Periodontal Disease, Dental Caries and Hypersensitivity : A millennial view (original) (raw)
Related papers
International Dental Research, 2020
Objectives: The aim of this study was to evaluate the validity of partial CPITN (PCPITN) and full-mouth CPITN (FCPITN) indexes from CPITN index versions used in the diagnosis of periodontal disease. Method: The study included 1,000 patients over the age of 20. The clinical attachment loss examination and clinically assisted full-mouth periodontal examination (gold standard) including the depth of the periodontal pocket on probing and dental stones were performed. PCPITN and FCPITN index versions were compared with the gold standard oral examination. Sensitivity, specificity and diagnostic estimation tables were statistically created from the obtained data. Results: For Gingivitis, the sensitivity of the PCPITN index was found to be 68.88%, specificity was 85.94% and the field value under the Receiver Operating Characteristic (ROC) curve was 0.6893. For periodontitis, FCPITN index sensitivity was 89.28%, specificity was 96.56% and field value under the ROC curve was 0.931. Conclusion...
Periodontal Health Status and Treatment Needs For Index Age Groups in Turkey Based on CPITN Values
The Journal of Nihon University School of Dentistry, 1991
Background: Use of the community periodontal index of treatment needs (CPITN) provides a picture of the public health requirements in the periodontal field, which is essential for national oral health policy-making and specific interventions. Objective: To determine periodontal status and treatment needs by CPITN index in the Iranian adolescents. Methods: The study population consisted of 1,319 subjects aged 15-19 years, selected through a multistage cluster stratified random sampling from 13 different provinces of Iran. Six calibrated qualified examiners, using flat dental mirrors and CPITN probes conducted clinical examinations according to the World Health Organization (WHO) standards. The severity and prevalence of the periodontal diseases, as well as its frequency distribution were evaluated and reported according to gender; residency place; frequency of dental brushing; plaque index; number of family members; mean of decayed, missed, and filled teeth index (DMF); and CPITN. This study was performed during 1999 and 2000. Results: In this study, only 14.5% of subjects demonstrated a healthy periodontal status, with a mean healthy sextant of 2.6. Bleeding was noted in 33.7% of subjects and calculus had the highest score (48.7%). Shallow and deep pockets were found in 3.9% and 0.5% of the population studied, respectively. Periodontal status in men was worse than women (P < 0.005). In urban areas it was better than the rural areas (P < 0.0001). The highest rate of calculus and bleeding were observed in subjects with high plaque index and low frequency of dental brushing (P < 0.005). A statistically significant (P < 0.005) relationship was also observed between CPITN scores and the number of family members. A positive correlation was found between the periodontal status and treatment needs with the DMF index (P < 0.02). Conclusion: We found that a high percentage of adolescents need treatment (TN1, TN2, TN3, 4). If the current trend is not reversed, with increasing the age, periodontal diseases could be escalated.
Assessing The Prevalence Of Periodontal Diseases And Treatment Needs: A Cross Sectional Study
2020
Aim: The objective of this study was to determine the prevalence of periodontal diseases and treatment needs in patients visiting, College of Dentistry, Prince Sattam Bin Abdulaziz University, Alkharj. Methodology: In our study, 400 patients were included within the age group of 15 to 60 years. Using the CPITN index, the status of periodontium as well as treatment needs was recorded. The data was subjected to statistical analysis using frequency calculation. Pearson Chi-square test was used to measure the significance. Results: mAs far as CPITN score was concerned, in the age group of 30-40 years of age group, maximum score was Code 2 (calculus deposition) whereas in comparison age group 40-50 years had Code 3 (shallow pockets) and 50-60 years had Code 4 (Deep pockets). There was an increasing shift of this percentage as the older age group was approached. In case of age group of 40-50 years, around 34.3% of participants were in need of complex periodontal treatment. This trend was ...
Global Prevalence of Periodontal Disease and Lack of Its Surveillance
The Scientific World Journal
Background. Periodontal disease is a public health problem and is strongly associated with systemic diseases; however, its worldwide distribution is not fully understood. Objective. To evaluate global data of periodontal disease: (1) among adolescents, adults, and older population and (2) in low-, middle-, and high-income countries. Methods. This ecological study included data of periodontal disease from the World Health Organization’s data bank which are based on the Community Periodontal Index of Treatment Needs (CPITN code: 0 = no disease; 1 = bleeding on probing; 2 = calculus; 3 = periodontal pocket (PD) 4-5 mm; 4 = PD (6+ mm). Age- and income-related periodontal disease inequalities were evaluated across the globe. Results. Compared with 9.3% of adults and 9.7% of older persons, 21.2% of adolescents had no periodontal disease (P=0.005). Nearly 18.8% of adolescents compared with 8.9% of adults and 5% of older persons had bleeding on probing (P≤0.001). Similarly, 50.3% of adolesc...
