Sicilia A, Cobo J, Noguerol B, Hernández R, Lucas V, Ainamo J, Bascones A, López Arranz J S
Escuela de Estomatologia, Universidad de Oviedo.
Av Odontoestomatol. 1990 Jun;6(6):337-41.
The aim of this study was to determine whether dental caries and periodontal disease occur frequently in the same subjects 1469 young people, aged 7, 12 and 15-19 years, and representing the urban (60%) and rural (40%) population from Spain were evaluated. Dental caries and periodontal treatment needs were registered according to the index D.M.F.T. and C.P.I.T.N., following the criteria of WHO. We have found a highly significant relation between both variables, average D.M.F.T. scores increased as periodontal treatment needs were more advanced. Those subjects with lower codes of C.P.I.T.N. presented also lower D.M.F.T. scores, while these individuals with higher D.M.F.T. scores, based on a great number of open carious lesions, were more affected for periodontal disease. It does not support either a directly synergistic or antagonistic correlation in the prevalence of these two diseases in the same subjects. Dental health status is at a certain time an end result of years of varying dental health behaviour. In industrialized countries a variety of factors seems to determine the prevalence of dental caries and/or periodontal disease: dietary habits, access to fluorides, efficacy of oral hygiene measures, utilization of dental health care services. These data and ideas supported the strategy of preventing the dental caries and periodontal disease simultaneously.
本研究的目的是确定龋齿和牙周疾病是否经常在同一受试者中出现。对1469名年龄在7岁、12岁以及15 - 19岁的年轻人进行了评估,他们代表了西班牙城市(60%)和农村(40%)人口。根据世界卫生组织的标准,按照龋失补牙指数(D.M.F.T.)和社区牙周指数治疗需要量(C.P.I.T.N.)记录龋齿和牙周治疗需求。我们发现这两个变量之间存在高度显著的关系,随着牙周治疗需求程度的增加,平均龋失补牙分数(D.M.F.T.)也会升高。社区牙周指数治疗需要量(C.P.I.T.N.)编码较低的受试者,其龋失补牙分数(D.M.F.T.)也较低,而那些基于大量开放性龋损而龋失补牙分数(D.M.F.T.)较高的个体,患牙周疾病的影响更大。这并不支持这两种疾病在同一受试者中的患病率存在直接协同或拮抗相关性。牙齿健康状况在某一时刻是多年来不同牙齿健康行为的最终结果。在工业化国家,多种因素似乎决定了龋齿和/或牙周疾病的患病率:饮食习惯、氟化物的获取、口腔卫生措施的效果、牙齿保健服务的利用情况。这些数据和观点支持了同时预防龋齿和牙周疾病的策略。