Premium
A socio‐economic perspective on periodontal diseases: a systematic review
Author(s) -
Klinge Björn,
Norlund Anders
Publication year - 2005
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.2005.00801.x
Subject(s) - medicine , periodontal disease , cross sectional study , association (psychology) , environmental health , medline , dentistry , demography , psychology , pathology , political science , sociology , psychotherapist , law
Abstract Objective: The aim of this systematic review was to ascertain whether socio‐economic conditions increase the risk of periodontal diseases. Methods: A MEDLINE search was conducted for the period 1965–April 2004. Only original articles were included; 47 studies remained for the final assessment. The studies were analysed regarding the outcome of the association between socio‐economic variables and periodontal disease, depending on the study design (cross‐sectional survey or longitudinal case–control) and whether smoking was included or not. Results: Twenty‐nine out of 36 studies with a cross‐sectional design were in favour of the association between socio‐economic factors and periodontal diseases. In the studies with a longitudinal or case–control design, there were five in favour of the association, and also six against. When smoking was included in the analysis of cross‐sectional studies, a significant association between socio‐economic variables and periodontal disease was found in 11 studies and no significance in another five studies. The corresponding figures for case–control studies showed four studies being significant, but also four studies showing no significance. Conclusion: Based on relevant study designs and including smoking in the analysis, the socio‐economic variables associated with periodontal diseases appear to be of less importance than smoking.