Periodontology Department, Faculty of Dentistry, University of Istanbul, 34134 Istanbul, Turkey.
Department of Public Health, Faculty of Medical, University of Istanbul, 34104 Istanbul, Turkey.
Int J Environ Res Public Health. 2021 Mar 26;18(7):3459. doi: 10.3390/ijerph18073459.
This cross-sectional study evaluated the utility of the 2018 European Federation of Periodontology/American Academy of Periodontology (EFP/AAP) classifications of epidemiological studies in terms of periodontitis severity, prevalence and associated risk factors and the 2012 American Academy of Periodontology/Centers for Disease Control and Prevention (AAP/CDC) case definitions.
We included 488 participants aged 35-74 years. Measurements were recorded at six sites per tooth by two qualified examiners. The evaluated parameters included pocket depth (PD), clinical attachment loss (CAL) and bleeding on probing (BOP). Periodontitis prevalence and severity were reported using the 2018 EFP/AAP classification and the AAP/CDC case definitions. The data were stratified by recognized risk factors (age, diabetes and smoking status).
The 2018 EFP/AAP classification indicated that all patients suffered from periodontitis. When CAL served as the main criterion, the frequency of patients with severe (Stages III-IV) periodontitis was 54%. When the AAP/CDC case definitions were applied, the prevalence of periodontitis was 61.9% and that of severe periodontitis 16.8%. Age was the most significant risk factor, regardless of the chosen case definition.
It is essential to employ a globalized standard case definition when monitoring periodontitis and associated risk factors.
本横断面研究评估了 2018 年欧洲牙周病学学会/美国牙周病学学会（EFP/AAP）分类法在牙周炎严重程度、流行率及相关危险因素方面的效用，以及 2012 年美国牙周病学学会/疾病控制与预防中心（AAP/CDC）的病例定义。
我们纳入了 488 名年龄在 35-74 岁的参与者。每颗牙齿的 6 个位点均由两名合格的检查者进行记录。评估的参数包括牙周袋深度（PD）、临床附着丧失（CAL）和探诊出血（BOP）。使用 2018 年 EFP/AAP 分类和 AAP/CDC 病例定义报告牙周炎的流行率和严重程度。数据按公认的危险因素（年龄、糖尿病和吸烟状况）进行分层。
2018 年 EFP/AAP 分类表明所有患者均患有牙周炎。当 CAL 作为主要标准时，患有严重（III-IV 期）牙周炎的患者频率为 54%。当应用 AAP/CDC 病例定义时，牙周炎的患病率为 61.9%，严重牙周炎的患病率为 16.8%。无论选择哪种病例定义，年龄都是最重要的危险因素。
在监测牙周炎及相关危险因素时，使用全球化的标准病例定义至关重要。
