Petruţiu Ş A, Stratul S-I, Soancă A, Roman A, Băciuţ M, Kasaj A, Bocşan I S
Periodontology Department, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Periodontology Department, Victor Babeş University of Medicine and Pharmacy, Timişoara, Romania.
Rev Epidemiol Sante Publique. 2014 Dec;62(6):367-75. doi: 10.1016/j.respe.2014.08.006. Epub 2014 Nov 20.
To investigate the prevalence of periodontitis in a young population representative for the North-western part of Romania (Transylvania) and to identify possible risk indicators of periodontitis.
The study is a cross-sectional epidemiological survey. The subjects were students randomly sampled from three universities in Cluj-Napoca and high school students from the neighboring city of Bistrita. The sample size of the population was calculated. Overall, 623 subjects aged 16-35 years were evaluated, of which 488 were university students and 135 high school students. A structured questionnaire was administrated to collect information on socio-behavioral status and oral hygiene habits. Periodontal data was collected using a full-mouth methodology by trained examiners. A recent introduced case definition was used to pick up periodontitis cases.
The older the subject, the more frequent toothbrushing, dental visits, and use of interproximal hygiene devices, but also addiction to tobacco and alcohol consumption. The prevalence of periodontitis was 0.96% (n=6). Half of these subjects (n=3, 0.48%) were considered to have aggressive periodontitis (AP). Low frequency of toothbrush changing was identified to influence the development of periodontitis. Smoking and lower socioeconomic level did not seem to correlate with periodontal disease in the present study.
In order to better understand the prevalence of periodontal diseases and identify periodontitis cases as well as to evaluate the impact of specific behavioral factors on the disease development in individual and population levels, further extensive screenings are obviously required. Periodontal prevention programs focusing on oral health behavior are mandatory.
调查罗马尼亚西北部（特兰西瓦尼亚）具有代表性的年轻人群中牙周炎的患病率，并确定牙周炎可能的风险指标。
该研究为横断面流行病学调查。研究对象为从克卢日 - 纳波卡的三所大学随机抽取的学生以及邻近城市比斯特里察的高中生。计算了总体样本量。总共评估了623名年龄在16 - 35岁之间的受试者，其中488名是大学生，135名是高中生。通过结构化问卷收集社会行为状况和口腔卫生习惯的信息。由经过培训的检查人员采用全口检查方法收集牙周数据。使用最近引入的病例定义来挑选牙周炎病例。
受试者年龄越大，刷牙、看牙医和使用牙间隙清洁工具的频率越高，但吸烟和饮酒成瘾的情况也越普遍。牙周炎的患病率为0.96%（n = 6）。这些受试者中有一半（n = 3，0.48%）被认为患有侵袭性牙周炎（AP）。发现牙刷更换频率低会影响牙周炎的发生发展。在本研究中，吸烟和较低的社会经济水平似乎与牙周疾病无关。
为了更好地了解牙周疾病的患病率、识别牙周炎病例以及在个体和人群层面评估特定行为因素对疾病发展的影响，显然需要进一步进行广泛筛查。必须开展注重口腔健康行为的牙周预防项目。
