埃及肥胖年轻成年患者牙周病不同阶段流行情况的研究：基于医院的为期 1 年的横断面研究。
Prevalence of different stages of periodontal diseases among a sample of young adult obese Egyptian patients: a hospital based Cross-sectional study over 1 year.
机构信息
Periodontology Department, Faculty of Dentistry, Egyptian Russian University, Badr City, Egypt.
Oral Medicine & Periodontology, Faculty of Dentistry, Cairo University, Cairo, Egypt.
出版信息
BMC Oral Health. 2023 Aug 16;23(1):573. doi: 10.1186/s12903-023-03278-3.
BACKGROUND
This cross-sectional study aimed to determine the prevalence of different stages of periodontal diseases based on the recent classification in a sample of young adult obese Egyptian dental outpatients.
METHODS
This study included 314 patients seeking dental treatment at the Diagnostic Center of the Dental hospital, Faculty of Dentistry, Cairo University. Validated oral health questionnaire for adults regarding their age, gender, level of education and oral health routines as well as oral health impact profile questionnaire for chronic periodontitis (OHIP-CP) were filled by all patients. Obesity parameters were also assessed through person's weight in kilograms, height in centimeters and waist circumference to determine the obesity stage. Diagnosis was made based on measurements of clinical periodontal parameters including a full mouth plaque index (PI), bleeding on probing (BoP), pocket depth (PD), clinical attachment level (CAL) and gingival recession depth (RD). Radiographic examination was performed using periapical radiographs. Ordinal logistic regression analysis was used to determine significant predictors of periodontal diseases and discriminant analysis was performed to predict periodontal disease classification. RESULTS: The age range in the study sample was 19-39 years old. The prevalence of different stages of periodontal diseases was 100%. Gingivitis was the most prevalent periodontal disease (63.7%) followed by Periodontitis Stage III (22.6%) then Stage II (11.1%). Stage I showed the least prevalence (2.5%). An increase in BMI was statistically associated with an increase in PD, CAL, RD, PI and vice versa (P-value < 0.05). The total OHIP-CP was 15.99 ± 3.06 for all participants.
CONCLUSIONS
There was a statistically significant association between periodontal diseases and obesity in young adults, as well as a statistically significant direct correlation between BMI and periodontal parameters. Self-assessment of oral health and obesity were significant predictors of periodontal disease.
CLINICAL TRIAL REGISTRATION ID
NCT04618068.
背景
本横断面研究旨在根据最近的分类标准，确定年轻肥胖埃及牙科门诊患者牙周病不同阶段的患病率。
方法
本研究纳入了 314 名在开罗大学牙科医院诊断中心就诊的患者。所有患者均填写了经成人口腔健康问卷（成人口腔健康问卷）验证的口腔健康问卷，该问卷涉及患者年龄、性别、教育水平和口腔卫生习惯以及慢性牙周炎口腔健康影响概况问卷（OHIP-CP）。还通过患者的体重（千克）、身高（厘米）和腰围评估肥胖参数，以确定肥胖阶段。基于全口菌斑指数（PI）、探诊出血（BoP）、牙周袋深度（PD）、临床附着水平（CAL）和牙龈退缩深度（RD）等临床牙周参数的测量来进行诊断。使用根尖片进行放射学检查。采用有序逻辑回归分析确定牙周病的显著预测因素，并进行判别分析以预测牙周病分类。
结果
研究样本的年龄范围为 19-39 岁。不同阶段牙周病的患病率为 100%。牙龈炎是最常见的牙周病（63.7%），其次是牙周炎 III 期（22.6%），其次是 II 期（11.1%）。I 期的患病率最低（2.5%）。BMI 的增加与 PD、CAL、RD、PI 的增加呈统计学相关，反之亦然（P 值<0.05）。所有参与者的总 OHIP-CP 为 15.99±3.06。
结论
在年轻人中，牙周病与肥胖之间存在统计学显著关联，BMI 与牙周参数之间存在统计学显著直接相关性。自我评估口腔健康和肥胖是牙周病的显著预测因素。
临床试验注册号
NCT04618068。
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