García-Conde Gloria G, de Santillana Irene A Espinosa, Martínez-Arroniz Fernando, Huerta-Herrera Ninfa, Islas-Márquez Arturo J, Medina-Solís Carlo E
Facultad de Estomatología, Universidad Autónoma de Puebla, Puebla, México.
Rev Salud Publica (Bogota). 2010 Aug;12(4):647-57. doi: 10.1590/s0124-00642010000400011.
This study was aimed at determining periodontal treatment needs, as determined by the Community Periodontal Index of Treatment Need (CPITN), in a sample of adults from the Mixteca region of the State of Puebla, in Mexico.
This was a descriptive, cross-sectional, single-centre study. Previous informed consent was obtained; 60.0 % of the sample were women whose main activity was housework (46 %), 14.0 % were farmers. Average age was 37.6 ± 13.6. Gingival and Community Periodontal Index of Treatment Need proposed by the World Health Organisation and the International Dental Federation were used; they were implemented by the same, previously-standardised researcher. Means, standard deviations and confidence intervals were calculated for dimensional variables and percentages for categorical ones.
The gingival index gave 50.0 % light gingivitis, 32.0% moderate and 14.0 % severe gingivitis. The rear superior sextants commonly showed more 4 to 5 mm pockets, the front sextants calculus and the rear inferior sextants showed calculus and bleeding. 94.0 % of the patients required periodontal treatment (3.6 sextants per patient average).
Periodontal treatment needs were high in this study; nine out of ten patients in the Mixteca region of the State of Puebla required periodontal treatment. Efforts must thus be guided towards improving oral health in indigenous communities.
本研究旨在通过社区牙周治疗需求指数(CPITN)确定墨西哥普埃布拉州米斯特卡地区成年人样本的牙周治疗需求。
这是一项描述性、横断面、单中心研究。已获得事先知情同意;样本中60.0%为女性,其主要活动为家务劳动(46%),14.0%为农民。平均年龄为37.6±13.6岁。采用了世界卫生组织和国际牙科联合会提出的牙龈指数和社区牙周治疗需求指数;由同一位事先标准化的研究人员实施。计算了维度变量的均值、标准差和置信区间以及分类变量的百分比。
牙龈指数显示50.0%为轻度牙龈炎,32.0%为中度牙龈炎,14.0%为重度牙龈炎。上颌后牙区常见4至5毫米的牙周袋,前牙区有牙结石,下颌后牙区有牙结石和出血。94.0%的患者需要进行牙周治疗(平均每位患者3.6个牙区)。
本研究中牙周治疗需求较高;普埃布拉州米斯特卡地区十分之九的患者需要进行牙周治疗。因此,必须致力于改善土著社区的口腔健康。