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A socio-ecologic model for periodontal diseases
B F Hansen1, E Bjertness, J K Grønnesby
1Department of Oral Diagnosis, Dental Faculty, University of Oslo, Norway.
Journal of Clinical Periodontology
|September 1, 1993
Summary
Poor oral hygiene and infrequent toothbrushing are key risk factors for periodontal disease. Behavioral and biological factors significantly influence the likelihood of developing deep periodontal pockets.
Area of Science:
- Oral Health
- Public Health
- Epidemiology
Background:
- Periodontal diseases represent a significant public health concern.
- A socio-ecologic model incorporating health-care organization, human biology, behavioral factors, and environment provides a framework for understanding these diseases.
Purpose of the Study:
- To test a socio-ecologic conceptual model for periodontal diseases.
- To identify risk factors associated with the probability of developing deep periodontal pockets (> 5.5 mm).
Main Methods:
- A random sample of 50-year-old Oslo citizens was investigated.
- Data collection involved clinical examinations, questionnaires, and structured interviews.
- Logistic regression analysis was employed to assess associations between risk factors and periodontal pocketing.
Main Results:
- Short education duration, male gender, prior periodontal treatment, poor oral hygiene, and infrequent toothbrushing were positively associated with increased risk of periodontal pockets.
- Behavioral factors and human biology emerged as the most strongly associated elements with periodontal pocketing.
Conclusions:
- The socio-ecologic model effectively highlights key determinants of periodontal disease.
- Behavioral and biological factors are critical targets for interventions aimed at preventing and managing periodontal pocketing.