Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2021) – 132.50
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI (2021) – 0.5
Average rejection rate (2022) – 79.69%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2017, vol. 54, nr 4, October-December, p. 369–382

doi: 10.17219/dmp/79850

Publication type: original article

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

Oral health parameters in the regional study among young seniors in an urban area of Wrocław

Wykładniki zdrowia jamy ustnej w regionalnym badaniu młodych seniorów miejskiego rejonu Wrocławia

Tomasz Konopka1,A,B,C,E,F, Beata Głowacka1,B,D, Joanna Toczewska1,B, Łukasz Zawada2,B, Dariusz Chrzęszczyk1,B,D,F

1 Department of Periodontology, Wroclaw Medical University, Poland

2 Private Practice, Oława, Poland


Background. Regional cross-sectional surveys are a vital addition to nationwide epidemiological studies. They are characterized by greater intensification of risk factors distribution, and the conclusions drawn therefrom are better suited to local gerostomatological treatment needs.
Objectives. The aim of the study was to examine young seniors (aged 65–74) in the Wrocław urban area and to assess the number of teeth, the prevalence of caries and periodontitis, as well as clinical lesions in oral mucosa. Also, the aim was to confirm the influence of local and general classical risk factors associated with these pathologies.
Material and Methods. The following indexes were assessed: PI, API, BoP, PD, CAL, DMFT index and its components, number of teeth and occlusal supporting zones. CPI index was assessed based on periodontal examination, and then a periodontal diagnosis was given if present pathological lesions were noted.
Results. The average number of remaining teeth is 13.2 in the entire study group, the proportion of subjects with edentulism is 14.1%. DMFT index amounts to 17.45, and the percentage of people with periodontitis is 42%, including 18.9% with a severe form. The study has revealed a very high prevalence of treated hypertension (almost half of the subjects) and cardiovascular diseases, very high prosthetic needs for more than 70% of subjects, and very poor oral hygiene: only 20% of subjects brush their teeth correctly, and only 7% clean their interdental spaces. A significantly higher prevalence of dental caries and higher periodontal exponents have been found in men. It has been shown that current tobacco dependence had a significant negative impact on the reduction of the number of teeth and severity of periodontitis. Socioeconomic factors had the biggest impact upon the number of remaining teeth and oral hygiene.
Conclusion. The study has shown an increase in the remaining teeth number in young seniors of Wrocław, despite the absence of a notable improvement in the incidence of dental caries and periodontitis, and it has also confirmed a significant influence of classical risk factors related to tooth loss and periodontitis.

Key words

periodontitis, epidemiology, periodontitis prevalence, tooth loss

Słowa kluczowe

zapalenie przyzębia, epidemiologia, występowanie zapaleń przyzębia, utrata zębów

References (60)

