Universidade de São Paulo - USP, School of Dentistry, Department of Periodontics, São Paulo, SP, Brazil.
Pontificia Universidad Católica Madre y Maestra, School of Dentistry, Department of Periodontology, Santo Domingo, República Dominicana.
Braz Oral Res. 2024 Oct;38(suppl 1):e117. doi: 10.1590/1807-3107bor-2024.vol38.0117.
Periodontal diseases are highly prevalent globally, and represent a significant public health burden that could affect the quality of life in Latin American and in Caribbean countries and territories. The primary objective is to explore the existing research and epidemiological studies on the burden of periodontal diseases, particularly their impact on oral health-related quality of life (OHRQoL) and associations with systemic health conditions in Latin America and the Caribbean (LAC). An electronic literature search was conducted across multiple databases, including MEDLINE (PubMed), Scopus, LILACS, SciELO, and Web of Science, without publication date or language limitations, up until December 2023. Reviewers independently assessed titles and abstracts based on the eligibility criteria. The search yielded 1195 articles, with 63 meeting the inclusion criteria. The results of epidemiological studies showed that periodontitis is extremely prevalent at 90% in LAC; severe periodontitis can affect nearly 10% of the adult population and that periodontitis is aggravated by smoking, poverty, low education level, and limited access to proper dental care. Periodontitis was consistently associated with worse OHRQoL; and causing pain, and/or triggering psychological discomfort, physical disability, and social disability. Associations were also reported between periodontitis and comorbidities such as diabetes, cardiovascular disease, rheumatoid arthritis, respiratory disease, mental illness, and adverse pregnancy outcomes that are also affecting the quality of life of individuals and their families. This scoping review offers a thorough examination of the burden of periodontal diseases in LAC and highlights the significant public health concern that it represents for the region.
牙周病在全球范围内广泛流行,是一项重大的公共卫生负担,可能影响拉丁美洲和加勒比国家和地区的生活质量。主要目的是探讨牙周病负担的现有研究和流行病学研究,特别是其对口腔健康相关生活质量(OHRQoL)的影响以及与拉丁美洲和加勒比地区(LAC)系统健康状况的关联。进行了一次电子文献检索,涵盖了多个数据库,包括 MEDLINE(PubMed)、Scopus、LILACS、SciELO 和 Web of Science,没有出版日期或语言限制,截至 2023 年 12 月。审查员根据资格标准独立评估标题和摘要。检索结果产生了 1195 篇文章,其中 63 篇符合纳入标准。流行病学研究的结果表明,牙周炎在 LAC 中极为普遍,患病率高达 90%;严重牙周炎可能影响近 10%的成年人口,而吸烟、贫困、低教育水平和缺乏适当的牙科保健会加重牙周炎。牙周炎与 OHRQoL 恶化密切相关;导致疼痛,以及/或引发心理不适、身体残疾和社会残疾。牙周炎与糖尿病、心血管疾病、类风湿性关节炎、呼吸道疾病、精神疾病和不良妊娠结局等合并症之间也有报道,这些合并症也影响着个体及其家庭的生活质量。这项范围综述全面检查了 LAC 牙周病的负担,并强调了它对该地区的重大公共卫生关注。