{"id":"https://openalex.org/W2006476330","doi":"https://doi.org/10.1111/j.1600-0528.1995.tb00251.x","title":"Incidence of attachment loss over 3 years in older adults \u2013 new and progressing lesions","display_name":"Incidence of attachment loss over 3 years in older adults \u2013 new and progressing lesions","publication_year":1995,"publication_date":"1995-10-01","ids":{"openalex":"https://openalex.org/W2006476330","doi":"https://doi.org/10.1111/j.1600-0528.1995.tb00251.x","mag":"2006476330","pmid":"https://pubmed.ncbi.nlm.nih.gov/8529343"},"language":"en","primary_location":{"id":"doi:10.1111/j.1600-0528.1995.tb00251.x","doi":"https://doi.org/10.1111/j.1600-0528.1995.tb00251.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1600-0528.1995.tb00251.x","pdf_url":null,"source":{"id":"https://openalex.org/S52877392","display_name":"Community Dentistry And Oral Epidemiology","issn_l":"0301-5661","issn":["0301-5661","1600-0528"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Community Dentistry and Oral Epidemiology","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W2006476330"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065211401","display_name":"James D. Beck","orcid":"https://orcid.org/0000-0001-5415-8311","observed_orcids":["https://orcid.org/0000-0001-5415-8311"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"James D. Beck","raw_affiliation_strings":["Department of Dental Ecology, University of North Carolina, Chapel Hill 27599, USA","Department of Dental Ecology , University of North Carolina , Chapel Hill , NC , USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dental Ecology, University of North Carolina, Chapel Hill 27599, USA","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"Department of Dental Ecology , University of North Carolina , Chapel Hill , NC , USA","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108081836","display_name":"Gary G. Koch","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gary G. Koch","raw_affiliation_strings":["Department of Biostatistics, University of North Carolina, Chapel Hill, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, University of North Carolina, Chapel Hill, NC, USA","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063251928","display_name":"Steven Offenbacher","orcid":"https://orcid.org/0000-0002-0727-9441","observed_orcids":["https://orcid.org/0000-0002-0727-9441"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steven Offenbacher","raw_affiliation_strings":["Department of Periodontics and Dental Research Center, University of North Carolina, Chapel Hill, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Periodontics and Dental Research Center, University of North Carolina, Chapel Hill, NC, USA","institution_ids":["https://openalex.org/I114027177"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5065211401"],"corresponding_institution_ids":["https://openalex.org/I114027177"],"apc_list":{"value":4230,"currency":"USD","value_usd":4230},"apc_paid":null,"fwci":4.8845,"has_fulltext":false,"cited_by_count":79,"citation_normalized_percentile":{"value":0.94733692,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":87,"max":97},"biblio":{"volume":"23","issue":"5","first_page":"291","last_page":"296"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10257","display_name":"Oral microbiology and periodontitis research","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/3506","display_name":"Periodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10257","display_name":"Oral microbiology and periodontitis research","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/3506","display_name":"Periodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.002899999963119626,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11452","display_name":"Oral Health Pathology and Treatment","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/clinical-attachment-loss","display_name":"clinical attachment loss","score":0.7799999713897705},{"id":"https://openalex.org/keywords/periodontitis","display_name":"periodontitis","score":0.9549999833106995},{"id":"https://openalex.org/keywords/disease-progression","display_name":"disease progression","score":0.6290000081062317},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.7490000128746033},{"id":"https://openalex.org/keywords/prognostic-factors","display_name":"prognostic factors","score":0.9990000128746033},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9610000252723694},{"id":"https://openalex.org/keywords/community-dwelling-adults","display_name":"community-dwelling adults","score":0.7570000290870667},{"id":"https://openalex.org/keywords/soft-tissue-response","display_name":"soft