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Dental Plaque and Calculus: Risk Indicators for Their Formation
L.A. Christersson
Periodontal Disease Clinical Research Center, Department of Oral Biology, School of Dental Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214
S.G. Grossi
Periodontal Disease Clinical Research Center, Department of Oral Biology, School of Dental Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214
R.G. Dunford
Periodontal Disease Clinical Research Center, Department of Oral Biology, School of Dental Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214
E.E. Machtei
Periodontal Disease Clinical Research Center, Department of Oral Biology, School of Dental Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214
R.J. Genco
Periodontal Disease Clinical Research Center, Department of Oral Biology, School of Dental Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214
The aim of this study was to determine the levels of plaque and subgingival calculus accumulation and to evaluate their correlations with periodontal disease, as well as to evaluate the correlations with race, age, and gender in an attempt to identify risk indicators for plaque and calculus formation. A total of 508 adults 25-73 years of age was examined, and plaque assessment, gingival bleeding assessment, probing pocket depth, and attachment levels were determined. The mean percent visible plaque was 73.5% (range, 8.3-100%), mean percent of bleeding surfaces 38.5% (range, 0-100%), and the mean percent teeth with subgingival calculus 39.6% (range, 0-100%). The mean probing pocket depth in the group was 2.5 ± 0.6 mm (SD), and mean clinical attachment loss was 2.1 ± 1.1 mm. The majority (63%) were classified as having "Moderate" periodontal disease, 7% were "Healthy", and the remaining 30% had "Established" periodontal disease. Plaque and calculus showed statistically significant relationships to the three disease categories (p < 0.001). Multiple step-wise regression analyses on the correlations between plaque and periodontal disease, race, age, and gender resulted in an overall correlation coefficient of r = 0.25 (p < 0.001). Disease status ("Established") contributed most (p = 0.003), followed by race (Blacks; p = 0.015), gender (Males; p = 0.022), and age (55-73 yr; p = 0.022), to the correlation with plaque. For subgingival calculus, the overall correlation coefficient was r = 0.44 (p < 0.001). However, only two of the variables-namely, disease status (p < 0.001) followed by race (p = 0.017)-showed statistically significant correlations. In this population, age, being male, and being Black were risk indicators for supragingival plaque, while race alone was a risk indicator for subgingival calculus. Hence, it is reasonable to test intervention measures which effectively control plaque and subgingival calculus in these target groups to determine their importance in the development of periodontitis.
REFERENCES
- Axelsson P., Lindhe J. (1978). Effect of controlled oral hygiene procedures on caries and periodontal disease in adults. J Clin Periodontol 5:133-151.[CrossRef][Medline]
[Order article via Infotrieve]
- Axelsson P., Lindhe J. (1981a). Effect of controlled oral hygiene procedures on caries and periodontal disease in adults. Results after 6 years. J Clin Periodontol 8:239-248.[CrossRef][Medline]
[Order article via Infotrieve]
- Axelsson P., Lindhe J. (1981b). The significance of maintenance care in the treatment of periodontal disease. J Clin Periodontol 8:281-294.[CrossRef][Medline]
[Order article via Infotrieve]
- Badersten A., Nilveus R., Egelberg J. (1984). Effect of nonsurgical periodontal therapy. II. Severely advanced periodontitis. J Clin Periodontol 11:63-76.[CrossRef][Medline]
[Order article via Infotrieve]
- Badersten A., Nilveus R., Egelberg J. (1985). Effect of nonsurgical periodontal therapy. VII. Bleeding, suppuration and probing depth in sites with probing attachment loss. J Clin Periodontol 12:432-440.[CrossRef][Medline]
[Order article via Infotrieve]
- Beck JD, Koch GG, Rozier RG, Tudor GE (1990). Prevalence and risk indicators for periodontal attachment loss in a population of older community-dwelling blacks and whites. J Periodontol 61:521-528.[Medline]
[Order article via Infotrieve]
- Beck JD, Lainson PA, Field HM, Hawkins BF (1984). Risk factors for various levels of periodontal disease and treatment needs in Iowa. Community Dent Oral Epidemiol 12:17-22.[CrossRef][Medline]
[Order article via Infotrieve]
- Berenie J., Ripa LW, Leske G. (1973). The relationship of frequency of toothbrushing, oral hygiene, gingival health and caries-experience in school children. J Publ Health Dent 33:160-171.[CrossRef]
- Brown LJ, Oliver RC, Loë H. (1989). Periodontal diseases in the U.S. in 1981: prevalence, severity, extent, and role in tooth mortality. J Periodontol 60:363-370.[Medline]
[Order article via Infotrieve]
- Brunelle JA, Carlos JP (1990). Recent trends in dental caries in US children and effect of water fluoridation. J Dent Res 69:723-727.[Medline]
[Order article via Infotrieve]
- Burgess WC, Beck DJ ( 1969). Survey of denture wearers in New Zealand, 1968. NZDentJ65:223-231.
