Peng T K, Yao J H, Shih K S, Dong Y J, Chen C K, Pai L
School of Dentistry, National Defense Medical Center, Taipei.
Zhonghua Ya Yi Xue Hui Za Zhi. 1990 Jun;9(2):67-74.
The community periodontal index of treatment needs (CPITN) has been recommended for epidemiological surveys of periodontal status and treatment needs. The prevalence of gingivitis, periodontitis and missing teeth in a study population has been determined using the CPITN and GPM/T (gingivitis: periodontitis: missing teeth) indices. In this study, a survey of periodontal disease was performed among the adult population of Taipei City using the CPITN index. A total of 673 dentated persons (male 339, 50.4%; female 334, 49.6%) were examined and surveyed. Data were then divided into five age groups, 15-19, 20-29, 30-44, 45-64 and 64+. The prevalence of periodontal disease was analyzed using the percentage or sextant from all teeth. Treatment needs were determined by the worst periodontal score per sextant. It was found that about 91% of subjects suffered from various degrees of periodontal disease in at least one tooth. Gingivitis and periodontitis were 86.9% and 33%, respectively. Among them 48.9% had missing teeth. The prevalence of periodontitis and missing teeth increased with age. Most of them involved oral hygiene instruction and scaling. About 11.0% of the subjects needed periodontal surgery. Higher proportions of attachment loss with gingival recession caused by destructive periodontal disease were found in older persons who did not require periodontal surgery. It was concluded that endemic gingivitis and calculus, a moderate prevalence of shallow pockets and a low prevalence of deep pockets were observed among adults in this group in Taipei City and that the CPITN is a practical epidemiological and public health method for screening the periodontal status and treatment needs of a population.
治疗需要社区牙周指数（CPITN）已被推荐用于牙周状况和治疗需要的流行病学调查。通过CPITN和GPM/T（牙龈炎：牙周炎：缺牙）指数确定了研究人群中牙龈炎、牙周炎和缺牙的患病率。在本研究中，使用CPITN指数对台北市成年人群进行了牙周疾病调查。共检查和调查了673名有牙者（男性339名，占50.4%；女性334名，占49.6%）。然后将数据分为五个年龄组，即15 - 19岁、20 - 29岁、30 - 44岁、45 - 64岁和64岁以上。使用所有牙齿的百分比或牙 sextant分析牙周疾病的患病率。治疗需要根据每个牙 sextant的最差牙周评分来确定。结果发现，约91%的受试者至少有一颗牙齿患有不同程度的牙周疾病。牙龈炎和牙周炎的患病率分别为86.9%和33%。其中48.9%有缺牙。牙周炎和缺牙的患病率随年龄增加。大多数情况涉及口腔卫生指导和龈上洁治。约11.0%的受试者需要牙周手术。在不需要牙周手术的老年人中，发现由破坏性牙周疾病导致的附着丧失伴牙龈退缩的比例更高。得出的结论是，在台北市的这组成年人中观察到地方性牙龈炎和牙结石、浅牙周袋患病率中等以及深牙周袋患病率低，并且CPITN是一种用于筛查人群牙周状况和治疗需要的实用流行病学和公共卫生方法。
