC, USA.
Abstract
OBJECTIVE: To investigate racial differences in the associations between periodontitis and 10-year self-reported incident tooth loss in a biracial, community-based cohort of US late middle-aged and older adults. METHODS: Subjects were 3,466 dentate men and women aged 53-74 who underwent dental examinations from 1996 to1998. In 2012-2013, telephone interviewers asked participants about tooth loss in the preceding 10 years. Separate multivariable ordinal logistic regression models were used to calculate proportional odds ratios (OR) and 95% confidence intervals (CI) as estimates of association between periodontitis and tooth loss for Whites and African-Americans (AAs). RESULTS: The majority of participants were White (85 percent) and female (57 percent) with 23 teeth on average at enrollment. Approximately half the Whites (56 percent) and AAs (49 percent) had periodontitis. At follow-up, approximately 44 percent of AAs and 38 percent of Whites reported having lost ≥1 tooth. In multivariable models, severe periodontitis (OR = 3.03; 95% CI = 2.42-3.80) and moderate periodontitis (OR = 1.64; 95% CI= 1.39-1.94) were significant risk factors of incident tooth loss among Whites. For AAs, severe but not moderate periodontitis increased the odds of incident tooth loss (OR = 2.22; 95% CI = 1.37-3.59). In the final model, education was inversely associated with incident tooth loss among AAs, while lower income was associated with greater odds of tooth loss among Whites. CONCLUSIONS: In this population-based cohort, there is racial heterogeneity in the association between periodontitis and tooth loss. Interventions to reduce the impact of periodontitis on tooth loss need to consider these differences.
OBJECTIVE: To investigate racial differences in the associations between periodontitis and 10-year self-reported incident tooth loss in a biracial, community-based cohort of US late middle-aged and older adults. METHODS: Subjects were 3,466 dentate men and women aged 53-74 who underwent dental examinations from 1996 to1998. In 2012-2013, telephone interviewers asked participants about tooth loss in the preceding 10 years. Separate multivariable ordinal logistic regression models were used to calculate proportional odds ratios (OR) and 95% confidence intervals (CI) as estimates of association between periodontitis and tooth loss for Whites and African-Americans (AAs). RESULTS: The majority of participants were White (85 percent) and female (57 percent) with 23 teeth on average at enrollment. Approximately half the Whites (56 percent) and AAs (49 percent) had periodontitis. At follow-up, approximately 44 percent of AAs and 38 percent of Whites reported having lost ≥1 tooth. In multivariable models, severe periodontitis (OR = 3.03; 95% CI = 2.42-3.80) and moderate periodontitis (OR = 1.64; 95% CI= 1.39-1.94) were significant risk factors of incident tooth loss among Whites. For AAs, severe but not moderate periodontitis increased the odds of incident tooth loss (OR = 2.22; 95% CI = 1.37-3.59). In the final model, education was inversely associated with incident tooth loss among AAs, while lower income was associated with greater odds of tooth loss among Whites. CONCLUSIONS: In this population-based cohort, there is racial heterogeneity in the association between periodontitis and tooth loss. Interventions to reduce the impact of periodontitis on tooth loss need to consider these differences.
Authors: John Joseph Warren; Catherine Ann Watkins; Howard Jeffry Cowen; Jed Stephen Hand; Steven Marc Levy; Raymond Andrew Kuthy Journal: Community Dent Oral Epidemiol Date: 2002-02 Impact factor: 3.383
Authors: Mohammad Houshmand; Birte Holtfreter; Marie Henrike Berg; Christian Schwahn; Peter Meisel; Reiner Biffar; Stefan Kindler; Thomas Kocher Journal: J Clin Periodontol Date: 2012-05-21 Impact factor: 8.728
Authors: Christopher Bole; Jean Wactawski-Wende; Kathleen M Hovey; Robert J Genco; Ernest Hausmann Journal: Community Dent Oral Epidemiol Date: 2010-12 Impact factor: 3.383
Authors: Fernando O Costa; Alessandra N Guimarães; Luís O M Cota; André L Pataro; Takeshi K Segundo; Sheila C Cortelli; José E Costa Journal: J Oral Sci Date: 2009-06 Impact factor: 1.556
Authors: Thiago Morelli; Kevin L Moss; John S Preisser; James D Beck; Kimon Divaris; Di Wu; Steven Offenbacher Journal: J Periodontol Date: 2018-02-22 Impact factor: 6.993
Authors: Cary S Agler; Kevin Moss; Kamaira H Philips; Julie T Marchesan; Miguel Simancas-Pallares; James D Beck; Kimon Divaris Journal: Adv Exp Med Biol Date: 2019 Impact factor: 2.622
Authors: Lubaina T Arsiwala; Xinxing Guo; Pradeep Y Ramulu; A Richey Sharrett; Aleksandra Mihailovic; Bonnielin K Swenor; Thomas Mosley; YaNan Dong; Alison G Abraham Journal: J Gerontol A Biol Sci Med Sci Date: 2022-10-06 Impact factor: 6.591
Authors: Lubaina T Arsiwala; Yejin Mok; Chao Yang; Junichi Ishigami; Elizabeth Selvin; James D Beck; Matthew A Allison; Gerardo Heiss; Ryan T Demmer; Kunihiro Matsushita Journal: J Periodontol Date: 2021-11-17 Impact factor: 4.494
Authors: Dominique S Michaud; Jiayun Lu; Alexandra Y Peacock-Villada; John R Barber; Corinne E Joshu; Anna E Prizment; James D Beck; Steven Offenbacher; Elizabeth A Platz Journal: J Natl Cancer Inst Date: 2018-08-01 Impact factor: 13.506
Authors: Simon Haworth; Dmitry Shungin; So Young Kwak; Hae-Young Kim; Nicola X West; Steven J Thomas; Paul W Franks; Nicholas J Timpson; Min-Jeong Shin; Ingegerd Johansson Journal: Community Dent Oral Epidemiol Date: 2018-06-29 Impact factor: 3.383
Authors: Mario Dioguardi; Giovanni Di Gioia; Giorgia Apollonia Caloro; Giorgia Capocasale; Khrystyna Zhurakivska; Giuseppe Troiano; Lucio Lo Russo; Lorenzo Lo Muzio Journal: Dent J (Basel) Date: 2019-05-01
Authors: Stefano Cianetti; Chiara Valenti; Massimiliano Orso; Giuseppe Lomurno; Michele Nardone; Anna Palma Lomurno; Stefano Pagano; Guido Lombardo Journal: Int J Environ Res Public Health Date: 2021-11-24 Impact factor: 3.390