Chatzopoulos Georgios S, Wolff Larry F
Division of Periodontology, School of Dentistry, University of Minnesota, USA; Faculty of Dentistry, Health Sciences, Aristotle University of Thessaloniki, Greece.
Division of Periodontology, School of Dentistry, University of Minnesota, USA.
J Dent. 2025 Nov;162:106024. doi: 10.1016/j.jdent.2025.106024. Epub 2025 Aug 7.
To determine the prevalence, severity, and distribution of tooth mobility within a large university-based dental cohort and to investigate its association with patient-related factors like demographics and systemic conditions.
This retrospective, cross-sectional study analyzed electronic health records from 15,881 adult patients diagnosed with periodontitis. Data on tooth mobility, patient demographics, smoking status, and self-reported medical conditionswere extracted. Appropriate statistical analyses, including multivariate logistic regression, were used to assess associations between these factors and the presence of clinically significant tooth mobility (Grade 1, 2, or 3).
Clinically significant tooth mobility was highly prevalent, affecting 70.4 % of patients and 26.9 % of all teeth evaluated. Grade 1 mobility was the most common severity level recorded. Incisors were the most frequently mobile teeth, accounting for 56.3 % of cases, followed by premolars, molars, and canines. Multivariate analysis revealed that advancing age, a history of tooth loss, and a diagnosis of hypertension were the strongest independent predictors for tooth mobility. Male gender and high blood pressure were also significant.
Tooth mobility is a common clinical finding in periodontitis patients, showing a clear predilection for anterior teeth. The strong, independent associations with age, previous tooth loss, and hypertension highlight the importance of integrating systemic health and dental history into periodontal risk assessment.
Knowledge that factors like high blood pressure and a history of tooth loss are strong predictors for tooth mobility allows clinicians to perform a more comprehensive periodontal risk assessment. Given the high prevalence of mobility in incisors, particular clinical attention should be paid to the anterior dentition.
确定一个大型大学牙科队列中牙齿松动的患病率、严重程度和分布情况，并调查其与人口统计学和全身状况等患者相关因素的关联。
这项回顾性横断面研究分析了15881例被诊断为牙周炎的成年患者的电子健康记录。提取了有关牙齿松动、患者人口统计学、吸烟状况和自我报告的医疗状况的数据。使用适当的统计分析方法，包括多变量逻辑回归，来评估这些因素与临床上显著牙齿松动（1级、2级或3级）之间的关联。
临床上显著的牙齿松动非常普遍，影响了70.4%的患者和所有评估牙齿的26.9%。1级松动是记录到的最常见严重程度级别。切牙是最常出现松动的牙齿，占病例的56.3%，其次是前磨牙、磨牙和尖牙。多变量分析显示，年龄增长、牙齿缺失史和高血压诊断是牙齿松动最强的独立预测因素。男性和高血压也具有显著性。
牙齿松动是牙周炎患者常见的临床发现，明显倾向于前牙。与年龄、既往牙齿缺失和高血压的强烈独立关联突出了将全身健康和牙科病史纳入牙周风险评估的重要性。
了解高血压和牙齿缺失史等因素是牙齿松动的强预测因素，使临床医生能够进行更全面的牙周风险评估。鉴于切牙松动的高患病率，应特别关注前牙列。