Assessment of periodontal status with CPITN and conventional periodontal indices
Journal of Clinical Periodontology, 1991
This study compared CPITN with plaque index (PlI), gingival index (GI), papilla bleeding index (PBI), and probeable pocket depth (PPD). 52 patients were examined, mean age 43 years. Partial mouth random recording (2 upper and 1 lower or 1 upper and 2 lower sextants) was made by CPITN of 150 sextants, and at 6 sites around each tooth in each sextant for each index using a pressuresensitive probe, with Newman tip and Williams markings, and a WHO 621 tip, probing pressure 0.25 N. Ranges of each index were compared with corresponding CPITN data. Most (71%) sextants had CPITN scores of 4, indicating periodontitis. None had CPITN scored 0 or 1. A given CPITN code was found to represent extremes of ranges for all other indices evaluated. There was no relation between CPITN and PlI or GI, nor did CPITN refiect the number of sites affected per sextant, but there was a tendency for CPITN to relate with PBI and PPD. It was concluded that CPITN may be used as a general indicator of bleeding and pocket depth, but not of plaque or gingivifis. Other indices are required to reliably assess chronic infiammatory periodontal disease status in a given mouth.
Cross-Sectional Studies in Periodontal Disease: Current Status and Implications for Dental Practice
Advances in Dental Research, 1993
This paper reviews the cross-sectional national studies of periodontal disease conducted over the past 30 years. Studies included are the 1960-62 HES study (NCHS), the 1971-74 NHANES I study (NCHS), the 1981 RTI study (HRSA), and the 1985-86 Employed Adults study (NIDR). For each of these surveys, the population studied, the general sampling strategy, the periodontal measures collected, and the periodontal findings are compared in this paper. Compared with the first three studies, the NIDR 1985-86 findings appear markedly lower, implying that there has been a decline in the prevalence of periodontal disease. Two possible inferences from these studies are that: (1) there has been a decline in the prevalence of periodontal disease in recent years or (2) the sampling and measurement methods may be sufficiently different for these lower numbers to result. Each inference is explored, with the authors concluding that the latter is more plausible. The implications for future treatment need...
Global Burden of Periodontal Diseases: A Literature Review
Indian Journal of Forensic Medicine & Toxicology, 2020
Periodontal disease isprevalent each in advanced and growing nations and affect about 20-50% of the worldpopulation. Several hazard factors inclusive of smoking,heredity,diabetes,bad oral hygiene,age,pressureand medication which is related to periodontal illness. The devaluation inside occurrence and popularityof periodontitis can decrease its correlated fundamental illness and diminish their economic impact onhealth care systems. Periodontitisis one of the most important diseases which is chronic and leads to deathand disability worldwide. The speediest increase in the hardship of the chronic disease is acquiring in thegrowing nations.
Methodological issues in epidemiological studies of periodontitis - how can it be improved?
2010
Background: This position paper was commissioned by the European Association of Dental Public Health, which has established six working groups to investigate the current status of six topics related to oral public health. One of these areas is epidemiology of periodontal diseases. Methods: Two theses "A systematic review of definitions of periodontitis and the methods that have been used to identify periodontitis" [1] and "Factors affecting community oral health care needs and provision" [2] formed the starting point for this position paper. Additional relevant and more recent publications were retrieved through a MEDLINE search. Results: The literature reveals a distinct lack of consensus and uniformity in the definition of periodontitis within epidemiological studies. There are also numerous differences in the methods used. The consequence is that data from studies using differing case definitions and differing survey methods are not easily interpretable or comparable. The limitations of the widely used Community Periodontal Index of Treatment Need (CPITN) and its more recent derivatives are widely recognized. Against this background, this position paper reviews the current evidence base, outlines existing problems and suggests how epidemiology of periodontal diseases may be improved. Conclusions: The remit of this working group was to review and discuss the existing evidence base of epidemiology of periodontal diseases and to identify future areas of work to further enhance it.
Relationship between periodontal parameters and CPITN scores
Community Dentistry and Oral Epidemiology, 1990
Background: Endodontic diseases, such as apical periodontitis, communicate with periodontitis and mutually exacerbate them. However, it remains unclear whether pulp condition is a risk factor for periodontal disease. The purpose of this retrospective study was to examine relations between pulp condition and periodontal parameters in Japanese patients who visited a general dental clinic. Methods: Patients who visited a Japanese general dental clinic from 2016 to 2018 and aged 18 to 81 years were analyzed. Periodontal parameters, tooth condition, and general status of all teeth excluding third molars at the initial visit to the clinic were abstracted. A total of 7105 teeth were analyzed in this study by multiple classification analysis and the Mann-Whitney U test. We also performed a sub-analysis of non-vital teeth, which evaluated the presence or absence of unfavorable root canal obturation and apical periodontitis diagnosed by X-ray. Results: Significant relations between periodontal parameters and non-vital pulp were observed by multiple logistic regression analyses (odds ratio = 1.48; 95% CI = 1.03-2.14) and multiple linear regression analysis (p < 0.001). Significant relations between unfavorable root canal obturation tooth with periodontal pocket depth (p = 0.00837) and BOP (p = 0.0145) were also observed by the Mann-Whitney U test. Conclusions: We demonstrated potential relations between periodontal disease and non-vital pulp.