Bagramian R A, Farghaly M M, Lopatin D, Sowers M, Syed S A, Pomerville J L
School of Dentistry, University of Michigan, Ann Arbor 48109-1078.
J Clin Periodontol. 1993 Apr;20(4):269-72. doi: 10.1111/j.1600-051x.1993.tb00356.x.
Epidemiological studies of periodontal disease have attempted to focus on defined groups in which the variables thought to be responsible for disease could be controlled or more easily identified. This study documents periodontal disease parameters in a unique population of Amish farmers. A total of 371 Amish were contacted and 282 were examined in their homes giving a participation rate of 76%. Ages ranged from 18 to 79 years. Overall means for periodontal conditions were 1.54 mm for attachment loss, 2.63 mm for pocket depth, 0.17 for calculus, 0.63 for plaque and 0.61 for gingivitis. One dental examiner conducted all examinations. Prevalence of periodontal disease tended to be higher among males and increased with age. The majority of Amish examined had little evidence of destructive periodontal disease; about 3.4% of teeth examined had attachment loss of 6 mm or more. These findings indicate a modest level of periodontal disease among the Amish. It is of interest that this population does not generally seek routine dental care. Preliminary analyses of health behavior data collected indicate a lack of regular oral hygiene practices. It appears that the Amish may have protective factors which affect their level of disease.
牙周病的流行病学研究试图聚焦于特定人群，在这类人群中，那些被认为是导致疾病的变量能够得到控制或更容易被识别。本研究记录了阿米什农民这一独特人群的牙周病参数。总共联系了371名阿米什人，其中282人在家中接受了检查，参与率为76%。年龄范围在18岁至79岁之间。牙周状况的总体均值为：附着丧失1.54毫米，牙周袋深度2.63毫米，牙石0.17，菌斑0.63，牙龈炎0.61。所有检查均由一名牙科检查人员进行。牙周病的患病率在男性中往往更高，且随年龄增长而增加。大多数接受检查的阿米什人几乎没有破坏性牙周病的迹象；约3.4%的受检牙齿有6毫米或以上的附着丧失。这些发现表明阿米什人群中牙周病的程度较轻。有趣的是，这一人群通常不寻求常规牙科护理。对收集到的健康行为数据的初步分析表明他们缺乏定期的口腔卫生习惯。看来阿米什人可能有影响其疾病程度的保护因素。
