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Risk factors in periodontology: a conceptual framework
Philippe Bouchard1,2, Maria Clotilde Carra1,3, Adrien Boillot1
1Department of Periodontology, Service of Odontology, Rothschild Hospital, AP-HP, Paris 7-Denis Diderot University, U.F.R. of Odontology, Paris, France.
Journal of Clinical Periodontology
|November 19, 2016
Summary
Understanding periodontitis pathogenesis requires defining risk factors. This review emphasizes causal chains and networks to assess risk in periodontitis, improving prevention and treatment strategies.
Area of Science:
- Periodontology
- Oral Health
- Disease Pathogenesis
Background:
- Periodontitis is a complex chronic disease.
- Understanding risk factors is crucial for pathogenesis, prevention, and treatment.
- Current assessment of risk factors may be insufficient.
Purpose of the Study:
- To define 'risk' in periodontology.
- To explore methods for assessing risk in periodontitis.
- To emphasize causal chains and causal networks of risk factors.
Main Methods:
- Narrative review.
- Focus on two key questions: defining risk and assessing risk.
- Description of a network model for risk factor pathways.
Main Results:
- The probability of an adverse outcome is insufficient for risk factor analysis.
- A network model for risk factor pathways in periodontitis pathogenesis is presented.
- Causal chains and causal networks are emphasized.
Conclusions:
- A conceptual framework clarifying risk and causality aids understanding of chronic diseases.
- The proposed causal network offers a model for assessing risk factor roles in periodontitis.
- Improved understanding of risk factor dynamics can enhance periodontitis management.
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