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Article: Clinical course of chronic periodontitis: II. Incidence, characteristics and time of occurrence of the initial periodontal lesion

TitleClinical course of chronic periodontitis: II. Incidence, characteristics and time of occurrence of the initial periodontal lesion
Authors
Issue Date2003
PublisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPE
Citation
Journal Of Clinical Periodontology, 2003, v. 30 n. 10, p. 902-908 How to Cite?
AbstractAim: The purpose of this study was to assess the initiation and progression of periodontal disease during adult life. Materials and Methods: In a 26-year longitudinal investigation of the initiation and progression of chronic periodontitis that started in 1969 and included 565 men of Norwegian middle class, 223 who had participated in some, but not all, intermediate examinations presented at the last survey in 1995. Fifty-four individuals were available for examination in all seven surveys. Results: Covering the age range from 16 to 60 years, the study showed that at 16 years of age, 5% of the participants had initial loss of periodontal attachment (ILA ≥ 2 mm) at one or more sites. Both the subject incidence and the site incidence increased with time, and by 32 years of age, all individuals had one or more sites with loss of attachment. As age progressed, new lesions affected sites, so that as these men approached 60 years of age approximately 50% of all available sites had ILA. An assessment of the intraoral distribution of the first periodontal lesion showed that, regardless of age, molars and bicuspids were most often affected. At and before the age of 40 years, the majority of ILA was found in buccal surfaces in the form of gingival recession. By 50 years, however, a greater proportion of sites presented with attachment loss attributed to pocket formation or a combination of pocket formation and gingival recession. As individuals neared 60 years of age, approximately half of the interproximal areas in posterior teeth had these lesions. Conclusion: This investigation has shown that, in a well-maintained population who practises oral home care and has regular check-ups, the incidence of incipient periodontal destruction increases with age, the highest rate occurs between 50 and 60 years, and gingival recession is the predominant lesion before 40 years, while periodontal pocketing is the principal mode of destruction between 50 and 60 years of age.
Persistent Identifierhttp://hdl.handle.net/10722/154266
ISSN
2015 Impact Factor: 3.915
2015 SCImago Journal Rankings: 1.848
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHeitzMayfield, LJAen_US
dc.contributor.authorSchätzle, Men_US
dc.contributor.authorLöe, Hen_US
dc.contributor.authorBürgin, Wen_US
dc.contributor.authorÅnerud, Åen_US
dc.contributor.authorBoysen, Hen_US
dc.contributor.authorLang, NPen_US
dc.date.accessioned2012-08-08T08:24:18Z-
dc.date.available2012-08-08T08:24:18Z-
dc.date.issued2003en_US
dc.identifier.citationJournal Of Clinical Periodontology, 2003, v. 30 n. 10, p. 902-908en_US
dc.identifier.issn0303-6979en_US
dc.identifier.urihttp://hdl.handle.net/10722/154266-
dc.description.abstractAim: The purpose of this study was to assess the initiation and progression of periodontal disease during adult life. Materials and Methods: In a 26-year longitudinal investigation of the initiation and progression of chronic periodontitis that started in 1969 and included 565 men of Norwegian middle class, 223 who had participated in some, but not all, intermediate examinations presented at the last survey in 1995. Fifty-four individuals were available for examination in all seven surveys. Results: Covering the age range from 16 to 60 years, the study showed that at 16 years of age, 5% of the participants had initial loss of periodontal attachment (ILA ≥ 2 mm) at one or more sites. Both the subject incidence and the site incidence increased with time, and by 32 years of age, all individuals had one or more sites with loss of attachment. As age progressed, new lesions affected sites, so that as these men approached 60 years of age approximately 50% of all available sites had ILA. An assessment of the intraoral distribution of the first periodontal lesion showed that, regardless of age, molars and bicuspids were most often affected. At and before the age of 40 years, the majority of ILA was found in buccal surfaces in the form of gingival recession. By 50 years, however, a greater proportion of sites presented with attachment loss attributed to pocket formation or a combination of pocket formation and gingival recession. As individuals neared 60 years of age, approximately half of the interproximal areas in posterior teeth had these lesions. Conclusion: This investigation has shown that, in a well-maintained population who practises oral home care and has regular check-ups, the incidence of incipient periodontal destruction increases with age, the highest rate occurs between 50 and 60 years, and gingival recession is the predominant lesion before 40 years, while periodontal pocketing is the principal mode of destruction between 50 and 60 years of age.en_US
dc.languageengen_US
dc.publisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/CPEen_US
dc.relation.ispartofJournal of Clinical Periodontologyen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAge Factorsen_US
dc.subject.meshChronic Diseaseen_US
dc.subject.meshDisease Progressionen_US
dc.subject.meshGingival Recession - Complicationsen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshLongitudinal Studiesen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNorway - Epidemiologyen_US
dc.subject.meshPeriodontal Attachment Loss - Etiologyen_US
dc.subject.meshPeriodontitis - Epidemiology - Etiologyen_US
dc.titleClinical course of chronic periodontitis: II. Incidence, characteristics and time of occurrence of the initial periodontal lesionen_US
dc.typeArticleen_US
dc.identifier.emailLang, NP:nplang@hkucc.hku.hken_US
dc.identifier.authorityLang, NP=rp00031en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1034/j.1600-051X.2003.00399.xen_US
dc.identifier.pmid14710770-
dc.identifier.scopuseid_2-s2.0-0347510940en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0347510940&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume30en_US
dc.identifier.issue10en_US
dc.identifier.spage902en_US
dc.identifier.epage908en_US
dc.identifier.isiWOS:000185899500008-
dc.publisher.placeDenmarken_US
dc.identifier.scopusauthoridHeitzMayfield, LJA=6602309146en_US
dc.identifier.scopusauthoridSchätzle, M=6602163648en_US
dc.identifier.scopusauthoridLöe, H=8055073100en_US
dc.identifier.scopusauthoridBürgin, W=7003413848en_US
dc.identifier.scopusauthoridÅnerud, Å=6602840130en_US
dc.identifier.scopusauthoridBoysen, H=7004836295en_US
dc.identifier.scopusauthoridLang, NP=7201577367en_US

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