牙周病的自然史第2部分:可获得牙科护理的人群:波美拉尼亚健康研究(SHIP)。

IF 17.5 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Thomas Kocher, Peter Meisel, Reiner Biffar, Henry Völzke, Birte Holtfreter
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引用次数: 0

摘要

在对SHIP-START队列的21年随访数据和SHIP-TREND队列的7年随访数据的描述性分析中,我们报告了临床依恋水平(CAL)的进展、年龄对CAL变化的影响,以及对CAL进展和缓解的详细描述。基线时,分别有4307人和4420人参加了SHIP-START和SHIP-TREND。在最后的随访中,分别有1181名和2507名受试者可供评估。在SHIP-START和SHIP-REND参与者中,平均CAL进步了0.04和0.02 mm/年。参与者年龄越大,平均CAL的年均变化越低(从0.043到0.031 mm/年);年牙齿脱落0.11-0.14颗/年。当参与者根据其平均CAL的年度变化进行排名时,在老年受试者中更频繁地观察到病情缓解。为了正确理解数据,重要的是要认识到,随访期间因辍学而产生的选择偏差有利于更年轻、更注重健康的人。此外,在随访期间,拔除严重牙周受损的牙齿使进展趋于零。对这些低CAL进展率的另一种解释是,大多数位点的CAL几乎没有变化;这意味着CAL进展被CAL缓解部分抵消。因此,平均CAL的变化不能充分描述牙周炎的时间进程。年龄较大不是两组患者CAL进展的危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The natural history of periodontal disease-Part 2: In populations with access to dental care: The Studies of Health in Pomerania (SHIP).

In this descriptive analysis of the 21-year follow-up data from the SHIP-START cohort and the 7-year follow-up data from the SHIP-TREND cohort, we report the progression of clinical attachment levels (CAL), age effects on CAL change, and a detailed description of CAL progression and remission. At baseline, 4307 and 4420 persons participated in SHIP-START and SHIP-TREND, respectively. At the final follow-up, 1181 and 2507 subjects were available for evaluation, respectively. In SHIP-START and SHIP-TREND participants, the mean CAL progressed by 0.04 and 0.02 mm/year, respectively. The older the participants were, the lower the average annual change in mean CAL (from 0.043 to 0.031 mm/year); annual tooth loss was 0.11-0.14 teeth/year. When participants were ranked according to their annual change in mean CAL, remission was more frequently observed in older subjects. To correctly understand the data, it is important to realize that selection bias due to dropouts during follow-up favored younger and more health-conscious persons. In addition, extraction of severely periodontally compromised teeth during follow-up biased the progression towards zero. Another explanation for these low CAL progression rates is that most sites had little or no change in CAL; this means that CAL progression was partly offset by CAL remission. Therefore, changes in mean CAL do not adequately describe the temporal course of periodontitis. Older age was not a risk factor for CAL progression in either cohort.

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来源期刊
Periodontology 2000
Periodontology 2000 医学-牙科与口腔外科
CiteScore
34.10
自引率
2.20%
发文量
62
审稿时长
>12 weeks
期刊介绍: Periodontology 2000 is a series of monographs designed for periodontists and general practitioners interested in periodontics. The editorial board selects significant topics and distinguished scientists and clinicians for each monograph. Serving as a valuable supplement to existing periodontal journals, three monographs are published annually, contributing specialized insights to the field.
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