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TITLE:

STUDY TO DETERMINE THE RISK FACTORS FOR TOOTH LOSS DUE TO PERIODONTAL DISEASE

AUTHORS:

Dr Arooj Fatima, Dr Samina Alvi, Dr Muhammad Ali Hassan

ABSTRACT:

Aim: The purpose of this study was to identify risk indicators for periodontitis based on cross-sectional data from adult Pakistanis. Methods: The study group consisted of 426 people aged 18-75. All extractions were performed in the Orthodontic department of Punjab Dental Hospital, Lahore for six months duration from January 2020 to June 2020. Documented information included the patient's age and gender, medical history, dental visit history, frequency of tooth brushing, types and number of teeth extracted, history of menopause, and reasons for extraction. The causes were categorized as periodontal disease compared with other causes in multiple logistic regression analysis. Results: A total of 426 patients had 486 teeth removed. More teeth per patient were lost due to periodontal disease than other reasons (1.32 ± 0.6 vs. 1.05 ± 0.2, p 35 years (OR 6.36; 95% confidence interval) 1.63-1 , 72), smokers (OR 1.09, 95% CI 1.78 to 1.85), anterior tooth type (OR 3.71, 95% CI 1.82 to 1.89), and the presence of any of the following conditions: diabetes (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 visits, toothbrushing frequency, diabetes, hypertension, rheumatoid arthritis, menopause, and the type of anterior teeth in this study group. Keywords: diabetes; periodontal disease; risk indicators; menopause; smoking; tooth loss.

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