PERIODONTAL-DISEASES IN ADULT KENYANS
PERIODONTAL-DISEASES IN ADULT KENYANS
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DOI：
10.1111/j.1600-051x.1988.tb01599.x
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发表时间：
1988-08-01
影响因子：
6.7
通讯作者：
MANJI, F
中科院分区：
文献类型：
--
作者：
BAELUM, V;FEJERSKOV, O;MANJI, F
这项研究包括1131人谁构成了分层随机抽样的整个人口年龄在15-65岁的Machakos区，肯尼亚。每个人都进行了检查，牙齿的流动性，牙菌斑，结石，牙龈出血，附着损失和口袋深度的近中，颊，远中和舌面的每颗牙齿。口腔卫生较差，根据年龄，75-95%的表面有牙菌斑，10-85%的表面有结石。无论年龄大小，口袋。在小于20%的表面上观察到大于4 mm，而10-85%的表面具有附着丧失。每个个体附着丧失> 4 mm或≤ 1 mm的表面比例7 mm，且袋深度≤4 mm或≤7毫米，分别表现出明显的偏态分布，表明在每个年龄组中，一个亚部分的个人是负责总牙周破裂的相当大的比例。牙列内的个别牙齿也表现出牙周破裂的严重程度的显着变化。我们的研究结果提供了额外的证据，破坏性牙周病不应该被视为牙龈炎的必然后果，最终导致相当大的牙齿脱落。因此，有必要对那些似乎特别易感的个体的牙周破裂特征进行更具体的描述。
This study comprised 1131 persons who constitute a stratified random sample of the entire population aged 15-65 years in Machakos District, Kenya. Each person was examined for tooth mobility, plaque, calculus, gingival bleeding, loss of attachment and pocket depth on the mesial, buccal, distal and lingual surface of each tooth. The oral hygine was poor with plaque on 75-95% and calculus on 10-85% of the surfaces depending on age. Irrespective of age, pockets .gtoreq. 4 mm was seen on less than 20% of the surfaces, whereas 10-85% of the surfaces had loss of attachment .gtoreq. 1 mm. The proportion of surfaces per individual with loss of attachment > 4 mm or .ltoreq. 7 mm, and pocket depths .ltoreq. 4 mm or .ltoreq. 7 mm, respectively, showed a pronounced skewed distribution, indicating that in each age group, a subfraction of individuals is responsible for a substantial proportion of the total periodontal breakdown. The individual teeth within the dentition also showed a marked variation in the severity of periodontal breakdown. Our findings provide additional evidence that destructive periodontal disease should not be perceived as an inevitable consequence of gingivitis which ultimately leads to considerable tooth loss. A more specific characterization of the features of periodontal breakdown in those individuals who seem particularly susceptible is therefore warranted.