Gingival recession: Epidemiology and risk indicators in a representative urban Brazilian population

Cristiano Susin, Alex N. Haas, Rui V. Oppermann, Ola Haugejorden, Jasim M. Albandar

Research output: Contribution to journalArticle

134 Citations (Scopus)

Abstract

Background: Gingival recession is a common manifestation of periodontal disease, but it is also associated with other risk factors. A few studies have investigated the epidemiology and risk factors of this condition. This study describes the epidemiology of gingival recession in a representative, urban Brazilian population and assesses various risk indicators. Methods: A representative sample of 1,460 subjects was selected using a multi-stage, probability, cluster sampling strategy. The subjects were interviewed using a structured questionnaire and had a full-mouth clinical examination in a mobile examination center. Results: More than half (51.6%) and 22.0% of the individuals and 17.0% and 5.8% of teeth per individual showed gingival recession ≥3 mm and ≥5 mm, respectively. The prevalence, extent, and severity of recession correlated with age. Recession showed a nonlinear relationship with age, with 25 to 50 year olds showing the highest level of recession. Males aged ≥30 years showed significantly higher prevalence and extent of gingival recession than females. The percentage of teeth with recession was significantly higher in the lower socioeconomic groups irrespective of age, and in subjects ≥30 years of age with irregular dental care than in subjects with regular care. Using a multivariable model, cigarette smoking and presence of supragingival calculus were the factors most significantly associated with localized and generalized recession, whereas gender, dental visits, and socioeconomic status were not significant risk indicators. Conclusions: The high level of gingival recession in this Brazilian population may be primarily related to destructive periodontal disease and is significantly associated with a high level of supragingival dental calculus and cigarette smoking. Population-based programs aimed at the prevention of periodontal diseases may reduce the prevalence of severe gingival recession in this and similar populations.

Original languageEnglish (US)
Pages (from-to)1377-1386
Number of pages10
JournalJournal of Periodontology
Volume75
Issue number10
DOIs
StatePublished - Oct 1 2004

Fingerprint

Gingival Recession
Urban Population
Epidemiology
Periodontal Diseases
Tooth
Smoking
Dental Calculus
Population Control
Dental Care
Calculi
Social Class
Population
Mouth
Age Groups

Keywords

  • Brazil
  • Dental calculus
  • Gingival recession/epidemiology
  • Periodontal diseases/epidemiology
  • Risk factors
  • Smoking/adverse effects
  • Urban population

ASJC Scopus subject areas

  • Periodontics

Cite this

Gingival recession : Epidemiology and risk indicators in a representative urban Brazilian population. / Susin, Cristiano; Haas, Alex N.; Oppermann, Rui V.; Haugejorden, Ola; Albandar, Jasim M.

In: Journal of Periodontology, Vol. 75, No. 10, 01.10.2004, p. 1377-1386.

Research output: Contribution to journalArticle

Susin, Cristiano ; Haas, Alex N. ; Oppermann, Rui V. ; Haugejorden, Ola ; Albandar, Jasim M. / Gingival recession : Epidemiology and risk indicators in a representative urban Brazilian population. In: Journal of Periodontology. 2004 ; Vol. 75, No. 10. pp. 1377-1386.
@article{ebbb351bfe7d43779a51ea6100157293,
title = "Gingival recession: Epidemiology and risk indicators in a representative urban Brazilian population",
abstract = "Background: Gingival recession is a common manifestation of periodontal disease, but it is also associated with other risk factors. A few studies have investigated the epidemiology and risk factors of this condition. This study describes the epidemiology of gingival recession in a representative, urban Brazilian population and assesses various risk indicators. Methods: A representative sample of 1,460 subjects was selected using a multi-stage, probability, cluster sampling strategy. The subjects were interviewed using a structured questionnaire and had a full-mouth clinical examination in a mobile examination center. Results: More than half (51.6{\%}) and 22.0{\%} of the individuals and 17.0{\%} and 5.8{\%} of teeth per individual showed gingival recession ≥3 mm and ≥5 mm, respectively. The prevalence, extent, and severity of recession correlated with age. Recession showed a nonlinear relationship with age, with 25 to 50 year olds showing the highest level of recession. Males aged ≥30 years showed significantly higher prevalence and extent of gingival recession than females. The percentage of teeth with recession was significantly higher in the lower socioeconomic groups irrespective of age, and in subjects ≥30 years of age with irregular dental care than in subjects with regular care. Using a multivariable model, cigarette smoking and presence of supragingival calculus were the factors most significantly associated with localized and generalized recession, whereas gender, dental visits, and socioeconomic status were not significant risk indicators. Conclusions: The high level of gingival recession in this Brazilian population may be primarily related to destructive periodontal disease and is significantly associated with a high level of supragingival dental calculus and cigarette smoking. Population-based programs aimed at the prevention of periodontal diseases may reduce the prevalence of severe gingival recession in this and similar populations.",
keywords = "Brazil, Dental calculus, Gingival recession/epidemiology, Periodontal diseases/epidemiology, Risk factors, Smoking/adverse effects, Urban population",
author = "Cristiano Susin and Haas, {Alex N.} and Oppermann, {Rui V.} and Ola Haugejorden and Albandar, {Jasim M.}",
year = "2004",
month = "10",
day = "1",
doi = "10.1902/jop.2004.75.10.1377",
language = "English (US)",
volume = "75",
pages = "1377--1386",
journal = "Journal of Periodontology",
issn = "0022-3492",
publisher = "American Academy of Periodontology",
number = "10",