- Burt BA ( 1990). Future patterns in periodontal disease. In: Genco RJ, Goldman HM, Cohen DW, editors. Contemporary periodontics. St. Louis (MO): The C.V. Mosby Company, 696-704.
- Bærum P., Holst D., Rise J. ( 1985). Dental health in Trøndelag 1983. Oslo (Norway): Directorate of Health.
- Chesters RK, Huntington E., Burchell CK, Stephen KW (1992). Effect of oral care habits on caries and calculus in adolescents. Caries Res (in press).
- Cox DL, Cowell CR (1983). A dental profile of three Italian urban populations. Unilever Report PPS 83:1461.
- Cutress TW, Hunter Pbv, Hoskins Dih (1983). Adult oral health in New Zealand, 1976-1982. Wellington (NZ): Medical Research Council of NZ.
- Douglass CW, Gillings D., Sollecito W., Gammon M. (1983). National trends in the prevalence and severity of the periodontal diseases. JAm Dent Assoc 107:403-412.
- Gibbs CH, Hirschfeld JW, Lee JG, Low SB, Magnusson I., Thousand RR, Yemeni P., Clark WB (1988). Description and clinical evaluation of a new computerized periodontal probe-the Florida probe. J Clin Periodontol 15:137-144.[CrossRef][Medline]
[Order article via Infotrieve]
- Glavind L. (1986). The result of periodontal treatment in relationship to various background factors. J Clin Periodontol 13:789-794.[CrossRef][Medline]
[Order article via Infotrieve]
- Gray OG, Todd JE, Slack GL, Bulman JS (1970). Adult dental health in England and Wales in 1968. London (UK): Her Majesty's Stationery Office. Haffajee AD, Socransky SS (1986). Attachment level changes in destructive periodontal diseases. J Clin Periodontol 13:461-475.
- Hugoson A., Koch G., Bergendal T., Hallonsten A-L., Laurell L., Lundgren D., Nyman JE (1986). Oral health of individuals aged 3-80 years in Jonkoping, Sweden, in 1973 and 1983. II. A review of clinical and radiographic findings. Swed Dent J 10:175-194.[Medline]
[Order article via Infotrieve]
- Hakansson J. (1978). Dental care habits, attitudes towards dental health and dental status among 20-60-year-old individuals in Sweden (thesis). Malmö (Sweden): Lund University.
- Ismail AI, Burt BA, Brunelle JA (1987). Prevalence of total tooth loss, dental caries, and periodontal disease in Mexican-American adults: results from the southwestern HHANES. J Dent Res 66:1183-1188.[Abstract/Free Full Text]
- Ismail AI, Eklund SA, Burt BA, Calderone JJ (1986). Prevalence of deep periodontal pockets in New Mexico adults aged 27 to 74 years. J Public Health Dent 46:199-206.[CrossRef][Medline]
[Order article via Infotrieve]
- Kalsbeek H., Verrips Ghw (1990). Dental caries prevalence and the use of fluorides in different European countries. J Dent Res 69:728-732.
- Kiyak HA, Mulligan K. (1986). Behavioral research related to oral hygiene practices. State-of-the-science review. In: Löe H, Kleinman DV, editors. Dental plaque control measures and oral hygiene practices. Oxford (UK): IRL Press, 225-239.
- Lie T., Due N.-A, Abrahamsen B., Boe OE (1988). Periodontal health in a group of industrial employees. Community Dent Oral Epidemiol 16:42-46.[CrossRef][Medline]
[Order article via Infotrieve]
- Lindhe J., Nyman S. (1975). The effect of plaque control and surgical pocket elimination on the establishment and maintenance of periodontal health. A longitudinal study of periodontal therapy in cases of advanced disease. J Clin Periodontol 9:67-79.
- Lindhe J., Nyman S. (1984). Long-term maintenance of patients treated for advanced periodontal disease. J Clin Periodontol 11:504-514.[CrossRef][Medline]
[Order article via Infotrieve]
- Loë H., Morrison E. (1990). Epidemiology of periodontal disease. In: Genco RJ, Goldman HM, Cohen DW, editors. Contemporary periodontics. St. Louis (MO): The C.V. Mosby Company, 106-116.
