Pattern of periodontal breakdown in adult Tanzanians

A total of 170 adult Tanzanians aged 30-69 yr were examined for loss of attachment, gingival recession, plaque, calculus and gingival bleeding on all surfaces of all teeth. The severity of loss of attachment varied considerably between tooth types. Irrespective of age, mandibular incisors and first and second molars were the teeth most affected by loss of attachment. In all age groups heavy plaque deposits and gingival bleeding occurred more frequently in posterior than in anterior teeth. Dental calculus was most frequently observed in the maxillary posterior and mandibular anterior teeth. The distribution of calculus within the dentition showed a close resemblance with the patterns of loss of attachment and gingival recession. The variation of the severity of periodontal breakdown within individuals indicates that the use of mean values to describe periodontal breakdown may give the impression of a greater uniformity than really exists.