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TITLE:

THE ETIOLOGY OF TOOTH LOSS AND RISK FACTORS CAUSING PERIODONTAL DISEASE

AUTHORS:

1Dr. Bilal Ahmad, 2Dr. Owais Ahmad, 3Dr. Maria Afzal

ABSTRACT:

Objective: The aim of this study was to determine the risk indicators for periodontitis using cross-sectional data obtained from a group of Pakistani adults. Study design: A cross-sectional study Location and duration: In the Dental department of Services Hospital, Lahore for 6 months period from January 2018 to June 2018. Methods: The study group consisted of 426 people aged 18-75 years. All extractions were performed in two dental hospitals over a 6 months period. The age and sex of the patient in the documentation, the findings in the medical history, the history of visits to the dentist, the frequency of tooth brushing, the number and number of teeth removed, the reasons for the date of menopause and removal were evaluated. Results: A total of 426 patients were selected with removal of 486 teeth due to periodontal disease, other causes per patient of tooth lost due to other causes. Logistic regression analysis significantly correlated with tooth loss due to periodontal causes like age> 35 years (OR 6.36, 95% confidence interval [CI] 1.63-1.72), smokers (OR 1.09, 94% CI 2.08 to 2.25), anterior tooth type ( OR 4.01, 94% CI 1.82 to 1.89) and the presence of any of the following medical conditions: diabetes mellitus (OR 2.65 95% C11.85 to 1.91), hypertension (OR 10.32, 95% CI 1.88 to 1.93), cardiovascular disease (OR 14.7 95% 1.94 to 1.98) or rheumatoid arthritis (OR 10.22; 95% CI: 1.96 to 1.99) and menopause (OR 5.2 P <0.001). Conclusion: Our data suggest that tooth loss due to periodontal disease is related to age, smoking, dental care visits, frequency of tooth brushing, diabetes mellitus, hypertension and arthritis risk indicators. In this study group rheumatoid, menopause and anterior teeth type. Keywords: Tooth loss, Diabetes mellitus, risk indicators, periodontal disease, smoking, menopause.

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