Trends over 30 years, 1973-2003, in the prevalence and severity of periodontal disease

Trends over 30 years, 1973-2003, in the prevalence and severity of periodontal disease
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DOI:
10.1111/j.1600-051x.2008.01225.x
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发表时间:
2008-05-01
影响因子:
6.7
通讯作者:
Norderyd, Ola
Norderyd, Ola
中科院分区:
医学1区
文献类型:
--
作者:
Hugoson, Anders;Sjodin, Bengt;Norderyd, Ola

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目的:本研究调查了1973- 2003年瑞典人群牙龈炎和牙周炎的患病率和分布情况。材料和方法:1973年、1983年、1993年和2003年在瑞典延雪平进行了四项横断面流行病学研究。随机抽取20、30、40、50、60、70和80岁的个体进行临床和X线检查。诊断标准是无牙,牙齿,菌斑,牙龈状况,探测袋深度,牙龈退缩,牙槽骨水平,并根据牙周病status.Results分类:在所有年龄组中,无牙个体的数量急剧下降,牙齿数量增加。口腔卫生有了很大改善。在过去的30年中,牙周健康人群的比例从1973年的8%上升到2003年的44%,牙龈炎和中度牙周炎的比例下降。有一个非显着的趋势,个人的比例与严重的牙周病的经验(第4组)减少,而个人的比例与先进的牙周炎(第5组)保持不变。结论:口腔卫生和牙周健康显着改善20-80岁的年龄组超过30年1973-2003年。
Aim: The present investigation presents findings of the prevalence and distribution of gingivitis and periodontitis in a Swedish population over the 30 years 1973-2003.Material and Methods: Four cross-sectional epidemiological studies in 1973, 1983, 1993, and 2003 were performed in Jonkoping, Sweden. Random samples of individuals aged 20, 30, 40, 50, 60, 70, and 80 years were examined clinically and radiographically. Diagnostic criteria were edentulousness, number of teeth, plaque, gingival status, probing pocket depth, gingival recession, alveolar bone level, and classification according to periodontal disease status.Results: In all age groups, the number of edentulous individuals decreased dramatically and the number of teeth increased. Oral hygiene improved considerably. Over the 30 years, the proportion of periodontally healthy individuals increased from 8% in 1973 to 44% in 2003 and the proportion of individuals with gingivitis and moderate periodontitis decreased. There was a non-significant trend for the proportion of individuals with severe periodontal disease experience (Group 4) to decrease, while the proportion of individuals with advanced periodontitis (Group 5) remained unchanged.Conclusion: Oral hygiene and periodontal health improved significantly in the 20-80-year age groups over the 30 years 1973-2003.