  1. Thomson WM. Epidemiology of oral health conditions in older people. Gerodontol. 2014;31(Suppl. 1):9–16.
  2. Zalega T. Segment of people aged 65+ in Poland. Quality of life, consumption, consumer behavior. Warszawa: Wydawnictwo Naukowe Wydziału Zarządzania Uniwersytetu Warszawskiego; 2016 [in Polish].
  3. Marcenes W, Kassebaum NJ, Bernabe E, et al. Global burden of oral conditions in 1990–2010: A systemic analysis. J Dent Res. 2013;92:592–597.
  4. Kassebaum NJ, Bernabe E, Dahiya M, Bhandari M, Murray CJL, Marcenes W. Global burden of severe tooth loss: A systemic review and meta-analysis. J Dent Res. 2014;93:20–28.
  5. Stock C, Jürges H, Shen J, Bozorgmehr K, Listl S. A comparison of tooth retention and replacement across 15 countries in the over-50s. Community Dent Oral Epidemiol. 2016;44:223–231.
  6. Frencken JE, Sharma P, Stenhouse L, Green D, Laverty D, Dietrich T. Global epidemiology of dental caries and severe periodontitis – A comprehensive review. J Clin Periodontol. 2017;44(Suppl. 18):S94–S105.
  7. Kassebaum NJ, Bernabe E, Dahiya M, Bhandari M, Murray CJL, Marcenes W. Global burden of severe periodontitis in 1990–2010: A systemic review and metaregression. J Dent Res. 2014;93:1045–1053.
  8. Kassebaum NJ, Bernabe E, Dahiya M, Bhandari M, Murray CJL, Marcenes W. Global burden of untreated caries: A systemic review and metaregression. J Dent Res. 2015;94:650–1053.
  9. Persson GR, Mancl LA, Martin J, Page RC. Assessing periodontal disease risk. A comparison of clinicians’ assessment versus a computerized tool. JADA. 2003;134:575–582.
  10. Holtfreter B, Kocher T, Hoffmann T, Desvarieux M, Micheelis W. Prevalence of periodontal disease and treatment demands based on a German dental survey (DMS IV). J Clin Periodontol. 2010;37:211–219.
  11. Konopka T, Zawada Ł, Kobierzycka A, Chrzęszczyk D. Periodontal condition in 35–44 and 65–74 year-old residents from Lower Silesia Region. Dent Med Probl. 2015;52:447–454 [in Polish].
  12. O’Leary TJ, Drake RB, Naylor JE. The plaque control record. J. Periodontol. 1972;43:38.
  13. Lange DE, Plagmann H-C, Eenboom A, Promesberger A. Klinische Bewertungsverfahren zur Objektivierung der Mundhygiene. Dtsch Zahnärztl Z. 1977;32:44–49 [in German].
  14. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975;25:229–235.
  15. Dhingara K, Vandana KL. Indices for measuring periodontitis: A literature review. Int Dent J. 2011;61:76–84.
  16. Eke PI, Dye BA, Weil L, Thornton-Evans GO, Genco RJ. Prevalence of periodontitis in the United States: 2009 and 2010. J Dent Res. 2012;91:914–920.
  17. Page RC, Eke PI. Case definitions for use in population-based surveillance of periodontitis. J Periodontol. 2007;78(Suppl 7):1387–1399.
  18. Panasiuk L, Kosiniak-Kamysz W, Horoch A, Paprzycki P, Karwat D. Tooth loss among adult rural and urban inhabitants of the Lublin Region. Ann Agric Environ Med. 2013;20:637–641.
  19. Sulewska M, Pietruski J, Sulima E, et al. Periodontal status of Bialystok citizens aged 65–74 years: A pilot study. Dent Med Probl. 2017;54:173–178.
  20. Wilczyński Ł. Comparing prosthetic status and need for prosthetic treatment of tooth loss in patients aged 56–74 years in the Western Pomerania Region depending on the source of financing. Pomeranian J Life Sci. 2017;63:56–62 [in Polish].
  21. Desvarieux M, Demmer RT, Jacobs DR, et al. Periodontal bacteria and hypertension: The Oral Infections and Vascular Disease Epidemiology Study (INVEST). J Hypertens. 2010;28:1413–1421.
  22. Holtfreter B, Demmer RT, Bernhardt O, et al. A comparison of periodontal status in the two regional, population-based studies of SHIP and INVEST. J Clin Periodontol. 2012;39:1115–1124.
  23. Schützhold S, Kocher T, Biffar R, et al. Changes in prevalence of periodontitis in two German population-based studies. J Clin Periodontol. 2015;42:121–130.
  24. Aimetti M, Perotto S, Castiglione A, Mariani GM, Ferrarotti F, Romano F. Prevalence of periodontitis in an adult population from an urban area in North Italy: Findings from a cross-sectional population-based epidemiological survey. J Clin Periodontol. 2015;42:622–631.
  25. Madlena M, Hermann P, Jahn M, Fejedry P. Caries prevalence and tooth loss in Hungarian adult population: Results of national survey. BMC Public Health. 2008;8:364.
  26. Åstrøm AN, Gülcan F, Ekbäck G, Ordell S. Long-term healthy life style patterns and tooth loss studied in a Swedish people of middle aged and older people. Int J Dent Hyg. 2015;13:292–300.
  27. Buchwald S, Kocher T, Biffar R, Harb A, Holtfreter B, Meisel P. Tooth loss and periodontitis by socio-economic status and inflammation in a longitudinal population based study. J Clin Periodontol. 2013;40:203–211.
  28. Slade GD, Akinkube AA, Sanders AE. Projections of U.S. edentulism prevalence following 5 decades of decline. J Dent Res. 2014;93:959–965.
  29. Bernabé E, Sheiham A. Tooth loss in the United Kingdom – Trends in social inequalities: An age-period-and-cohort analysis. PloS One. 2014;9:(8):e104808.
  30. Jodkowska E. The condition of dentition status of adult Polish citizens in years 1998–2009. Przegl Epidemiol. 2010:64:571–576 [in Polish].
