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Destructive periodontal disease in adult Indians from Northeast Brazil: cross‐sectional study of prevalence and risk indicators
Author(s) -
Figueiredo Andreia,
Soares Susana,
Lopes Helton,
dos Santos Jean Nunes,
Ramalho Luciana Maria Pedreira,
Cangussu Maria Cristina,
Cury Patricia Ramos
Publication year - 2013
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/jcpe.12147
Subject(s) - medicine , periodontitis , cross sectional study , dentistry , tooth loss , periodontal disease , diabetes mellitus , logistic regression , clinical attachment loss , population , epidemiology , oral health , environmental health , pathology , endocrinology
Aim The aim of this cross‐sectional study was to evaluate the prevalence of destructive periodontal disease and its risk indicators in adult Kiriri Indians from Northeast Brazil. Materials and Methods Full‐mouth periodontal examinations were performed on a sample of 215 Indians (≥19 years). Bivariate analyses and logistic models were applied to assess associations between periodontitis and its putative risk factors. Results Prevalence of clinical attachment loss of ≥3, ≥5 and ≥7 mm was 97.8%, 63.8% and 30.8% respectively. Percentage of teeth per individual showing clinical attachment loss of ≥3, ≥5 and ≥7 mm was 49.8%, 18.4% and 8.0% respectively. After adjustment for covariates, individuals aged ≥35 years ( OR = 5.83, 95% CI : 3.09–11.00; p < 0.001), men ( OR = 2.18, 95% CI : 1.15–4.11; p = 0.02) and diabetics ( OR = 3.92, 95% CI 1.03–14.99; p = 0.05) had a higher risk for destructive periodontitis, classified according to the CDC / AAP case definition. Conclusion Though periodontitis was highly prevalent in Kiriri Indians, only few teeth showed advanced disease, and periodontitis was associated with higher age, male sex and diabetes. A public health action that includes programs of prevention and treatment targeting high‐risk groups is vital to improve the periodontal status of this population.