tissue response","score":0.6119999885559082},{"id":"https://openalex.org/keywords/smokeless-tobacco","display_name":"smokeless tobacco","score":0.6980000138282776},{"id":"https://openalex.org/keywords/cigarette-smoking","display_name":"cigarette smoking","score":0.7739999890327454},{"id":"https://openalex.org/keywords/bana","display_name":"Bana","score":0.5109999775886536},{"id":"https://openalex.org/keywords/porphyromonas-gingivalis","display_name":"Porphyromonas gingivalis","score":0.953000009059906},{"id":"https://openalex.org/keywords/oral-pain","display_name":"oral pain","score":0.6380000114440918},{"id":"https://openalex.org/keywords/low-income","display_name":"low income","score":0.6539999842643738},{"id":"https://openalex.org/keywords/financial-hardship","display_name":"financial hardship","score":0.7250000238418579}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8520239591598511},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.6319958567619324},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5487072467803955},{"id":"https://openalex.org/C3019887659","wikidata":"https://www.wikidata.org/wiki/Q191089","display_name":"Older people","level":2,"score":0.5032660365104675},{"id":"https://openalex.org/C544821477","wikidata":"https://www.wikidata.org/wiki/Q718113","display_name":"Weight loss","level":3,"score":0.4812288284301758},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.45396387577056885},{"id":"https://openalex.org/C61260549","wikidata":"https://www.wikidata.org/wiki/Q5133813","display_name":"Clinical attachment loss","level":3,"score":0.43968039751052856},{"id":"https://openalex.org/C119477188","wikidata":"https://www.wikidata.org/wiki/Q909609","display_name":"Attachment theory","level":2,"score":0.43629270792007446},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3998889923095703},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.2371239960193634},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.23321804404258728},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1831757128238678},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.0},{"id":"https://openalex.org/C2992452445","wikidata":"https://www.wikidata.org/wiki/Q520127","display_name":"Periodontal disease","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001741","descriptor_name":"Black or African American","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004358","descriptor_name":"Drug Therapy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007182","descriptor_name":"Income","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009055","descriptor_name":"Mouth","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009657","descriptor_name":"North Carolina","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D010518","descriptor_name":"Periodontitis","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":false},{"descriptor_ui":"D010518","descriptor_name":"Periodontitis","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D010519","descriptor_name":"Periodontium","qualifier_ui":"Q000187","qualifier_name":"drug effects","is_major_topic":false},{"descriptor_ui":"D010947","descriptor_name":"Plants, Toxic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014030","descriptor_name":"Tobacco, Smokeless","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017622","descriptor_name":"Periodontal Attachment Loss","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":false},{"descriptor_ui":"D017622","descriptor_name":"Periodontal Attachment Loss","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D018450","descriptor_name":"Disease Progression","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D044383","descriptor_name":"Black People","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D044465","descriptor_name":"White People","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/j.1600-0528.1995.tb00251.x","doi":"https://doi.org/10.1111/j.1600-0528.1995.tb00251.