Vandana Kharidhi Laxman, Nadkarni Rahul Dilip, Guddada Kaveri
Department of Periodontics, College of Dental Sciences, Davangere, Karnataka, India.
J Indian Soc Periodontol. 2015 Jul-Aug;19(4):429-34. doi: 10.4103/0972-124X.156879.
The aim of the present study was to compare various risk indicators of chronic periodontitis (CP) and aggressive periodontitis (AP) among patients of Davangere population.
Totally, 89 CP and 90 AP patients were selected from outpatient Department of Periodontics, College of Dental Sciences, Davangere. Various clinical parameters proven to be risk indicators were determined for each patient such as age, gender, occupation, oral hygiene habits, personal habits, income, level of education, place of residence, frequency of dental visits, various oral hygiene indices, gingival status, wasting diseases, malocclusion, laboratory investigations, and the results were subjected to statistical analysis.
This study demonstrated that AP is manifested early in life in susceptible individuals. Proven risk indicators for AP and CP in the present study population included young age, place of residence, income and education levels, frequency of dental visits. Patients with AP had better oral hygiene habits and oral hygiene index results than patients with CP. Paan chewing and smoking could be considered as risk factors, both in CP and AP cases. The similar association of plaque scores but higher bleeding tendency in AP patients supported the fact of higher susceptibility of AP patients to periodontal breakdown. Malocclusion being present in the majority of cases could also be put forth as a risk factor for AP and CP.
This study identifies the different risk indicators for CP and AP and demonstrates the need for constructing nationwide oral health promotion programs to improve the level of oral health awareness and standards in Indian population.
本研究的目的是比较达万盖尔人群中慢性牙周炎(CP)和侵袭性牙周炎(AP)的各种风险指标。
从达万盖尔牙科学院牙周病门诊共选取89例CP患者和90例AP患者。为每位患者确定各种已被证实为风险指标的临床参数,如年龄、性别、职业、口腔卫生习惯、个人习惯、收入、教育程度、居住地点、看牙频率、各种口腔卫生指数、牙龈状况、消耗性疾病、错牙合畸形、实验室检查等,并对结果进行统计分析。
本研究表明,AP在易感个体中发病较早。本研究人群中已证实的AP和CP的风险指标包括年龄小、居住地点、收入和教育水平、看牙频率。AP患者比CP患者有更好的口腔卫生习惯和口腔卫生指数结果。嚼槟榔和吸烟在CP和AP病例中都可被视为风险因素。AP患者菌斑评分相似但出血倾向更高,这支持了AP患者对牙周破坏易感性更高的事实。大多数病例中存在的错牙合畸形也可被视为AP和CP的一个风险因素。
本研究确定了CP和AP的不同风险指标,并表明有必要构建全国性的口腔健康促进项目,以提高印度人群的口腔健康意识水平和标准。