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VOLUME 16 , ISSUE 12 ( December, 2015 ) > List of Articles


The Periodontal Status and Associated Systemic Health Problems among an Elderly Population Attending the Outpatient Clinics of a Dental School

Mohammed Jafer

Citation Information : Jafer M. The Periodontal Status and Associated Systemic Health Problems among an Elderly Population Attending the Outpatient Clinics of a Dental School. J Contemp Dent Pract 2015; 16 (12):950-956.

DOI: 10.5005/jp-journals-10024-1787

Published Online: 01-05-2016

Copyright Statement:  Copyright © 2015; The Author(s).



Periodontal diseases are associated with systemic health and health behaviors; the purpose of this study was to investigate periodontal health status and its association with systemic health and health behaviors in the elderly.

Materials and methods

Data was collected from 300 random Case Western Reserve University (CWRU) dental school patient charts, aged 65 or higher. A modified WHO form was used to collect the date on: periodontal conditions using the community periodontal index (CPI), demographics, systemic health and certain health behaviors. Community periodontal index collected data for six sextants. Descriptive tests and bivariate analytic tests, Chi-square test and computation of odds ratio, investigated any association between certain periodontal conditions and demographic as well as systemic health attributes.


In the study cohort, the average age was 73.7 ± 6.8 years. Moderate periodontitis (38.9%) was the most prevalent periodontal health condition, while severe periodontitis was the least prevalent periodontal health (6.1%). Nearly 30% of the cohort had healthy periodontium. Only insurance status was associated with healthy periodontium (p < 0.05).


Moderate periodontitis was the most prevalent among the studied subjects. A positive association was found with the insurance status of the subjects and the healthy periodontium. No association was found between periodontal disease and smoking, alcohol consumption, diabetes and cardiovascular disease.

How to cite this article

Jafer M. The Periodontal Status and Associated Systemic Health Problems among an Elderly Population Attending the Outpatient Clinics of a Dental School. J Contemp Dent Pract 2015;16(12):950-956.

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  1. Advances in the pathogenesis of periodontitis: summary of developments, clinical implications and future directions. Periodontol 2000, 1997;14(1):216-248.
  2. Periodontitis modified by systemic factors. Annals Periodontol 1999;4(1):54-63.
  3. New classification of periodontal diseases. Acta Stomat Croat 2001;35(1):89-93.
  4. A systematic review of definitions of periodontitis and methods that have been used to identify this disease. J Clin Periodontol 2009;36(6):458-467.
  5. Global epidemiology of periodontal diseases: an overview. Periodontol 2000, 2002;29(1):7-10.
  6. Profiles of periodontal conditions in older age cohorts, measured by CPITN. Int Dent J 1992;42(1):23-30.
  7. Periodontal diseases: epidemiology. Ann Periodontol 1996;1(1):1-36.
  8. Trends in oral health status: United States, 1988-1994 and 1999-2004. Vital and health statistics. Series 11, Data from the national health survey 2007(248):1-92.
  9. Prevalence of periodontitis in adults in the United States: 2009 and 2010. J Dent Res 2012;91(10):914-920.
  10. Periodontal health status and treatment needs among the elderly. Special Care in Dentist 2001;21(3):98-103.
  11. Periodontal disease and mortality in an aged population. Spec Care Dentist 2003;23(4):125-130.
  12. Emerging biomarkers for evaluating cardiovascular risk in the chronic kidney disease patient: how do new pieces fit into the uremic puzzle? Clin J Am Society of Nephrol 2008;3(2):505-521.
  13. Association between acute cerebrovascular ischemia and chronic and recurrent infection. Stroke 1997;28(9):1724-1729.
  14. Periodontal disease and cardiovascular disease. Evid Based Dent 2004;5(3):69.
  15. Periodontal disease and coronary heart disease incidence: a systematic review and meta-analysis. J Gen Intern Med 2008;23(12):2079-2086.
  16. Periodontitis and cardiovascular disease: a review of shared risk factors and new findings supporting a causality hypothesis. Quintessence Int 2006;37(1):11-18.
  17. Association between periodontitis needing surgical treatment and subsequent diabetes risk: a population-based cohort study. J Periodontol 2014;85(6):779-786.
  18. Obesity and periodontal disease in young, middle-aged and older adults. J Periodontol 2003;74(5):610-615.
  19. Association between chronic periodontal disease and obesity: a systematic review and meta-analysis. J Periodontol 2010;81(12):1708-1724.
  20. Increased physical activity decreases periodontitis risk in men. Eur J Epidemiol 2003;18(9):891-898.
  21. Association between type 1 diabetes and periodontal health. Advances in Medical Sci 2014;59(1):126-131.
  22. Current view of risk factors for periodontal diseases. J Periodontol 1996;67(10 Suppl):1041-1049.
  23. Alcohol consumption and periodontal disease. The Third National Health and Nutrition Examination Survey. J Clin Periodontol 2004;31(7):484-488.
  24. Relationship between type 2 diabetes and periodontal health. Prog Health Sci 2013;2(3):137-144.
  25. A population-based study of periodontal care among those with and without diabetes. J Periodontol 2011;82(12):1650-1656.
  26. Oral health surveys: basic methods; World Health Organization: World Health Organization; 1987.
  27. Does periodontal therapy reduce the risk for systemic diseases? Dent Clin North America 2010;54(1):163-181.
  28. Periodontal disease and systemic health: current status. Australian Dent J 2009;54(s1):S62-S69.
  29. Has the prevalence of periodontitis changed during the last 30 years? J Clin Periodontol 2008;35(s8):338-345.
  30. Analytical epidemiology of periodontitis. J Clin Periodontol 2005; 32 Suppl 6(s6):132-158.
  31. Community periodontal index of treatment needs and prevalence of periodontal conditions. J Clin Periodontol 2000;27(5):308-312.
  32. The validity of the CPITN scoring and presentation method for measuring periodontal conditions. J Clin Periodontol 1994;21(1):1-6.
  33. Presence and absence of bleeding in association with calculus in segments given code 2 in the community periodontal index of treatment needs (CPITN). Community Dent Oral Epidemiol 1988;16(2):109-111.
  34. Validity of CPITN's hierarchical scoring method for describing the prevalence of periodontal conditions. Community Dent Oral Epidemiol 1989;17(6):300-303.
  35. Periodontal treatment needs in central and eastern Europe. J Int Acad Periodontol 2000;2(4):120-128.
  36. Destructive periodontal disease in adults 30 years of age and older in the United States, 1988-1994. J Periodontol 1999;70(1):13-29.
  37. Methodological aspects of epidemiological studies of periodontal diseases. Periodontol 2000; 2002;29(1):11-30.
  38. Factors influencing the effect of race on established periodontitis prevalence. J Public Health Dent 2003;63(1):20-29.
  39. Oral health and type 2 diabetes. Am J Med Sci 2013;345(4):271-273.
  40. Cigarette smoking and periodontal destruction in young adults. J Periodontol 1994;65(7):718-723.
  41. Assessment of risk for periodontal disease. I. Risk indicators for attachment loss. J Periodontol 1994;65(3):260-267.
  42. Essential features of a surveillance system to support the prevention and management of heart disease and stroke: a scientific statement from the American Heart Association Councils on epidemiology and prevention, stroke, and cardiovascular nursing and the interdisciplinary working groups on quality of care and outcomes research and atherosclerotic peripheral vascular disease. Circulation 2007;115(1):127-155.
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