Periodontal status in 18-year-old Lithuanian adolescents: An epidemiological study

Eglė Bendoraitienė,Jūratė Zūbienė,Ingrida Vasiliauskienė,Kristina Saldūnaitė,Vilija Andruškevičienė,Nomeda Basevičienė,Eglė Slabšinskienė

doi:10.1016/j.medici.2017.06.002

Eglė Bendoraitienė, Jūratė Zūbienė + Show 5 more

Open Access

https://doi.org/10.1016/j.medici.2017.06.002

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Journal: Medicina	Publication Date: Jan 1, 2017
Citations: 7	License type: cc-by

Affiliation: Lithuanian University of Health Sciences

Abstract

ObjectiveThe aim of this study was to investigate the periodontal and oral hygiene status of 18-year-old Lithuanian adolescents. Materials and methodsCross-sectional data were collected by a multistage sampling approach that was used to draw a representative sample of 1063 adolescents attending schools. In total, 20 schools from the alphabetical list of educational institutions in Lithuania agreed to participate. Periodontal status was evaluated using the Periodontal Screening and Recording (PSR) index. The oral hygiene status was assessed using the Silness-Löe plaque index. ResultsThe analysis of the PSR index showed that 77.1% of the study population exhibited gum bleeding on probing, had supragingival and/or subgingival calculus, and shallow pockets. Analysis of the composition of the PSR index revealed that in children whose parents had low education levels (18.6%), gum bleeding was more common than in those whose parents had medium education levels (9.5%) (P<0.05). Our data showed that in 40.0% of the study participants, oral hygiene status was satisfactory, with a statistically significant difference between boys (46.9%) and girls (35.3%) (P<0.001). ConclusionsThe results of our study showed that the periodontal and oral hygiene status of 18-year-old Lithuanian population could be characterized as poor. In total, 77.1% of the study participants were found to have periodontal conditions such as gum bleeding, dental calculus, and shallow pockets. The anterior teeth of the mandible were most frequently affected.

Highlights

Chronic diseases have the most important risk to human health [1]
In Lithuania periodontal diseases are widespread too, but still there is a lack of comprehensive population studies in this field, especially of those which are suitable for comparison with epidemiological studies conducted in other countries [4,5,6]
The Periodontal Screening and Recording (PSR) codes were based on the following clinical definitions: Code 0, probing elicits no bleeding, gingival tissues are healthy; Code 1, bleeding on probing (BOP), plaque, but no calculus; Code 2, the probe encounters supragingival and subgingival calculus, bleeding; Code 3, probing depths between 3.5 and 5.5 mm; Code 4, probing depths of 6 mm and more

Summary

Introduction

Dental caries and periodontal diseases are common chronic oral diseases causing multiple health issues [2,3]. Oral health promotion programs traditionally focus on dental caries. Few epidemiological studies carried out in Lithuania showed that the prevalence of periodontal disease among 12-year-old children was 47.4% [4], while among 17–30-year olds, 97.2% [6]. Periodontal conditions such as gum bleeding on probing, supragingival or subgingival calculus, and periodontal pockets of 4–5 mm depth were documented in 29.2%, 18.2%, and 0.3% of 12-yearold Lithuanian children, respectively [4]

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Results

Conclusion