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牙周病患病率:2024 年拉丁美洲和加勒比共识。

Prevalence of periodontal diseases: Latin America and the Caribbean Consensus 2024.

机构信息

Universidad de Chile, School of Dentistry, Department of Conservative Dentistry, Santiago, Chile.

Universidade de São Paulo - USP, School of Dentistry, Department of Community Dentistry, São Paulo, SP, Brazil.

出版信息

Braz Oral Res. 2024 Oct;38(suppl 1):e116. doi: 10.1590/1807-3107bor-2024.vol38.0116.

Abstract

The aim of this review was to update knowledge about the prevalence of periodontitis in Latin America and the Caribbean. A critical review of was performed of all cross-sectional or cohort studies selected, pertaining to the region, and thirty-five studies conducted in 12 countries were selected. The countries with nationally representative studies were Brazil, Chile, Colombia, and Uruguay. The prevalence of periodontal disease or need for periodontal treatment varied between the different studies and countries depending on the age group, the methodology used, and the case definition. The prevalence of severe periodontitis aged between 5.8% and 49.7% in adults. In adolescents, the prevalence of moderate to severe periodontitis was 15.3%. Furthermore, a high prevalence of gingival bleeding in adolescents was reported. When analyzing the studies that used the Community Periodontal Index (CPI), Centers for Diseases Control and American Academy Periodontology (CDC/AAP) case definition, it was observed that as the age of the individuals analyzed increased, the prevalence of periodontal disease also increased. Whereas this rereview revealed that although the number of regional and nationally representative studies that analyzed the prevalence of periodontitis has risen in recent years, their methodological heterogeneity prevents global conclusions to be drawn concerning the region. Therefore, this ratifies the need to generate alliances between countries with the purpose of joining individual efforts to achieve collective goals which, among other objectives, will translate into conducting multicenter studies. These studies would allow description and monitoring of the epidemiological behavior of periodontitis in Latin America and the Caribbean.

摘要

本综述的目的是更新关于拉丁美洲和加勒比地区牙周炎患病率的知识。对所有选定的横断面或队列研究进行了批判性回顾,涉及该地区,共选择了 12 个国家的 35 项研究。具有全国代表性研究的国家是巴西、智利、哥伦比亚和乌拉圭。根据不同的研究和国家的年龄组、使用的方法和病例定义,牙周病或牙周治疗需求的患病率存在差异。成年人重度牙周炎的患病率在 5.8%至 49.7%之间。在青少年中,中度至重度牙周炎的患病率为 15.3%。此外,报告称青少年牙龈出血的患病率较高。在分析使用社区牙周指数(CPI)和疾病控制与预防中心/美国牙周病学会(CDC/AAP)病例定义的研究时,观察到随着分析个体年龄的增加,牙周病的患病率也随之增加。虽然近年来分析牙周炎患病率的区域和全国代表性研究数量有所增加,但由于其方法学的异质性,无法就该地区得出总体结论。因此,这证实了需要在国家之间建立联盟,目的是将个人的努力结合起来,以实现集体目标,其中包括进行多中心研究。这些研究将允许描述和监测拉丁美洲和加勒比地区牙周炎的流行病学行为。

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