Social gradients in periodontal diseases among adolescents

Community Dent Oral Epidemiol. 2006 Jun;34(3):184-96. doi: 10.1111/j.1600-0528.2006.00271.x.

Abstract

Objective: To investigate the association between socioeconomic position and periodontal diseases among adolescents.

Methods: Data were obtained from 9203 Chilean high school students. Clinical examinations included direct recordings of clinical attachment level and the necrotizing ulcerative gingival lesions. Students answered a questionnaire on various dimensions of socioeconomic position. Seven periodontal outcomes were analyzed. Logistic regression analyses were used to identify socioeconomic variables associated with the periodontal outcomes.

Results: The occurrence of all periodontal outcomes investigated followed social gradients, and paternal income and parental education were the most influential variables.

Conclusions: The study demonstrates the existence of significant social gradients in periodontal diseases already among adolescents. This is worrying, and indicates a new potential for further insight into the mechanisms of periodontal disease causation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Automobiles
  • Child
  • Chile / epidemiology
  • Cross-Sectional Studies
  • Dental Care / statistics & numerical data
  • Educational Status
  • Family Characteristics
  • Female
  • Gingivitis, Necrotizing Ulcerative / epidemiology
  • Housing
  • Humans
  • Income
  • Male
  • Parents / education
  • Periodontal Attachment Loss / epidemiology
  • Periodontal Diseases / epidemiology*
  • Social Class*
  • Toothbrushing / statistics & numerical data
  • Treatment Outcome