Periodontal disease and associated factors in the adult and elderly population from Jundiaí City, Brazil

Keywords: Periodontal diseases, Epidemiology, Oral hygiene, Smoking, Diabetes mellitus.

Abstract

Aim: This study assessed the prevalence of periodontal disease in the adult and elderly populations from Jundiaí City, and its association with individual social inequalities in a conceptual framework approach. Methods: The survey was conducted with a sample of 342 adults and 145 elderly, and periodontal disease was assessed based on the Community Periodontal Index (CPI) and Clinical Attachment Loss (CAL). A questionnaire addressing socio-demographic and behavioral variables, smoking and diabetes was included. Bivariate and multivariate analyses, using binary regression analyses, were carried out in a hierarchical approach with conceptual framework to reveal association among periodontal disease and social-demographic, smoking and diabetes variables. Results: One adult and fifty-six elderly who had lost all teeth were excluded from the sample. Mild periodontal disease (CAL ≤3 mm) was the condition more prevalent in the adult (74%) and elderly populations (60.6%). Adjusted analysis revealed that low educational level (OR 2.65, 95% CI 1.19-5.88), irregular use of tooth floss (OR 1.9, 95% CI 1.06-3.40), and smoking (OR 2.14, 95% CI 1.04-4.42) were independently associated with moderate/severe periodontal disease (CAL and Probing Depth ≥4 mm) in the adult group. For the elderly group, low educational levels (OR 0.16, 95% CI 0.04-0.58), use of public dental service (OR 5.32, 95% CI 1.23-23.03), and diabetes condition (OR 3.78, 95% CI 1.20-11.91) were significantly associated with periodontal disease. Conclusion: In conclusion, the data showed that education level, smoking habits, diabetes, use of dental floss and type of dental service are factors associated to moderate/severe periodontal disease among Brazilians from Jundiaí City.

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Author Biographies

Marcela Di Moura Barbosa, University of Campinas

Department of Prosthodontics and Periodontics, Division of Periodontics - Piracicaba Dental School, University of Campinas.

Marília Jesus Batista, University of Campinas

Department of Community Dentistry, Division of Biostatistics - Piracicaba Dental School, University of Campinas.

Evely Sartorti da Silva Morgan, University of São Paulo

Department of Community Dentistry - Piracicaba Dental School, University of Campinas – UNICAMP.

Enilson Antonio Sallum, University of Campinas

Department of Prosthodontics and Periodontics - Piracicaba Dental School, University of Campinas - UNICAMP.

Marcio Zaffalon Casati, University of Campinas

Department of Community Dentistry - Piracicaba Dental School, University of Campinas – UNICAMP.

Karina Gonzales Silvério, University of Campinas

Department of Prosthodontics and Periodontics, Division of Periodontics - Piracicaba Dental School, University of Campinas - UNICAMP.

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Published
2019-11-11
How to Cite
Barbosa, M. D. M., Batista, M. J., Morgan, E. S. da S., Sallum, E. A., Casati, M. Z., & Silvério, K. G. (2019). Periodontal disease and associated factors in the adult and elderly population from Jundiaí City, Brazil. Brazilian Journal of Oral Sciences, 18, e191007. https://doi.org/10.20396/bjos.v18i0.8657170

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