Pilot T
WHO Collaborating Centre for Oral Health Services Research, University of Groningen, Gieten, The Netherlands.
Int Dent J. 1998 Jun;48(3 Suppl 1):221-32. doi: 10.1111/j.1875-595x.1998.tb00710.x.
There is no reason to believe that periodontal diseases in industrialised and developing countries are in principle different. That is, not in the sense that the problem is caused by a different set of periodontal diseases, with different micro-organisms and a different natural history, needing a different approach towards prevention and treatment. Indeed, from a public health perspective the relative similarities in periodontal conditions around the world are far more striking than the differences. The view that periodontal diseases are a much more prevalent and a severe problem in the developing countries seems to be true only in terms of poorer oral hygiene and considerably greater calculus retention, already at a young age, but not so clear for periodontal destruction in adults.
没有理由认为工业化国家和发展中国家的牙周疾病在本质上有所不同。也就是说，并非是指问题由不同的牙周疾病组、不同的微生物和不同的自然病史所导致，进而需要不同的预防和治疗方法。事实上，从公共卫生角度来看，世界各地牙周状况的相对相似性远比差异性更为显著。认为牙周疾病在发展中国家更为普遍且严重的观点，似乎仅在口腔卫生较差以及牙结石大量留存（甚至在年轻时就如此）方面成立，但对于成年人的牙周破坏情况而言，却并非如此明确。
