Baelum V, Pisuithanakan S, Teanpaisan R, Pithpornchaiyakul W, Pongpaisal S, Papapanou P N, Dahlén G, Fejerskov O
Department of Community Oral Health and Pediatric Dentistry, Royal Dental College, Faculty of Health Sciences, Aarhus University, Denmark.
J Periodontal Res. 2003 Apr;38(2):156-63. doi: 10.1034/j.1600-0765.2003.00367.x.
To describe the periodontal conditions among 30-39- and 50-59-year-old rural Thais from the Province of Songkhla, Southern Thailand.
A total of 359 dentate persons were given a clinical examination comprising recordings of plaque and calculus in six teeth, and bleeding on probing, attachment level and pocket depth in six sites of all teeth present, except third molars. The same examiner carried out all examinations. Information on religious faith, smoking habits and use of betel was obtained by interview. A subset consisting of 60 persons was reexamined for attachment level 6 months later by another examiner.
The oral hygiene conditions were poor with abundant amounts of both plaque and calculus. Gingival bleeding was essentially ubiquitous. The prevalence of attachment loss > or = 4 mm was 92% among 30-39-year-olds and 100% among 50-59-year-olds. The average percentage of sites affected in the two age groups was 23.9% and 63.9%. Pockets > or = 4 mm were seen in 84% of the 30-39-year-olds and in 93% of the 50-59-year-olds. Older age, Thai Buddhist faith and a high percentage of sites with calculus were significant positive predictors of a high percentage of sites with attachment loss > or = 4 mm, whereas older age and Thai Buddhist faith were the only statistically significant predictors of a high percentage of sites with attachment loss > or = 7 mm.
The results indicate that this Thai population may have more widespread and severe periodontal destruction than other Asian populations, but failed to confirm the contention that Muslim faith is associated with more severe periodontal destruction.
描述泰国南部宋卡府30 - 39岁和50 - 59岁农村泰国人的牙周状况。
对359名有牙者进行临床检查，包括记录六颗牙齿的菌斑和牙石情况，以及所有现存牙齿（第三磨牙除外）六个部位的探诊出血、附着水平和牙周袋深度。所有检查均由同一名检查者进行。通过访谈获取宗教信仰、吸烟习惯和槟榔使用情况等信息。60名受试者组成的一个子集在6个月后由另一名检查者重新检查附着水平。
口腔卫生状况较差，菌斑和牙石大量存在。牙龈出血基本普遍存在。30 - 39岁人群中附着丧失≥4 mm的患病率为92%，50 - 59岁人群中为100%。两个年龄组受影响部位的平均百分比分别为23.9%和63.9%。30 - 39岁人群中84%有≥4 mm的牙周袋，50 - 59岁人群中为93%。年龄较大、信奉泰国佛教以及牙石部位比例高是附着丧失≥4 mm部位比例高的显著正预测因素，而年龄较大和信奉泰国佛教是附着丧失≥7 mm部位比例高的仅有的具有统计学意义的预测因素。
结果表明，与其他亚洲人群相比，该泰国人群可能存在更广泛、更严重的牙周破坏，但未能证实穆斯林信仰与更严重的牙周破坏有关这一观点。
