Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, Almada, Portugal.
Evidence-Based Hub, Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health & Science, Almada, Portugal.
J Clin Periodontol. 2023 May;50(5):604-626. doi: 10.1111/jcpe.13769. Epub 2023 Jan 20.
The aim of the study was to evaluate the prevalence of periodontitis in dentate people between 2011 and 2020.
PUBMED, Web of Science, and LILACS were searched up to and including December 2021. Epidemiological studies reporting the prevalence of periodontitis conducted between 2011 and 2020 were eligible for inclusion in this review. Studies were grouped according to the case definition of confidence as confident (Centers for Disease Control [CDC] AAP 2012; CDC/AAP 2007; and Armitage 1999) and non-confident (community periodontal index of 3 or 4, periodontal pocket depth >4 mm, and clinical attachment level ≥1 mm). Random effects meta-analyses with double arcsine transformation were conducted. Sensitivity subgroup and meta-regression analyses explored the effect of confounding variables on the overall estimates.
A total 55 studies were included. The results showed a significant difference, with confident case definitions (61.6%) reporting nearly twice the prevalence as non-confident classifications (38.5%). Estimates using confident periodontal case definitions showed a pooled prevalence of periodontitis of 61.6%, comprising 17 different countries. Estimates reporting using the CDC/AAP 2012 case definition presented the highest estimate (68.1%) and the CDC/AAP 2007 presented the lowest (48.8%). Age was a relevant confounding variable, as older participants (≥65 years) had the highest pooled estimate (79.3%).
Between 2011 and 2020, periodontitis in dentate adults was estimated to be around 62% and severe periodontitis 23.6%. These results show an unusually high prevalence of periodontitis compared to the previous estimates from 1990 to 2010.
本研究旨在评估 2011 年至 2020 年间有牙人群中牙周炎的流行情况。
检索了 PUBMED、Web of Science 和 LILACS 数据库，检索截至 2021 年 12 月。本综述纳入了 2011 年至 2020 年间报告牙周炎流行情况的流行病学研究。根据置信度的病例定义（疾病控制与预防中心 [CDC] AAP 2012；CDC/AAP 2007；和 Armitage 1999）将研究分组为有信心（CDC AAP 2012；CDC/AAP 2007；和 Armitage 1999）和无信心（社区牙周指数 3 或 4、牙周袋深度>4mm 和临床附着丧失≥1mm）。采用双反正弦变换进行随机效应荟萃分析。敏感性亚组和荟萃回归分析探讨了混杂变量对总体估计值的影响。
共纳入 55 项研究。结果显示，有信心的病例定义（61.6%）报告的患病率几乎是无信心分类（38.5%）的两倍，差异有统计学意义。使用有信心的牙周病例定义的估计值显示，牙周炎的总体患病率为 61.6%，包括 17 个不同的国家。使用 CDC/AAP 2012 病例定义报告的估计值显示出最高的估计值（68.1%），而使用 CDC/AAP 2007 报告的估计值显示出最低的估计值（48.8%）。年龄是一个相关的混杂变量，年龄较大（≥65 岁）的参与者的总体估计值最高（79.3%）。
2011 年至 2020 年间，有牙成年人的牙周炎估计为 62%左右，严重牙周炎为 23.6%。与 1990 年至 2010 年的先前估计值相比，这些结果显示牙周炎的流行率异常高。
