Velosa-Porras Juliana, Rodríguez Malagón Nelcy
Department of Clinical Epidemiology and Biostatistics, Pontificia Universidad Javeriana, Bogotá, Colombia.
Centro de Investigaciones Odontológicas (CIO), Faculty of Dentistry, Pontificia Universidad Javeriana, Bogotá, Colombia.
Community Dent Oral Epidemiol. 2024 Apr;52(2):207-216. doi: 10.1111/cdoe.12916. Epub 2023 Oct 31.
The objective of the study was to identify the prevalence of periodontal disease in pregnant women in the Colombian population and its association with social determinants and medical history based on data from the Fourth National Oral Health Survey (ENSAB IV).
A total of 1012 pregnant women from different areas of Colombia were evaluated. A periodontal evaluation was performed using a North Carolina periodontal probe. The following data were recorded: number of teeth, probing depth (PD), the position of the gingival margin (GM) and clinical attachment level (CAL). An ordinal logistic regression analysis was performed for the association between social determinants and the Centers for Disease Control and Prevention and the American Academy of Periodontology (CDC/AAP) classification and logistic regression between social determinants and the European Federation of Periodontology (EFP) classification.
The prevalence of periodontitis was 37.1% using the CDC/AAP criteria and 41.2% according to the criteria of EFP distributed in sensitive (40.2%) and specific cases (0.9%). Age, belonging to a subsidized regime, living in a rural area, having an intermittent water supply and bleeding in medical records were found to be positively associated with periodontitis (mild, moderate, severe).
The findings of this national study of pregnant women show a high prevalence of periodontitis-using the CDC/AAP and EFP criteria-associated with age, living in rural areas, subsidized regime, intermittent water supply and bleeding in medical records.
本研究的目的是根据第四次全国口腔健康调查（ENSAB IV）的数据，确定哥伦比亚人群中孕妇牙周疾病的患病率及其与社会决定因素和病史的关联。
对来自哥伦比亚不同地区的1012名孕妇进行了评估。使用北卡罗来纳牙周探针进行牙周评估。记录了以下数据：牙齿数量、探诊深度（PD）、牙龈边缘位置（GM）和临床附着水平（CAL）。对社会决定因素与疾病控制和预防中心及美国牙周病学会（CDC/AAP）分类之间的关联进行了有序逻辑回归分析，以及对社会决定因素与欧洲牙周病学联合会（EFP）分类之间进行了逻辑回归分析。
根据CDC/AAP标准，牙周炎的患病率为37.1%，根据EFP标准为41.2%，分布在敏感病例（40.2%）和特定病例（0.9%）中。发现年龄、属于补贴制度、生活在农村地区、供水间歇性以及病历中有出血情况与牙周炎（轻度、中度、重度）呈正相关。
这项针对孕妇的全国性研究结果表明，使用CDC/AAP和EFP标准，牙周炎的患病率很高，且与年龄、生活在农村地区、补贴制度、供水间歇性以及病历中有出血情况有关。
