Java project on periodontal diseases: Causes of tooth loss in a cohort of untreated individuals

Ubele van der Velden*, Amaliya Amaliya, Bruno G. Loos, Mark F. Timmerman, Fridus A. van der Weijden, Edwin G. Winkel, Frank Abbas

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    36 Citations (Scopus)

    Abstract

    ObjectiveTo assess the relative contribution of caries and periodontal disease to tooth loss over 24years in a cohort deprived of regular dental care.

    Material & MethodsThe study population consisted of 98 subjects from a tea estate on West Java, Indonesia, that had been part of a prospective longitudinal study and provided full datasets of clinical assessments between 1987, 1994 and 2002. In 2011, complete sets of dental radiographs were made which was combined with the survey forms and clinical slides from the previous assessments in order to estimate reasons for tooth loss.

    ResultsThirty-seven subjects lost no teeth, whereas 61 subjects lost 185 teeth. In this group, 45.9% lost 2 teeth, 32.8% lost 3 to 4 teeth and 19.7% lost 5 teeth. The majority of teeth were lost due to caries. In five subjects, tooth loss could be attributed solely to periodontitis, whereas in four subjects teeth were lost due to both caries and periodontits. Analyses of the predictor variables age, gender, smoking, education, presence of caries and severe periodontitis showed that male gender and caries were significantly associated with tooth loss.

    ConclusionThe majority of teeth in this population were lost due to caries.

    Original languageEnglish
    Pages (from-to)824-831
    Number of pages8
    JournalJournal of Clinical Periodontology
    Volume42
    Issue number9
    DOIs
    Publication statusPublished - Sept-2015

    Keywords

    • caries
    • periodontitis
    • tooth loss
    • untreated disease
    • QUALITY-OF-LIFE
    • PERMANENT TEETH
    • ORAL-HEALTH
    • FOLLOW-UP
    • NATURAL-HISTORY
    • RISK INDICATORS
    • REASONS
    • EXTRACTION
    • POPULATION
    • CARIES

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