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. Author manuscript; available in PMC: 2016 May 1.
Published in final edited form as: J Periodontol. 2015 Feb 17;86(5):611–622. doi: 10.1902/jop.2015.140520

Table 3.

Prevalence of clinical attachment loss (CAL) by severity and overall mean CAL by selected characteristics for persons 30 years and older, United States, NHANES 2009 – 2012

Severity of Clinical Attachment Loss (CAL)
Mean CAL mm SE
≥3mm SE ≥4mm SE ≥5mm SE ≥6mm SE ≥7mm SE






Total 88.1 0.8 60.8 1.6 40.9 1.4 24.2 1.0 14.7 0.6 1.72 0.03
Age (Mean:24.0 teeth)
 30–34 years (26.5 teeth) 72.3 1.8 32.6 2.3 16.4 1.8 8.3 1.0 3.2 0.7 1.23 0.04
 35–49 years (25.5 teeth) 85.7 1.1 51.8 2.2 32.4 1.9 17.0 1.2 10.4 0.8 1.52 0.04
 50–64 years (23.2 teeth) 92.6 1.3 71.4 1.8 49.0 2.0 30.1 1.8 18.8 1.0 1.94 0.06
 65+ years (20.6 teeth) 96.4 0.7 81.5 1.8 62.3 1.7 40.7 1.8 24.7 1.5 2.14 0.06
 Sex
  Male 92.0 0.9 68.4 1.6 49.2 1.5 30.6 1.2 19.4 0.9 1.95 0.04
  Female 84.4 1.1 53.6 1.9 33.0 1.7 18.0 1.1 10.1 0.7 1.50 0.03
Race/Ethnic Group
   Hispanics 95.0 0.9 71.6 1.6 52.1 2.5 33.9 2.0 21.8 1.7 2.01 0.06
   Non-Hispanic Asian American* 92.9 0.8 65.0 3.3 41.2 3.2 27.4 3.1 15.4 2.0 1.95 0.11
   Non-Hispanic White 86.6 1.2 57.2 2.0 37.0 1.8 20.5 1.3 11.8 0.8 1.62 0.04
   Non-Hispanic Black 90.0 1.3 69.7 2.1 51.1 2.0 35.7 2.0 23.7 1.5 2.09 0.08
Education
 < High school 93.7 0.9 77.0 1.7 59.8 1.8 42.0 2.3 27.9 1.6 2.35 0.07
 High school 90.2 1.1 68.2 2.0 48.9 1.7 30.8 1.8 20.4 1.0 1.95 0.05
 >High school 86.0 1.0 54.1 1.7 33.2 1.5 17.4 1.0 9.3 0.6 1.48 0.03
Poverty Level
 < 100% FPL 92.4 1.4 71.8 1.6 52.4 1.4 35.2 1.6 23.2 1.4 2.25 0.06
 100–199% FPL 92.9 0.9 68.4 1.5 48.3 1.7 32.2 1.6 21.4 1.2 2.04 0.05
 200–499% FPL 87.4 1.2 63.0 2.7 43.2 2.7 24.9 2.1 14.5 1.2 1.69 0.05
 ≥400% FPL 84.8 1.4 51.3 2.0 31.0 1.7 15.6 0.9 8.4 0.7 1.43 0.03
Marital status
 Married 86.8 0.9 56.7 1.7 37.6 1.4 21.6 1.0 12.8 0.6 1.62 0.03
 Widowed 95.6 1.2 79.7 2.3 59.1 3.1 38.8 2.3 24.0 2.0 2.15 0.08
 Divorced 92.2 1.1 69.2 3.2 47.2 2.9 29.2 2.1 19.2 2.1 1.93 0.07
 Separated 92.0 2.2 73.6 2.9 57.0 4.3 35.0 4.4 23.7 3.3 2.12 0.13
 Never married 86.7 1.6 60.0 2.8 36.1 3.0 20.8 2.4 11.4 1.4 1.68 0.06
 Living with partner 88.2 2.3 65.2 3.7 47.0 3.6 28.4 2.5 18.0 2.1 1.92 0.09
Smoking status
 Current smoker 93.6 1.0 75.2 1.4 58.3 1.8 41.6 1.9 27.0 1.6 2.40 0.08
 Former smoker 89.6 1.1 65.8 2.3 43.9 2.5 27.8 2.0 16.4 1.3 1.78 0.06
 Non smoker 85.8 0.9 54.1 1.8 34.1 1.4 17.2 1.0 10.0 0.6 1.49 0.03
*

Oversampling of Non-Hispanic Asian Americans only in NHANES 2011–2012.

age standardized, standardized to age distribution of the 2000 US population; CAL, clinical attachment loss; FPL, federal poverty level; mean CAL is average attachment loss in millimeters of all assessed sites; NHANES, National Health and Nutrition Examination Survey; NHANES III protocol, NHANES III protocol applied to NHANES 2009–2012 data: prevalence estimates based on the PMPE protocols used in NHANES III and 1999–2000 of using PPD and CAL measurements only from two sites per tooth (mid-buccal and mesio-buccal sites) from all teeth other than third molars in two randomly selected quadrants; NHANES 2001–2004 protocol, NHANES 2001–2004 protocol applied to NHANES 2009–2012 data: prevalence estimates based on the PMPE protocol used in NHANES 2001–2004 using measurements of PPD and CAL only from three sites per tooth (mid-buccal, mesio-buccal, and disto-buccal sites) from all teeth other than third molars in two randomly selected quadrants; PPD, periodontal probing depth; SE, standard error; total periodontitis, sum of prevalence of mild, moderate, and severe periodontitis according to the CDC/AAP case definitions.15