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[匈牙利牙周病的风险评估]

[Risk assessment of periodontal disease in Hungary].

作者信息

Hermann Péter, Borbély Judit, Gera István, Fejérdy Pál, Soós Borbála, Madléna Melinda

机构信息

Semmelweis Egyetem, Fogpótlástani Klinika, Budapest.

出版信息

Fogorv Sz. 2011 Jun;104(2):39-47.

Abstract

In this study, risk determinants were assessed for periodontal disease in the oral health survey of a representative Hungarian adult population sample. 4153 individuals participated in the study after formal consent. Participants were questionned on level of education, dental office attendance, smoking habits, oral hygiene habits and general health conditions. Quality of fixed partial dentures (FPD) were evaluated. Periodontal health status was assessed with the CPI method according to WHO criteria. When the prevalence of CPI scores was assessed by educational level, significant differences were found between groups. With increasing levels of education, a significantly higher percentage of subjects visited the dental office regularly. Higher prevalence of CPI 0 was found among those with higher level of education but there was also high prevalence of CPI 2, representing bad oral hygiene in the highly educated group. Findings of our study showed high percentage (66%) of the population attending the dental office only in case of emergency. The investigation revealed destructive effect of unsatisfactory construction of FPD on the periodontium. Healthy periodontium (CPI 0) was found among 16% of those wearing no FPD and 9% among FPD-wearers. The prevalence of deep periodontal pockets (CPI 4) was 1,6 times higher among smokers as non-smokers. Oral health statistics play an important role in planning for improvement of dental health care. Hungary needs effective prevention programs and emphasize on regular dental office attendance of individuals to improve the nation's oral health status.

摘要

在这项研究中,对匈牙利具有代表性的成年人口样本进行口腔健康调查,评估了牙周病的风险决定因素。4153名个体在正式同意后参与了研究。研究人员询问了参与者的教育程度、看牙情况、吸烟习惯、口腔卫生习惯和总体健康状况。评估了固定局部义齿(FPD)的质量。根据世界卫生组织标准,采用社区牙周指数(CPI)方法评估牙周健康状况。当按教育程度评估CPI评分的患病率时,各群体之间存在显著差异。随着教育程度的提高,定期看牙的受试者比例显著更高。教育程度较高者中CPI 0的患病率较高,但在高学历人群中也存在较高的CPI 2患病率,这代表口腔卫生状况较差。我们的研究结果显示,66%的人群仅在紧急情况下才去看牙。调查显示,FPD制作不良对牙周组织有破坏作用。未佩戴FPD者中16%的人牙周健康(CPI 0),佩戴FPD者中这一比例为9%。吸烟者中深度牙周袋(CPI 4)的患病率是非吸烟者的1.6倍。口腔健康统计在规划改善牙科保健方面发挥着重要作用。匈牙利需要有效的预防计划,并强调个人定期看牙,以改善该国的口腔健康状况。

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