Chrysanthakopoulos Nikolaos A
Dental Surgeon D.D.Sc. Resident in Maxillofacial and Oral Surgery, 401 General Military Hospital of Athens, Athens, Greece ; Post-Graduate Student in Dept. of Pathological Anatomy, Medical School, University of Athens, Athens, Greece.
J Clin Exp Dent. 2014 Jul 1;6(3):e243-9. doi: 10.4317/jced.51354. eCollection 2014 Jul.
The aim of the current research was to assess the prevalence of gingival recession and to investigate possible associations among this condition, periodontal and epidemiological variables in a sample of young Greek adults in a general dental practice.
A total of 1,430 young adults was examined clinically and interviewed regarding several periodontal and epidemiological variables. Collected data included demographic variables, oral hygiene habits and smoking status. Clinical examination included the recording of dental plaque, supragingival calculus presence, gingival status and buccal gingival recession. Multivariate logistic regression analysis model was performed to access the possible association between gingival recession and several periodontal and epidemiological variables as potential risk factors.
The overall prevalence of gingival recession was 63.9%. The statistical analysis indicated that higher educational level [OR= 2.12, 95% CI= 0.53-8.51], cigarette smoking [OR= 1.97, 95% CI= 1.48-7.91], frequent tooth brushing [OR= 0.98, 95% CI= 0.56-1.96], presence of oral piercing [OR= 0.92, 95% CI= 0.38-1.58], presence of gingival inflammation [OR= 4.54, 95% CI= 1.68-7.16], presence of dental plaque [OR= 1.67, 95% CI= 0.68-2.83] and presence of supragingival calculus [OR=1.34, 95% CI= 0.59-1.88], were the most important associated factors of gingival recession.
The observations of the current research supported the results from previous authors that several periodontal factors, educational level and smoking were significantly associated with the presence of gingival recession, while presence of oral piercing was a new factor that was found to be associated with gingival recession. Key words:Gingival recession, prevalence, risk factors, young adults.
本研究旨在评估牙龈退缩的患病率,并调查在普通牙科诊所的希腊年轻成年人样本中,这种情况与牙周及流行病学变量之间可能存在的关联。
对总共1430名年轻成年人进行了临床检查,并就若干牙周和流行病学变量进行了访谈。收集的数据包括人口统计学变量、口腔卫生习惯和吸烟状况。临床检查包括记录牙菌斑、龈上牙石的存在情况、牙龈状况和颊侧牙龈退缩情况。采用多因素逻辑回归分析模型来评估牙龈退缩与若干牙周和流行病学变量作为潜在危险因素之间的可能关联。
牙龈退缩的总体患病率为63.9%。统计分析表明,较高的教育水平[比值比(OR)=2.12,95%置信区间(CI)=0.53 - 8.51]、吸烟[OR = 1.97,95% CI = 1.48 - 7.91]、频繁刷牙[OR = 0.98,95% CI = 0.56 - 1.96]、口腔穿刺的存在[OR = 0.92,95% CI = 0.38 - 1.58]、牙龈炎症的存在[OR = 4.54,95% CI = 1.68 - 7.16]、牙菌斑的存在[OR = 1.67,95% CI = 0.68 - 2.83]和龈上牙石的存在[OR = 1.34,95% CI = 0.59 - 1.88],是牙龈退缩最重要的相关因素。
本研究的观察结果支持了先前作者的研究结果,即若干牙周因素、教育水平和吸烟与牙龈退缩的存在显著相关,而口腔穿刺的存在是一个新发现的与牙龈退缩相关的因素。关键词:牙龈退缩;患病率;危险因素;年轻成年人