- MacGregor Idm, Balding JW (1987). Toothbrushing frequency and personal hygiene in 14-year-old schoolchildren. Br Dent J 162:141-144.[CrossRef][Medline]
[Order article via Infotrieve]
- Machtei EE, Christersson LA, Grossi SG, Dunford R., Genco RJ (1992). Clinical criteria for the definition of "established periodontitis". J Periodontol 63:206-214.[Medline]
[Order article via Infotrieve]
- Marshall-Day CD, Stephens RG, Quigley LF Jr (1955). Periodontal disease: prevalence and incidence. JPeriodontol 26:185-203.[Medline]
[Order article via Infotrieve]
- Miller AJ, Brunelle JA, Carlos JP, Brown LJ, Loë H. (1987). The National Survey of Oral Health in U.S. Employed Adults and Seniors. NIH Publication No. 87-2868, August. Washington (DC): US Department of Health and Human Services.
- Nyyssonen V., Honkala E. (1984). Toothbrushing frequency in 4 consecutive studies of Finnish adolescents. J Clin Periodontol 11:682-688.[CrossRef][Medline]
[Order article via Infotrieve]
- Papapanou PN, Wennstrom JL (1990). A 10-year retrospective study of periodontal disease progression. Clinical characteristics of subjects with pronounced and minimal disease development. J Clin Periodontol 17:78-84.[CrossRef][Medline]
[Order article via Infotrieve]
- Pilot T., Barmes DE, LeClercq MH, McCombie BJ, Sardo Infirri J. (1986). Periodontal conditions in adults, 35-44 years of age: an overview of CPITN data in the WHO global oral data bank. Community Dent Oral Epidemiol 14:310-312.[CrossRef][Medline]
[Order article via Infotrieve]
- Pilot T., Barmes DE, LeClercq MH, McCombie BJ, Sardo Infirri J. (1987). Periodontal conditions in adolescents, 15-19 years of age: an overview of CPITN data in the WHO global oral data bank. Community Dent Oral Epidemiol 15:336-338.[CrossRef][Medline]
[Order article via Infotrieve]
- Plasschaert AJ, Folmer T., van den Heuvel JL, Jansen J., van Opijnen L., Wouters SL (1978). An epidemiologic survey of periodontal disease in Dutch adults. Community Dent Oral Epidemiol 6:65-70.[CrossRef][Medline]
[Order article via Infotrieve]
- Rosling BG, Slots J., Christersson LA, Grondahl HG, Genco RJ (1986). Topical antimicrobial therapy and diagnosis of subgingival bacteria in the management of inflammatory periodontal disease. J Clin Periodontol 13:975-981.[CrossRef][Medline]
[Order article via Infotrieve]
- Rosling BG, Slots J., Webber RL, Christersson LA, Genco RJ (1983). The microbiological and clinical effects of topical subgingival microbial treatment. J Clin Periodontol 10:487-514.[CrossRef][Medline]
[Order article via Infotrieve]
- Rölla G., Ögaard B. (1987). Reduction in caries incidence in Norway from 1970 to 1984 and some considerations concerning the reason for this phenomenon. In: Frank R, 0'Hickey S, editors. Strategy for dental caries prevention in European countries: according to their laws and regulations. Oxford (UK): IRL Press, 145-154.
- Schei 0, Waerhaug J., Lövdahl A., Arnö A. ( 1959). Alveolar bone loss as related to oral hygiene and age. JPeriodontol 30:7-16.
- SheihamA.( 1990). Controversies in periodontics. In: Genco RJ, Goldman HM, Cohen DW, editors. Contemporary periodontics. St. Louis (MO): The C.V. Mosby Company, 705-710.
- Stephen KW, Saxton CA, Jones CL, Ritchie JA, Morrison T. (1990). Control of gingivitis and calculus by a dentifrice containing a zinc salt and Triclosan. J Periodontol 61:674-679.[Medline]
[Order article via Infotrieve]
- Söderholm G. (1979). Effect of a dental care program on dental health conditions (thesis). Malmö (Sweden): Lund University.
- Todd JE, Walker AM (1980). Adult dental health. Vol. 1. England and Wales 1968-1978. London (UK): Her Majesty's Stationery Office.
- US Department of Commerce, Bureau of the Census (1984). Projections of the population of the United States, by age, sex, and race: 1983 to 2080. Series P-25. No. 952. Washington (DC): US Government Printing Office.
- US Public Health Service, National Center for Health Statistics (1960). Loss of teeth, United States, June 1957-June 1958. PHS Publ. No. 584-822. Washington (DC): US Government Printing Office.
- Weinstein P. (1986). Behavioral research related to oral hygiene practices. In: Loe H, Kleinman DV, editors. Dental plaque control measures and oral hygiene practices. Oxford (UK): IRL Press, 240-247.
Journal of Dental Research, Vol. 71, No. 7,
1425-1430 (1992)
DOI: 10.1177/00220345920710071401
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