}

TY - JOUR

T1 - Gingival recession

T2 - Epidemiology and risk indicators in a representative urban Brazilian population

AU - Susin, Cristiano

AU - Haas, Alex N.

AU - Oppermann, Rui V.

AU - Haugejorden, Ola

AU - Albandar, Jasim M.

PY - 2004/10/1

Y1 - 2004/10/1

N2 - Background: Gingival recession is a common manifestation of periodontal disease, but it is also associated with other risk factors. A few studies have investigated the epidemiology and risk factors of this condition. This study describes the epidemiology of gingival recession in a representative, urban Brazilian population and assesses various risk indicators. Methods: A representative sample of 1,460 subjects was selected using a multi-stage, probability, cluster sampling strategy. The subjects were interviewed using a structured questionnaire and had a full-mouth clinical examination in a mobile examination center. Results: More than half (51.6%) and 22.0% of the individuals and 17.0% and 5.8% of teeth per individual showed gingival recession ≥3 mm and ≥5 mm, respectively. The prevalence, extent, and severity of recession correlated with age. Recession showed a nonlinear relationship with age, with 25 to 50 year olds showing the highest level of recession. Males aged ≥30 years showed significantly higher prevalence and extent of gingival recession than females. The percentage of teeth with recession was significantly higher in the lower socioeconomic groups irrespective of age, and in subjects ≥30 years of age with irregular dental care than in subjects with regular care. Using a multivariable model, cigarette smoking and presence of supragingival calculus were the factors most significantly associated with localized and generalized recession, whereas gender, dental visits, and socioeconomic status were not significant risk indicators. Conclusions: The high level of gingival recession in this Brazilian population may be primarily related to destructive periodontal disease and is significantly associated with a high level of supragingival dental calculus and cigarette smoking. Population-based programs aimed at the prevention of periodontal diseases may reduce the prevalence of severe gingival recession in this and similar populations.

AB - Background: Gingival recession is a common manifestation of periodontal disease, but it is also associated with other risk factors. A few studies have investigated the epidemiology and risk factors of this condition. This study describes the epidemiology of gingival recession in a representative, urban Brazilian population and assesses various risk indicators. Methods: A representative sample of 1,460 subjects was selected using a multi-stage, probability, cluster sampling strategy. The subjects were interviewed using a structured questionnaire and had a full-mouth clinical examination in a mobile examination center. Results: More than half (51.6%) and 22.0% of the individuals and 17.0% and 5.8% of teeth per individual showed gingival recession ≥3 mm and ≥5 mm, respectively. The prevalence, extent, and severity of recession correlated with age. Recession showed a nonlinear relationship with age, with 25 to 50 year olds showing the highest level of recession. Males aged ≥30 years showed significantly higher prevalence and extent of gingival recession than females. The percentage of teeth with recession was significantly higher in the lower socioeconomic groups irrespective of age, and in subjects ≥30 years of age with irregular dental care than in subjects with regular care. Using a multivariable model, cigarette smoking and presence of supragingival calculus were the factors most significantly associated with localized and generalized recession, whereas gender, dental visits, and socioeconomic status were not significant risk indicators. Conclusions: The high level of gingival recession in this Brazilian population may be primarily related to destructive periodontal disease and is significantly associated with a high level of supragingival dental calculus and cigarette smoking. Population-based programs aimed at the prevention of periodontal diseases may reduce the prevalence of severe gingival recession in this and similar populations.

KW - Brazil

KW - Dental calculus

KW - Gingival recession/epidemiology

KW - Periodontal diseases/epidemiology

KW - Risk factors

KW - Smoking/adverse effects

KW - Urban population

UR - http://www.scopus.com/inward/record.url?scp=8744275406&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=8744275406&partnerID=8YFLogxK

U2 - 10.1902/jop.2004.75.10.1377

DO - 10.1902/jop.2004.75.10.1377

M3 - Article

C2 - 15562916

AN - SCOPUS:8744275406

VL - 75

SP - 1377

EP - 1386

JO - Journal of Periodontology

JF - Journal of Periodontology

SN - 0022-3492

IS - 10

ER -