  31. Konopka T, Dembowska E, Pietruska M, Dymalski P, Górska R. Periodontal status and selected parameters of oral condition of Poles aged from 65 to 74 years. Przegl Epidemiol. 2015;69:643–647.
  32. Haugejorden O, Klock KS, Åstrøm AN, Skaret E, Trovik TA. Socio-economic inequality in the self-reported number of natural teeth among Norwegian adults – An analytical study. Community Dent Oral Epidemiol. 2008;36:269–278.
  33. Pelzer K, Hewlett S, Yawson AE, et al. Prevalence of loss of all teeth (edentulism) and associated factors in older adults in China, Ghana, India, Mexico, Russia and South Africa. Int J Environ Res Public Health. 2014;11:11308–11324.
  34. Seering LM, Nascimento GC, Peres MA, Horta BL, Demarco FF. Tooth loss in adults and income: Systemic review and meta-analysis. J Dent. 2015;43:1051–1059.
  35. Hanioka T, Ojima M, Tanaka K, Matsuo K, Sato F, Tanaka H. Causal assessment of smoking and tooth loss: A systemic review of observational study. BMC Public Health. 2011;11:221.
  36. Dietrich T, Walter C, Oluwagbemigun K, et al. Smoking, smoking cessation and risk of tooth loss: The EPIC-Potsdam study. J Dent Res. 2015;94:1369–1375.
  37. Ribeiro CG, Cascaes AM, Ribeiro Silva AE, et al. Edentulism, severe tooth loss and lack of functional dentition in elders: A study in Southern Brazil. Braz J Dent. 2016;27:345–342.
  38. Huang DL, Chan KWG, Young BA. Poor oral health and quality of life in U.S. older adults with diabetes. J Am Geriatr Soc. 2013;61:1782–1788. doi 10.1111/jgs.12452.
  39. Österberg T, Carlsson GE, Sundh V, Mellström D. Number of teeth – A predictor of mortality in 70-year-old subjects. Community Dent Oral Epidemiol. 2008;36:258–268.
  40. Wiener RC. Tooth loss and stroke: Result from the Behavioral Risk Factor Surveillance System, 2010. J Dent Hyg. 2014;88:285–291.
  41. Sing A, Peres MA, Peres KG, de Oliveira Bernardo C, Xavier A, D’Oris E. Gender differences in the association between tooth loss and obesity among older adults in Brazil. Rev Saude Publ. 2015;49:44.
  42. Ostberg AL, Nyholm M, Gullberg B, Rästam L, Linblad U. Tooth loss and obesity in a defined Swedish population. Scand J Public Health. 2009;37:427–433.
  43. Szpak A, Stokowska W, Gołębiewska E. Dentition status and treatment needs of 65–74-year-old men living in Bialystok. Probl Hig Epidemiol. 2012;93:97–104 [in Polish].
  44. Lopez R, Smith PC, Göstemeyer G, Schwendicke F. Ageing, dental caries and periodontal diseases. J Clin Periodontol. 2017;44(Suppl. 18):145–152.
  45. Benedetti G, Campus G, Strohmenger L, Lingström P. Tobacco and dental caries: A systematic review. Acta Odontol Scand. 2013;71:363–374.
  46. Eke PI, Wei L, Thornton-Evans GO, et al. Risk indicators in US adults: NHANES 2009 to 2012. J Periodontol. 2016;87:1174–1185.
  47. Kongstad J, Enevold C, Chistensen LB, Fiehn NE, Holmstrup P. Impact of periodontitis case criteria: A cross-sectional study of lifestyle. J Periodontol. 2017;88; 602–609.
  48. Carasol M, Llodra JC, Fernandez-Meseguer A, et al. Periodontal conditions among employed adults in Spain. J Clin Periodontol. 2016;43:548–556.
  49. Hermann P, Gera I, Borbély J, Fejérdy P, Madléna M. Periodontal health of an adult population in Hungary: Findings of a national survey. J Clin Periodontol. 2009;36: 449–457.
  50. Eke PI, Wei L, Borgnakke WS, et al. Periodontal prevalence in adults ≥65 years ago in the USA. Periodontol 2000. 2016;72:76–95.
  51. Bahekar AA, Singh S, Saha S, Molnar J, Arora R. The prevalence and incidence of coronary heart disease is significantly increased in periodontitis: A meta-analysis. Am Heart J. 2007;154:830–837.
  52. Dietrich T, Sharma P, Walter C, Weston P, Beck J. The epidemiological evidence behind the association between periodontitis and incident atherosclerotic cardiovascular disease. J Periodontol. 2013;84(Suppl. 4):S70–S84.
  53. Martin-Cabazas R, Seelam N, Petit C, et al. Association between periodontitis and arterial hypertension: A systemic review and meta-analysis. Am Heart J. 2016;180; 98–112.
  54. Darnaud Ch, Thomas F, Pannier B, Danchin N, Bouchard P. Oral health and blood pressure the PC cohort. Am J Hyperten. 2015;28:1257–1261.
  55. Oikarinen R, Myrjala A-MH, Komulainen K, et al. Body mass index and periodontal infection in a sample of non-smoker older individuals. Oral Dis. 2014;20:e20–e25.
  56. Chaffee BW, Weston SJ. Association between chronic periodontal disease and obesity: A systematic review and meta-analysis. J Periodontol. 2010;81:1708–1724.
  57. Jordan R, Micheelis W. Fünfte Deutsche Mundgesundheitsstudie (DMS V) – Kurzfassung. Köln: Institut der Deutschen Zahnärzte; 2015 [in German].
  58. Vano M, Gennai S, Karapetsa D, et al. The influence of educational level and oral hygiene behaviours on DMFT index and CPITN index in an adult Italian population: An epidemiologic study. Int J Dent Hyg. 2015;13:151–157.
  59. Rothen M, Cuna-Cruz J, Zhou L, Mancl L, Jones JS, Berg J. Oral hygiene behaviours and caries experience in northwest PRECEDENT patients. Community Dent Oral Epidemiol. 2014;42:526–535.
  60. De Marchi RJ, Hilgert JB, Hugo FN, dos Santos CM, Martins AB, Padilha DM. Four-year incidence and predictors of tooth loss among older adults in a southern Brazilian city. Community Dent Oral Epidemiol. 2012;40:396–405.