Skrepcinski F B, Niendorff W J
Indian Health Service, Dental Services, 5300 Homestead Road, NE, Albuquerque, NM 87110, USA.
J Public Health Dent. 2000;60 Suppl 1:261-6. doi: 10.1111/j.1752-7325.2000.tb04072.x.
The primary purpose of this paper is to provide information on the periodontal disease status of Native Americans using a variety of data sources. The impact of periodontal disease on the provision of dental care within the Indian Health Service (IHS) is also discussed.
Four data sources were used to evaluate the periodontal disease status of Native Americans: IHS periodontal disease monitoring system (1962-78), 1984 IHS Patient Oral Health Survey, 1990 WHO community-based survey (ICS-II), and the 1991 IHS Patient Oral Health Survey.
There appears to be a trend toward a higher prevalence of incipient and overt periodontal disease among Native Americans over time. The prevalence of overt periodontal disease (periodontal pockets > 5.5 mm) is higher among Native American diabetic patients than nondiabetic patients (34% vs 19%).
Due to the variety of indices used by the IHS during the last 20 years, it is difficult to make direct comparisons of the available periodontal disease data. However, it appears that the prevalence of periodontal disease among Native Americans is increasing. Type II diabetes accounts for significant increases in periodontal disease and tooth loss in Native American populations. Certain forms of early onset periodontal disease also may pose significant threats to the oral health of Native Americans.
本文的主要目的是利用多种数据源提供有关美国原住民牙周疾病状况的信息。还讨论了牙周疾病对印第安卫生服务局（IHS）提供牙科护理的影响。
使用四个数据源来评估美国原住民的牙周疾病状况：IHS牙周疾病监测系统（1962 - 1978年）、1984年IHS患者口腔健康调查、1990年世界卫生组织社区调查（ICS - II）以及1991年IHS患者口腔健康调查。
随着时间的推移，美国原住民初期和明显牙周疾病的患病率似乎有上升趋势。美国原住民糖尿病患者中明显牙周疾病（牙周袋>5.5毫米）的患病率高于非糖尿病患者（34%对19%）。
由于IHS在过去20年中使用了多种指标，很难对现有的牙周疾病数据进行直接比较。然而，美国原住民中牙周疾病的患病率似乎在上升。II型糖尿病导致美国原住民人群中牙周疾病和牙齿脱落显著增加。某些形式的早发性牙周疾病也可能对美国原住民的口腔健康构成重大威胁。
