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Inter‐generational continuity in periodontal health: findings from the Dunedin Family History Study
Author(s) -
Shearer Dara M.,
Thomson W. Murray,
Caspi Avshalom,
Moffitt Terrie E.,
Broadbent Jonathan M.,
Poulton Richie
Publication year - 2011
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.2011.01704.x
Subject(s) - offspring , medicine , family history , relative risk , confounding , proband , confidence interval , clinical attachment loss , risk factor , periodontal disease , incidence (geometry) , demography , dentistry , pregnancy , biology , biochemistry , genetics , physics , sociology , gene , optics , mutation
Shearer DM, Thomson WM, Caspi A, Moffitt TE, Broadbent JM, Poulton R. Inter‐generational continuity in periodontal health: findings from the Dunedin Family History Study. J Clin Peridontol 2011; 38: 301–309. doi: 10.1111/j.1600‐051X.2011.01704.x Abstract Objective: To determine whether parental periodontal disease history is a risk factor for periodontal disease in adult offspring. Methods: Proband periodontal examination [combined attachment loss (CAL) at age 32, and incidence of CAL from ages 26 to 32] and interview data were collected during the age‐32 assessments in the Dunedin Study. Parental data were also collected. The sample was divided into two familial‐risk groups for periodontal disease (high‐ and low‐risk) based on parents' self‐reported periodontal disease. Results: Periodontal risk analysis involved 625 proband‐parent(s) groups. After controlling for confounding factors, the high‐familial‐risk periodontal group was more likely to have 1+ sites with 4+ mm CAL [relative risk (RR) 1.45; 95% confidence interval (CI) 1.11–1.88], 2+ sites with 4+ mm CAL (RR 1.45; 95% CI 1.03–2.05), 1+ sites with 5+ mm CAL (RR 1.60; 95% CI 1.02–2.50), and 1+ sites with 3+ mm incident CAL (RR 1.64; 95% CI 1.01–2.66) than the low‐familial‐risk group. Predictive validity was enhanced when information was available from both parents. Conclusions: Parents with poor periodontal health tend to have offspring with poor periodontal health. Family/parental history of oral health is a valid representation of the shared genetic and environmental factors that contribute to an individual's periodontal status, and may help to predict patient prognosis and preventive treatment need.