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1600-0528.1995.tb00251.x","pdf_url":null,"source":{"id":"https://openalex.org/S52877392","display_name":"Community Dentistry And Oral Epidemiology","issn_l":"0301-5661","issn":["0301-5661","1600-0528"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Community Dentistry and Oral Epidemiology","raw_type":"journal-article"},{"id":"pmid:8529343","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8529343","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Community dentistry and oral epidemiology","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G4230626363","display_name":null,"funder_award_id":"R01-DE-08660","funder_id":"https://openalex.org/F4320337365","funder_display_name":"National Institute of Dental and Craniofacial Research"},{"id":"https://openalex.org/G828008839","display_name":null,"funder_award_id":"N01\u2010AG12102","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"}],"funders":[{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"},{"id":"https://openalex.org/F4320337365","display_name":"National Institute of Dental and Craniofacial Research","ror":"https://ror.org/004a2wv92"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W2011396512","https://openalex.org/W2023398854","https://openalex.org/W2063959484","https://openalex.org/W2074465920","https://openalex.org/W2077850316","https://openalex.org/W2088592798","https://openalex.org/W2114953849","https://openalex.org/W2152268161","https://openalex.org/W2317556102","https://openalex.org/W2320714119"],"related_works":["https://openalex.org/W2074465920","https://openalex.org/W2011396512","https://openalex.org/W2128264095","https://openalex.org/W2049433599","https://openalex.org/W2068870934","https://openalex.org/W2005773315","https://openalex.org/W2040986168","https://openalex.org/W2007271469","https://openalex.org/W1995287276","https://openalex.org/W1972664674"],"abstract_inverted_index":{"Abstract":[0],"Researchers":[1],"attempting":[2],"to":[3,14,26,36,48,77,127,185,196],"identify":[4,186],"and":[5,31,66,76,79,169,240,261,303,328],"quantify":[6],"risk":[7,22,273,280,326],"factors":[8,23,33,327,330],"have":[9,58],"not":[10,17,332],"paid":[11],"adequate":[12],"attention":[13],"whether":[15],"or":[16,137],"they":[18],"actually":[19],"are":[20,98,314,331],"identifying":[21],"(exposures":[24],"related":[25,35],"the":[27,37,50,81,86,128,187,204,216,224,312,333],"onset":[28,193],"of":[29,39,44,52,72,83,89,102,130,135,154,166,176,198,203,215,223,245,267],"disease)":[30],"prognostic":[32,329],"(characteristics":[34],"progression":[38,71,153,283],"established":[40],"disease).":[41],"The":[42,92,119,308],"purpose":[43],"this":[45,96],"paper":[46],"is":[47],"present":[49],"incidence":[51],"attachment":[53,59,90,132,145,155,167,177,212,229,236,247],"loss":[54,60,133,146,156,230,237],"in":[55,61,107,147,157,209,231,292,324],"people":[56,67,84,205,217,225],"who":[57,68,113,142,162,171,263],"sites":[62,73,175,232],"previously":[63,148,158],"without":[64],"disease":[65,192,282],"experience":[69,264],"further":[70],"with":[74,85,152,190,254],"disease,":[75],"compare":[78],"contrast":[80],"characteristics":[82,188,313],"two":[87],"types":[88,165],"loss.":[91,178,248],"subjects":[93,120],"used":[94],"for":[95,116,274,281],"study":[97],"a":[99,265],"random":[100],"sample":[101],"community\u2010dwelling":[103],"older":[104],"adults":[105],"residing":[106],"five":[108],"contiguous":[109],"North":[110],"Carolina":[111],"counties":[112],"were":[114,121,270,284],"followed":[115],"3":[117,136],"yr.":[118],"categorized":[122],"into":[123],"four":[124],"groups":[125],"according":[126],"type":[129],"clinical":[131,228,235,246],"(change":[134],"more":[138],"mm)":[139],"experienced,":[140],"those":[141,151,161,170,262],"only":[143,219,226],"had":[144,172,206,234,304],"undiseased":[149],"sites,":[150,160],"diseased":[159],"experienced":[163,218,227,242],"both":[164,243],"loss,":[168],"no":[173,207],"new":[174,220,275],"A":[179],"bivariate":[180],"logistic":[181],"model":[182,309],"was":[183],"developed":[184],"associated":[189,253],"\u201cnew\u201d":[191],"as":[194],"compared":[195],"\u201cprogression":[197],"disease\u201d.":[199],"Just":[200],"over":[201],"40%":[202],"change":[208],"their":[210],"baseline":[211],"level,":[213],"27.5%":[214],"lesions.":[221,276],"11.1%":[222],"that":[233,289,311,317],"at":[238,271,278],"baseline,":[239],"20.1%":[241],"kinds":[244],"Low":[249],"income,":[250,286],"taking":[251,287],"medications":[252,288],"soft":[255,293],"tissue":[256,294],"reactions,":[257,295],"smokeless":[258],"tobacco":[259],"users":[260],"history":[266],"oral":[268],"pain":[269],"greater":[272],"People":[277],"higher":[279],"low":[285],"may":[290,319],"result":[291],"cigarette":[296],"smokers,":[297],"BANA":[298],"positive,":[299,302],"P.":[300],"gingivalis":[301],"worsening":[305],"financial":[306],"problems.":[307],"indicates":[310],"different":[315],"enough":[316],"periodontitis":[318],"be":[320],"like":[321],"other":[322],"diseases":[323],"which":[325],"same.":[334]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2018,"cited_by_count":3},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":3},{"year":2012,"cited_by_count":3}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2016-06-24T00:00:00"}
