牙周病的自然史:爪研究 - - 35年后的起源,实施和结果
1Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, Netherlands.
Periodontology 2000
|June 29, 2023
概括
在缺乏牙科护理的年轻成年人中发现了牙周分解指标. 易患严重牙周炎的易感性,以失去附着和衰退为特征,在生命早期显而易见.
科学领域:
- 牙周病学 牙周病学
- 牙科公共卫生 牙科公共卫生
- 纵向研究 纵向研究
背景情况:
- 牙周病的进展受到各种因素的影响,包括口腔卫生和微生物的存在.
- 了解预后指标对于风险人群的早期干预至关重要.
研究的目的:
- 识别牙周病变的预后指标,在牙科护理机会有限的人群中.
- 在年轻成年人中评估15年期间牙周病的进展.
主要方法:
- 一项为期15年的前性纵向研究对在基线时15-25岁的爪茶叶工人进行.
- 评估了临床参数 (探针出血,衰退,附着损失,口袋深度) 和微生物数据 (聚合菌actinomycetemcomitans).
- 随着时间的推移,分析了疾病发病和进展的风险标志物.
主要成果:
- 7年后牙周状况恶化,牙数量减少,牙连接损失增加和牙衰退.
- 早期疾病的风险标志物包括年龄,下结石和Aggregatibacter actinomycetemcomitans.
- 在过去的15年里,资金深处和经济衰退成为了重要的风险标志物,男性性别也被认为是风险决定因素.
- 到2002年,严重牙周炎的患病率达到20%,在这个队列中观察到更严重的基线状况.
结论:
- 对牙周炎的敏感性在年轻成年时显而易见.
- 即使没有定期的牙科护理,也可以确定牙周病变的预后指标.
- 早期识别风险因素对于管理牙周病进展至关重要.
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