PMID- 10674958 OWN - NLM STAT- MEDLINE DCOM- 20000216 LR - 20190831 IS - 0303-6979 (Print) IS - 0303-6979 (Linking) VI - 27 IP - 1 DP - 2000 Jan TI - Explanatory models for clinical and subjective indicators of periodontal disease in an adult population. PG - 22-9 AB - BACKGROUND: The aim of this study was to analyze indicators of periodontal disease using: (1) community periodontal index of treatment needs (CPITN), (2) subjectively reported change of front teeth position, and 3) subjectively reported gingival bleeding. METHOD: These 3 indicators were used in models with explanatory variables from 4 domains: (A) socio-economic attributes, (B) general health and health-related lifestyle, (C) dental attitudes and behaviors, and (D) dental status expressed as (number of teeth and DFT) for the clinically-determined dependent variables. In 1992, the study was carried out cross-sectionally in all 50-year olds in 2 Swedish counties using a questionnaire (n=6343) and clinical investigation of a 20 % sub-sample (n= 1040). RESULTS: Multiple and logistic regression analysis showed that explanatory patterns varied for the clinical and subjective indicators. Use of tobacco had strong effects in all models as did high care utilization. There were few associations with socio-economic attributes. The 2 subjective indicators "changed front position" and "gingival bleeding" associated with attitudes, behaviors and subjective health. Number of teeth and DFT covaried with clinical indicators. CONCLUSIONS: The main conclusions from this study are: (1) that it is possible to find multivariate models with acceptable goodness of fit for prediction of occurrence of periodontal indicators, and (2) that the lack of relation between social attributes and the disease gives arguments for a biological provenance of periodontitis. FAU - Unell, L AU - Unell L AD - Community Dental Health Unit, Orebro County Council, Sweden. lennart.unell@orebroll.se FAU - Soderfeldt, B AU - Soderfeldt B FAU - Halling, A AU - Halling A FAU - Birkhed, D AU - Birkhed D LA - eng PT - Journal Article PL - United States TA - J Clin Periodontol JT - Journal of clinical periodontology JID - 0425123 SB - IM MH - Attitude to Health MH - Cross-Sectional Studies MH - DMF Index MH - Dental Care/psychology/statistics & numerical data MH - Female MH - Gingival Hemorrhage/diagnosis MH - Health Status MH - Humans MH - Incisor/physiopathology MH - Logistic Models MH - Male MH - Middle Aged MH - *Models, Statistical MH - Periodontal Diseases/*diagnosis MH - Periodontal Index MH - Regression Analysis MH - Self-Assessment MH - Socioeconomic Factors MH - Surveys and Questionnaires MH - Sweden MH - Tooth Mobility/diagnosis EDAT- 2000/02/16 09:00 MHDA- 2000/02/19 09:00 CRDT- 2000/02/16 09:00 PHST- 2000/02/16 09:00 [pubmed] PHST- 2000/02/19 09:00 [medline] PHST- 2000/02/16 09:00 [entrez] AID - 10.1034/j.1600-051x.2000.027001022.x [doi] PST - ppublish SO - J Clin Periodontol. 2000 Jan;27(1):22-9. doi: 10.1034/j.1600-051x.2000.027001022.x.