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This paper reviews some past and current findings regarding the relationship between age and periodontal diseases in adults and speculates on the implications of more recent findings that show a lower prevalence of deep pocketing than previous studies and no dramatic increases in older adults. A conceptual framework for designing studies and analyzing data is presented. Using prevalence data from a household survey of older adults in Iowa, a multivariate analysis resulted in 41 percent of the variance in 3 + mm pickets being explained by dental, medical, and behavioral factors. If these correlates turn out to be risk factors, it seems that periodontal diseases must be considered in a larger context than is employed in most epidemiological and clinical investigations.
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James D. Beck (1988) studied this question.
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