Addy M, Griffiths G, Dummer P, Kingdom A, Shaw W C
Department of Periodontology, Dental School, Heath Park, Cardiff, UK.
J Clin Periodontol. 1987 Nov;14(10):564-72. doi: 10.1111/j.1600-051x.1987.tb01517.x.
Numerous factors may affect the distribution of plaque and gingivitis in any individuals mouth. Of considerable importance must be the oral hygiene habits of each person, which will be influenced by compliance and dexterity with tooth cleaning methods. The pattern of gingivitis seen at a young age may, with time, reflect the eventual distribution of attachment loss. This in part, could explain the considerable variation in chronic periodontal disease seen between individuals and at different sites within the same mouth. This study reports the baseline data for the distribution of plaque and gingivitis in 1105, 11-12-year-old children in South Wales. The children were selected by disproportionate stratified random sampling and examined by a multidisciplinary group with the long-term aim of evaluating the importance of malocclusion to dental health and psychosocial variables. Toothbrushing frequency had a very low but significant correlation with the distribution of plaque and gingivitis, accounting therefore for only a small % of the variance in the group. For the total group and right-handed toothbrushers, buccal plaque and gingivitis was significantly increased on right contralateral teeth. No specific pattern for plaque and gingivitis distribution by side was seen for 100 left-handed toothbrushers. Plaque and gingivitis also showed significant differences dependent upon arch, tooth number, and surface. The population is being followed at 4-year intervals to monitor the pattern of periodontal disease with time and correlate changes with these baseline findings.
许多因素可能影响任何个体口腔中菌斑和牙龈炎的分布。每个人的口腔卫生习惯必定相当重要，而这又会受到对牙齿清洁方法的依从性和熟练程度的影响。年轻时出现的牙龈炎模式，随着时间推移，可能反映出附着丧失的最终分布情况。这在一定程度上可以解释个体之间以及同一口腔不同部位之间慢性牙周病存在显著差异的原因。本研究报告了南威尔士1105名11 - 12岁儿童菌斑和牙龈炎分布的基线数据。这些儿童通过非比例分层随机抽样选取，并由一个多学科小组进行检查，其长期目标是评估错颌对牙齿健康和心理社会变量的重要性。刷牙频率与菌斑和牙龈炎的分布存在非常低但显著的相关性，因此在该群体中仅占很小比例的方差。对于整个群体和使用右手刷牙的人，右侧对侧牙齿的颊侧菌斑和牙龈炎显著增加。对于100名使用左手刷牙的人，未发现按侧别划分的菌斑和牙龈炎分布的特定模式。菌斑和牙龈炎还因牙弓、牙齿数量和牙面不同而存在显著差异。该人群将每4年随访一次，以监测牙周病随时间的模式，并将变化与这些基线结果相关联。
