Catunda Raisa Queiroz, Levin Liran, Kornerup Ida, Gibson Monica Prasad
Oral Health Prev Dent. 2019;17(3):195-202. doi: 10.3290/j.ohpd.a42662.
To assess the prevalence of periodontitis in young populations (previously termed aggressive periodontitis - AgP) and report on the earliest known occurrence of this disease.
A search was performed covering the last 18 years utilising the following databases: Medline (Ovid), PubMed and Embase. Four reviewers evaluated each study. Review findings were summarised using the PRISMA Statement for reporting and Joanna Briggs Institute (JBI) Critical Appraisal tools for quality assessment, respectively. Twenty-two articles were included in this systematic review, consisting of 6 prevalence studies and 16 case reports. Only prevalence studies were considered for prevalence estimates.
The average reported prevalence of periodontitis in young populations was 1.7% (ranging from 0.66% in Argentina to 5.9% in Israel). The prevalence was higher for the localised form of this disease. Permanent teeth were the most common dentition affected (114 out of 115 affected patients). In terms of age, the prevalence was 0.6%, 0.8% and 1.6% for the age groups 2-12, 20-25 and 13-20, respectively. There was no significant difference noted between males and females. The earliest age diagnosed with periodontitis was 3 years 7 months.
The prevalence of periodontitis in young patients is ranges widely, which could indicate populational predispositions, underdiagnosing or lack of standardisation in diagnosis.
评估年轻人群中牙周炎（以前称为侵袭性牙周炎 - AgP）的患病率，并报告该疾病最早已知的发病情况。
利用以下数据库进行了为期18年的检索：Medline（Ovid）、PubMed和Embase。四位评审员对每项研究进行评估。分别使用PRISMA报告声明和乔安娜·布里格斯研究所（JBI）批判性评估工具对综述结果进行总结，以进行质量评估。本系统综述纳入了22篇文章，包括6项患病率研究和16例病例报告。仅考虑患病率研究来估计患病率。
年轻人群中牙周炎的平均报告患病率为1.7%（范围从阿根廷的0.66%到以色列的5.9%）。该疾病局限性形式的患病率更高。恒牙是最常受影响的牙列（115例受影响患者中有114例）。在年龄方面，2 - 12岁、20 - 25岁和13 - 20岁年龄组的患病率分别为0.6%、0.8%和1.6%。男性和女性之间未发现显著差异。诊断为牙周炎的最早年龄为3岁7个月。
年轻患者中牙周炎的患病率差异很大，这可能表明人群易感性、诊断不足或诊断缺乏标准化。
