Diamanti Iliana, Polychronopoulou Argy, Papaioannou William, Theodoridis Charis, Margaritis Vasileios, Mamai-Homata Eleni, Kalfas Sotirios
Department of Preventive and Community Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece.
Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.
J Clin Exp Dent. 2021 Oct 1;13(10):e1021-e1029. doi: 10.4317/jced.58507. eCollection 2021 Oct.
Sub-optimal oral hygiene is considered as a primary risk factor for periodontitis occurrence. Various socio-behavioral determinants may contribute either independently or by influencing adversely the oral hygiene (OH) level. The aim of the present study was to examine the periodontal status of 35-44-year-old Greek adults and determine the contribution of risk indicators, including the socio-behavioral aspects and the population's oral hygiene level, on disease prevalence.
In 1218 participants, Community Periodontal Index (CPI), Loss of Attachment (LoA) and simplified Oral Hygiene Index (OHI-S) were calculated. Multivariable regression models examined the effect of socio-behavioral factors with/without the inclusion of OHI-S level on pocket depth (PD)≥4mm and LoA≥4mm presence.
11.8% of the participants had healthy periodontium, whereas 37.3% and 5.6% presented with shallow and deep pocketing, respectively. 60.4%, 28.8%, and 10.8.% of the adults demonstrated LoA≤3mm, 4-5mm, and ≥6mm, accordingly. Fair and poor oral hygiene significantly increased the likelihood for PD≥4mm (OR=4.8-20.3) and LoA≥4mm (OR=3.3-6.0) presence. 'Emergency-oriented dental visiting pattern' significantly elevated the chance for PD≥4mm presence (OR=1.7). 'Lower education level' 'urban location', and 'using an interdental brush' were significantly independently linked to LoA≥4mm occurrence (OR=1.7-2.1, 1.5, and 2.0, respectively). Lower educated individuals demonstrated inferior oral hygiene status, which in turn elevated significantly the chances of PD≥4mm presence. Smoking more than 10 cigarettes/day, emergency-oriented dental attendance pattern and not flossing were linked to worse oral hygiene levels, which consequently increased significantly the likelihood of LoA≥4mm occurrence.
Fair and poor oral hygiene contribute strongly to periodontitis occurrence. Various socio-behavioral factors may influence adversely oral hygiene maintenance, leading to periodontitis manifestations. Community periodontal index, periodontal attachment loss, oral hygiene, adults 35-44, cross-sectional survey, socio-behavioral indicators.
口腔卫生状况欠佳被视为牙周炎发生的主要危险因素。多种社会行为决定因素可能单独或通过对口腔卫生（OH）水平产生不利影响而发挥作用。本研究的目的是检查35至44岁希腊成年人的牙周状况，并确定包括社会行为方面和人群口腔卫生水平在内的风险指标对疾病患病率的影响。
对1218名参与者计算社区牙周指数（CPI）、附着丧失（LoA）和简化口腔卫生指数（OHI-S）。多变量回归模型检验了社会行为因素在纳入/未纳入OHI-S水平时对袋深（PD）≥4mm和LoA≥4mm存在情况的影响。
11.8%的参与者牙周健康，而分别有37.3%和5.6%的参与者存在浅袋和深袋。相应地，60.4%、28.8%和10.8%的成年人附着丧失≤3mm、4 - 5mm和≥6mm。口腔卫生一般和较差显著增加了PD≥4mm（比值比[OR]=4.8 - 20.3）和LoA≥4mm（OR=3.3 - 6.0）存在的可能性。“以急诊为导向的就诊模式”显著增加了PD≥4mm存在的几率（OR=1.7）。“低教育水平”“城市居住”和“使用牙间隙刷”与LoA≥4mm的发生显著独立相关（OR分别为1.7 - 2.1、1.5和2.0）。受教育程度较低的个体口腔卫生状况较差，这反过来又显著增加了PD≥4mm存在的几率。每天吸烟超过10支、以急诊为导向的就诊模式和不使用牙线与较差的口腔卫生水平相关，从而显著增加了LoA≥4mm发生的可能性。
口腔卫生一般和较差对牙周炎的发生有很大影响。多种社会行为因素可能对口腔卫生维护产生不利影响，导致牙周炎表现。社区牙周指数、牙周附着丧失、口腔卫生、35 - 44岁成年人、横断面调查、社会行为指标
