September 2012

Volume 29, Issue 3

High levels of periodontal disease among the older adult population in San Juan, Puerto Rico

Authors: M. Montero-Aguilar F.Muñoz-Torres A.R. Elías-Boneta B. Dye K.J. Joshipura
doi: 10.1922/CDH_2746Joshipura05


The Puerto Rican Elderly Dental Health Study is the first to evaluate the periodontal status of a representative sample in Puerto Rico. Objective: To assess the periodontal status among the elderly population in San Juan. Basic Research Design: Three dentists were trained and standardised by the US National Health and Nutrition Examination Survey (NHANES) reference examiner. They examined elders aged 70-97 in the San Juan area from participants in a representative cohort of the Puerto Rican elderly. Probing depth (PD), attachment loss (AL), and tooth mobility were assessed among the dentate participants on 4 sites on all teeth excluding third molars. We used the CDCAAP definitions for moderate periodontitis (≥2 teeth with AL ≥4mm at interproximal sites or ≥2 teeth with PD ≥5mm at interproximal sites) and severe periodontitis (≥2 teeth with AL ≥6mm at interproximal sites and ≥1 teeth with PD ≥5mm at interproximal sites). Results: The participation rate was 47%, 183 individuals, mean age 77.9 (sd 5.9), and 67% were females. Mean number of teeth was 15.8 (sd 6.8), and tooth mobility was present in 18% of participants. Mean PD was 1.5 (sd 0.6) and mean AL was 2.8 mm (sd1.5). The prevalence of moderate and severe periodontitis (CDC-AAP) was 44.5% compared to 20.7% in the NHANES 1999-2004 survey among 75 years and older. Conclusions: Our study showed high levels of severe and moderate periodontal disease among Puerto Rican older adults. Further research is needed to understand the reasons for the high prevalence. Key words: periodontal disease, prevalence, representative sample, older adults

£10 single article

Other articles in this issue

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Editorial - Population based health and care: what does the new dental professional need to know? 194-194 £10 single article
Dental Public Health in Action - The use of dental therapists as examiners in dental epidemiological surveys 195-197 £10 single article
A service evaluation of patient pathways and care experiences of dentally anxious adult patients 198-202 £10 single article
Assessment and validation of the oral impact on daily performance (OIDP) instrument among adults in Karnataka, South India 203-208 £10 single article
The dental health of 5 year-old children living in Damascus, Syria 209-213 £10 single article
Oral impacts and their association with tooth loss in Sri Lankan adults 214-218 £10 single article
Oral Health Related Quality of Life among Older Adults in Central China 219-223 £10 single article
High levels of periodontal disease among the older adult population in San Juan, Puerto Rico 224-228 £10 single article
Caries in five different socio-economic clusters in Örebro county 229-232 £10 single article
Root caries in 35-44 and 65-74 year-olds in Turkey 233-238 £10 single article
Dental anxiety levels in British servicemen and women 239-242 £10 single article
Sexual correlates of gagging and dental anxiety 243-247 £10 single article
Oral hygiene education in adolescence based on the Precaution Adoption Process Model 248-251 £10 single article
Professional careers of graduates from one UK dental school 252-256 £10 single article


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