Romanelli Hugo, Gonzalez y Rivas Melania, Chiappe Verónica, Gómez Mariel, Macchi Ricardo
Argentine Society of Periodontology.
Acta Odontol Latinoam. 2007;20(1):39-47.
The aim of the present study was to assess the periodontal treatment needs of the population that spontaneously sought treatment from general dentists. 3694 patients (2000 females and 1494 males, age range between 18 and 84 years) were evaluated using the Community Periodontal Index (CPI). Data were reported according to the percentage of subjects with the highest Score: 14.3% presented pocket depth > or = 5.5 mm (Score 4), 26.4% pocket depth between 3.5 and 5.5 (Score 3), 38.3% presented pockets < or = 3.5 mm with calculus or overhanging restorations (Score 2), 17.2% pockets < or = 3.5 mm with bleeding upon probing without calculus (Score 1) and 3.2% were healthy (Score 0). Analyzing the data according to age it was observed that in the group > 40 years the percentage of patients with Score 4 was higher (25.1%) compared to the other two groups of 18-34 years (6.4%) and 34-45 years (14.3%). Only 16.4% of the patients consulted for periodontal reasons (gingival bleeding or tooth mobility), whereas 88% requested treatment for other reasons (pain, caries, esthetics, replacement of teeth, etc.). However 77% of the patients in this last group needed periodontal treatment. 96.8% of the patients attending the general dentistry office needed periodontal treatment: 17.2% oral hygiene instruction, 65.2% oral hygiene instruction and scaling and 14.3% complex treatment.
本研究的目的是评估主动寻求普通牙医治疗的人群的牙周治疗需求。使用社区牙周指数(CPI)对3694名患者(2000名女性和1494名男性,年龄在18至84岁之间)进行了评估。数据按照得分最高的受试者百分比进行报告:14.3%的受试者牙周袋深度≥5.5毫米(得分4),26.4%的受试者牙周袋深度在3.5至5.5毫米之间(得分3),38.3%的受试者牙周袋≤3.5毫米且有牙石或悬突修复体(得分2),17.2%的受试者牙周袋≤3.5毫米,探诊出血但无牙石(得分1),3.2%的受试者牙周健康(得分0)。按年龄分析数据发现,40岁以上组中得分4的患者百分比(25.1%)高于18 - 34岁组(6.4%)和34 - 45岁组(14.3%)。只有16.4%的患者因牙周问题(牙龈出血或牙齿松动)前来咨询,而88%的患者因其他原因(疼痛、龋齿、美观、牙齿修复等)要求治疗。然而,最后一组中有77%的患者需要牙周治疗。在普通牙科诊所就诊的患者中有96.8%需要牙周治疗:17.2%需要口腔卫生指导,65.2%需要口腔卫生指导和龈上洁治,14.3%需要复杂治疗。