Destructive periodontal disease in adults 30 years of age and older in the United states, 1988-1994
Destructive periodontal disease in adults 30 years of age and older in the United states, 1988-1994
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DOI：
10.1902/jop.1999.70.1.13
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发表时间：
1999-01-01
影响因子：
4.3
通讯作者：
Kingman, A
中科院分区：
文献类型：
--
作者：
Albandar, JM;Brunelle, JA;Kingman, A
背景：美国成年人牙周病的患病率和严重程度的准确信息缺乏。本研究估计牙周病的患病率和程度，在美国使用的数据从第三次全国健康和营养检查调查（NHANES III）。方法：一个全国代表性的样本，在1988年至1994年通过分层，多阶段概率抽样设计。在这项研究中使用了9,689名30至90岁的有牙齿的人，他们接受了牙周检查，代表了1988年至1994年约1.058亿平民，非制度化的美国人。在每人随机选择的2个象限中评估了牙周附着丧失、探查深度和分叉受累情况。在每颗牙齿的近中颊面和中颊面的2个部位评估附着丧失和探测深度。每个受试者的牙周状况进行了评估的基础上的范围和严重程度的探测深度和根分叉参与的标准。这些评估用于将每例受试者分为轻度、中度或晚期疾病。在分析中，加权数据被用来反映复杂的抽样方法。结果：附着损失的患病率大于或等于3毫米的人口为53.1%的美国成年人的牙齿30至90岁，平均，19.6%的牙齿每个人受到影响。探诊深度大于或等于3 mm的患病率为63.9%，平均19.6%的牙齿受到影响。其中14%的人有一颗或多颗牙齿的分叉。我们估计，至少有35%的年龄在30岁至90岁之间的美国成年人患有牙周炎，其中21.8%的人患有轻度牙周炎，12.6%的人患有中度或重度牙周炎。随着年龄的增长，附着丧失的患病率和程度以及牙周炎的患病率显著增加。然而，中度和晚期牙周炎的患病率在80岁及以上的成年人中下降。这很可能是由于在最老年龄组中牙齿脱落和牙龈萎缩的高患病率的组合。附着丧失和破坏性牙周炎在男性中的患病率一直高于女性，在黑人和墨西哥裔美国人中的患病率高于白人。我们估计，在30岁及以上的人，有大约56.2和67.6万人，平均约有三分之一的剩余牙齿受2 - 3毫米附着丧失和探测深度，分别。我们还估计，约有2100万人至少有一个部位的附着丧失大于或等于5 mm，3570万人患有牙周炎。这些都是保守估计的基础上，部分口腔检查，牙周病的真实患病率和程度可能会显着高于什么是reportinghere.Conclusions：牙周炎是普遍存在于美国成年人口。结果表明，黑人和墨西哥裔美国男性的牙周健康状况比美国其他成年人更差。因此，初级和二级预防措施应专门针对这些群体。
Background: Accurate information on the prevalence and extent of periodontal diseases in the United States adult population is lacking. This study estimated the prevalence and extent of periodontal disease in the United States using data from the third National Health and Nutrition Examination Survey (NHANES III).Methods: A nationally representative sample was obtained during 1988 to 1994 by a stratified, multi-stage probability sampling design. A subsample of 9,689 dentate persons 30 to 90 years old who received a periodontal examination was used in this study, representing approximately 105.8 million civilian, non-institutionalized Americans in 1988 to 1994. Periodontal attachment loss, probing depth, and furcation involvement were assessed in 2 randomly selected quadrants per person. Attachment loss and probing depth were assessed at 2 sites per tooth, the mesiobuccal and mid-buccal surfaces. The periodontal status of each subject was assessed by criteria based on the extent and severity of probing depth and furcation involvement. These assessments were used to classify each subject as having a mild, moderate, or advanced form of the disease. In the analyses, weighted data were used to reflect the complex sampling method.Results: Prevalence of attachment loss greater than or equal to 3 mm was 53.1% for the population of dentate U.S. adults 30 to 90 years of age and, on average, 19.6% of teeth per person were affected. The prevalence of probing depth greater than or equal to 3 mm was 63.9% and, on average, 19.6% of teeth were affected. Fourteen percent of these persons had furcation involvement in one or more teeth. We estimate that at least 35% of the dentate U.S. adults aged 30 to 90 have periodontitis, with 21.8% having a mild form and 12.6% having a moderate or severe form. The prevalence and extent of attachment loss and the prevalence of periodontitis increase considerably with age. However, the prevalence of moderate and advanced periodontitis decreases in adults 80 years of age and older. This is most likely attributed to a combination of a high prevalence of tooth loss and gingival recession in the oldest age cohorts. Attachment loss and destructive periodontitis were consistently more prevalent in males than females, and more prevalent in blacks and Mexican Americans than whites. We estimate that in persons 30 years and older, there are approximately 56.2 and 67.6 million persons who, on average, have about a third of their remaining teeth affected by 2 3 mm attachment loss and probing depth, respectively. We also estimate that about 21 million persons have at least one site with greater than or equal to 5 mm attachment loss, and 35.7 million persons have periodontitis. These are conservative estimates based on partial-mouth examinations, and the true prevalence and extent of periodontal disease may be significantly higher than what is reported here.Conclusions: Periodontitis is prevalent in the U.S. adult population. The results show that black and Mexican American males have poorer periodontal health than the rest of the U.S. adult population. Primary and secondary preventive measures should therefore be specifically targeted towards these groups.