Dental and Medical Problems
2017, vol. 54, nr 4, October-December, p. 369–382
Publication type: original article
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
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.
periodontitis, epidemiology, periodontitis prevalence, tooth loss
zapalenie przyzębia, epidemiologia, występowanie zapaleń przyzębia, utrata zębów
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