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


Periodontal diseases
Oral hygiene
Diabetes mellitus.

How to Cite

Barbosa MDM, Batista MJ, Morgan ES da S, Sallum EA, Casati MZ, Silvério KG. Periodontal disease and associated factors in the adult and elderly population from Jundiaí City, Brazil. Braz. J. Oral Sci. [Internet]. 2019 Nov. 11 [cited 2024 Apr. 18];18:e191007. Available from:


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.


1. Petersen P, Ogawa H. The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontol 2000. 2012 Oct;60(1):15-39. doi: 10.1111/j.1600-0757.2011.00425.x.

2. Albandar JM. Periodontal diseases in North America. Periodontol 2000. 2002;29:31-69.

3. Petersen PE. The World Oral Health Report 2003 WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003 Dec;31 Suppl 1:3-23..

4. Eke PI, Dye BA, Wei L, Thornton-Evans GO, Genco RJ, CDC Periodontal Disease Surveillance workgroup: James Beck (University of North Carolina, et al. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res. 2012 Oct;91(10):914-20.

5. Morris AJ, Steele J, White DA. Adult dental health survey: The oral cleanliness and periodontal health of UK adults in 1998. Br Dent J. 2001 Aug 25;191(4):186-92.

6. Susin C, Dalla Vecchia CF, Oppermann RV, Haugejorden O, Albandar JM. Periodontal attachment loss in an urban population of Brazilian adults: effect of demographic, behavioral, and environmental risk indicators. J Periodontol. 2004 Jul;75(7):1033-41.

7. Ministry of Health of Brazil. [SB BRAZIL 2010: National Research on Oral Health: main results]. Brasília: Ministry of Health; 2012. 116p. Portuguese.

8. Vettore MV, Marques RAA, Peres MA. [Social inequalities and periodontal disease: multilevel approach in SBBrasil 2010 survey]. Rev Saude Publica. 2013 Dec;47 Suppl 3:29-39. Portuguese.

9. Albandar JM, Buischi YA, Barbosa MF. Destructive forms of periodontal disease in adolescents. A 3-year longitudinal study. J Periodontol. 1991 Jun;62(6):370-6.

10. Kinane DAR. Advances in the pathogenesis of periodontitis. Group B consensus report of the fifth European Workshop in Periodontology. J Clin Periodontol. 2005;32 Suppl 6:130-1.

11. Albandar JM. Epidemiology and risk factors of periodontal diseases. Dent Clin North Am. 2005 Jul;49(3):517-32, v-vi.

12. Bastos J, Boing A, Peres K, Antunes J, Peres M. Periodontal outcomes and social, racial and gender inequalities in Brazil: a systematic review of the literature between 1999 and 2008. Cad Saude Publica. 2011;27 Suppl 2:S141-53.

13. Lorenzo S, Alvarez R, Andrade E, Piccardo V, Francia A, et al. Periodontal conditions and associated factors among adults and the elderly: findings from the first National Oral Health Survey in Uruguay. Cad Saude Publica. 2015 Nov;31(11):2425-36. doi: 10.1590/0102-311X00012115.

14. Brazilian Institute of Geography and Statistics. Population Census; 2010 [cited 2019 Jan 11]. Available from: Portuguese.

15. World Health Organization. Oral Health Surveys-Basic Methods. 5th ed. Geneva: WHO; 2013.

16. Batista MJ, Lawrence HP, Sousa MLR. Impact of tooth loss related to number and position on oral health quality of life among adults. Health Qual Life Outcomes. 2014 Nov 30;12:165. doi: 10.1186/s12955-014-0165-5.

17. Kingman A, Albandar JM. Methodological aspects of epidemiological studies of periodontal diseases. Periodontol 2000. 2002;29:11-30.

18. Zhang Q, Li Z, Wang C, Shen T, Yang Y, Chotivichien S, et al. Prevalence and predictors for periodontitis among adults in China, 2010. Glob Health Action. 2014 Jul 8;7:24503. doi: 10.3402/gha.v7.24503.

19. Watt RG. Social determinants of oral health inequalities: implications for action. Community Dent Oral Epidemiol. 2012 Oct;40 Suppl 2:44-8. doi: 10.1111/j.1600-0528.2012.00719.x.

20. Vano M, Gennai S, Karapetsa D, Miceli M, Giuca M, Gabriele M, et al. The influence of educational level and oral hygiene behaviours on DMFT index and CPITN index in an adult Italian population: an epidemiological study. Int J Dent Hyg. 2015 May;13(2):151-7. doi: 10.1111/idh.12098.

21. Ide R, Hoshuyama T, Wilson D, Takahashi K, Higashi T. Periodontal disease and incident diabetes: a seven-year study. J Dent Res. 2011 Jan;90(1):41-6. doi: 10.1177/0022034510381902.

22. Tatakis DN, Kumar PS. Etiology and pathogenesis of periodontal diseases. Dent Clin North Am. 2005 Jul;49(3):491-516.

23. Haas AN, Wagner MC, Oppermann RV, Rösing CK, Albandar JM, Susin C. Risk factors for the progression of periodontal attachm J Clin Periodontol. 2014 Mar;41(3):215-23. doi: 10.1111/jcpe.12213.

24. Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol 2000. 2013 Jun;62(1):59-94. doi: 10.1111/j.1600-0757.2012.00457.x.

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