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Periodontal status among elderly inhabitants of northern Manhattan: The WHICAP ancillary study of oral health
Author(s) -
Shariff Jaffer A.,
Burkett Sandra,
Watson Caitlin W.M.,
Cheng Bin,
Noble James M.,
Papapanou Panos N.
Publication year - 2018
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.12927
Subject(s) - medicine , edentulism , periodontitis , dentistry , clinical attachment loss , cohort , bleeding on probing , oral examination , tooth loss , cohort study , oral health , ethnic group , cross sectional study , demography , pathology , sociology , anthropology
Aim We conducted a cross‐sectional study of the prevalence, extent and severity of periodontitis in a tri‐ethnic cohort of ≥65 year‐old participants of the Washington‐Heights Inwood Community Aging Project ( WHICAP ). Methods 1,130 individuals (57% of eligible invitees) participated in a full‐mouth periodontal examination that included assessments of bleeding on probing, pocket depth and clinical attachment loss ( CAL ) at six sites/tooth. Results Participants had a mean age of 75.4 years ( SD 6.7), were predominantly female (66.6%) and Hispanic (44.7%), and of middle/low educational attainment (~82%). The prevalence of edentulism was 14.7%, and an average of 17.1 teeth ( SD 8.0) was present among the dentate. The prevalence of moderate/severe periodontitis according to the CDC / AAP definition was 77.5%. Pockets ≥6 mm were found in 50.2% of the sample, affecting an average of 5.7% of teeth/person. Corresponding figures for CAL ≥5 mm were 71.4% and 23.6%, respectively. In multivariable models, male gender, being Black or Hispanic, and no dental visit within the prior year were associated with higher proportion of teeth with CAL ≥5 mm. Conclusions The prevalence, extent and severity of periodontitis were higher than the US national average in this urban elderly sample, suggesting substantial unmet periodontal treatment needs.