This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Corbet, E.F. Articles by Lin, H.C. Search for Related Content PubMed PubMed Citation Articles by Corbet, E.F. Articles by Lin, H.C. Social Bookmarking                         What's this?

Periodontal Conditions in Adult Southern Chinese

Faculty of Dentistry, The University of Hong Kong, 3/F, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong, efcorbet{at}hkusua.hku.hk

M.C.M. Wong

Faculty of Dentistry, The University of Hong Kong, 3/F, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong

H.C. Lin

Department of Preventive Dentistry, Sun Yatsen University of Medical Sciences

Periodontal diseases remain a concern in adult populations, but there have been no systematic descriptions of periodontal conditions, which have included periodontal attachment loss, among Southern Chinese. The main aim of this report is to describe the periodontal conditions in adult Chinese and to investigate factors that may have influenced periodontal attachment loss. Subjects were recruited from urban and rural survey sites throughout Guangdong. In total, 1572 35- to 44-year-old subjects and 1286 65- to 74-year-old subjects completed a structured interview and underwent a periodontal examination, which included the Community Periodontal Index (CPI) and periodontal Attachment Loss (ALoss) recordings. Calculus was found as the highest CPI score in 61-68% of the 35- to 44-year-old subjects and in 54-57% of the 65- to 74-year-olds. Shallow pockets were found as the highest CPI score in about one-third of both the urban and the rural subjects in both age groups, and deep pockets in 3-7% of the subjects. ALoss was more prevalent than pockets in both age groups. On the basis of the ALoss recordings, about one-third of the subjects in both age groups were categorized as exhibiting considerable ALoss for their age. In both age groups, logistic regression analysis indicated that being male, wearing partial dentures, and reporting less frequent toothbrushing were found to be associated with considerable ALoss.

Key Words: periodontal disease • elderly • adults • oral health survey • Chinese

REFERENCES

• Ainamo J., Barmes D., Beagrie G., Cutress T., Martin J., Sardo-Infirri J. (1982). Development of the World Health Organisation (WHO) Community Periodontal Index of Treatment Needs (CPITN). Int Dent J32:281-291.
• Almas K., Bulman JS, Newman HN (1991). Assessment of periodontal status with CPITN and conventional periodontal indices. J Clin Periodontol 18:654-659.[Medline] [Order article via Infotrieve]
• Baelum V., Luan WM, Fejerskov O, Chen X. ( 1988). Tooth mortality and periodontal conditions in 60-80-year-old Chinese. Scand J Dent Res 96:99-107.[Medline] [Order article via Infotrieve]
• Baelum V., Fejerskov O, Manji F., Wanzala P. (1993a). Influence of CPITN partial recordings on estimates of prevalence and severity of various periodontal conditions in adults. Community Dent Oral Epidemiol 21:354-359.[Medline] [Order article via Infotrieve]
• Baelum V., Manji F., Fejerskov O, Wanzala P. (1993b). Validity of CPITN's assumptions of hierarchical occurrence of periodontal conditions in a Kenyan population aged 15-65 years. Community Dent Oral Epidemiol 21:347-353.[Medline] [Order article via Infotrieve]
• Baelum V., Manji F., Wanzala P., Fejerskov O (1995). Relationship between CPITN and periodontal attachment loss findings in an adult population. J Clin Periodontol 22: 146-1 52.[Medline] [Order article via Infotrieve]
• Beck JD, Koch GG, Rozler RG, Tudor GE (1990). Prevalence and risk indicators for periodontal attachment loss in a population of older community-dwelling blacks and whites. JPeriodontol 61:521-528.[Medline] [Order article via Infotrieve]
• Beck JD, Koch GG, Offenbacher S. (1995). Incidence of attachment loss over 3 years in older adults-new and progressing lesions. Community Dent Oral Epidemiol 23:291-296.[CrossRef][Medline] [Order article via Infotrieve]
• Butterworth M., Sheiham A. (1991). Changes in the Community Periodontal Index of Treatment Needs (CPITN) after periodontal treatment in a general dental practice. Br Dent J 171:363-366.[Medline] [Order article via Infotrieve]
• Carlos JP, Brunelle JA, Wolfe MD (1989). Attachment loss vs pocket depth as indicators of periodontal disease; a methodological note. J Periodontal Res 22:525-525.
• Chandler JA, Brudvik JS (1984). Clinical evaluation of patients eight to nine years after placement of removable partial dentures. J Prosthet Dent 51:736-743.[Medline] [Order article via Infotrieve]
• Cohen J. (1968). Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull 70:213-220.[CrossRef][Medline] [Order article via Infotrieve]
• Corbet EF, Holmgren CJ, Lim LP, Davies Wir (1989). Sex differences in the periodontal status of Hong Kong adults aged 35-44 years. Community Dent Health 6:23-30.[Medline] [Order article via Infotrieve]
• Decry A., Bertram U. (1970). A clinical survey of removable partial dentures after 2 years usage. Acta Odontol Scand 28:581-598.[Medline] [Order article via Infotrieve]
• Grossi SG, Zambon JJ, Ho AW, Koch G., Dunford RG, Machtei EE, et al. (1994). Assessment of risk for periodontal disease I. Risk indicators for attachment loss. J Periodontol 65:260-267.[Medline] [Order article via Infotrieve]
• Grossi SG, Genco RJ, Machtei EE, Ho AW, Koch G., Dunford R., et al. (1995). Assessment of risk for periodontal disease II. Risk indicators for alveolar bone loss. JPeriodontol 66:23-29.[Medline] [Order article via Infotrieve]
• Grytten J., Holst D., Gjermo P. (1989). Validity of the CPITN's hierarchical scoring method for describing the prevalence of periodontal conditions. Community Dent Oral Epidemiol 17:300-303.[Medline] [Order article via Infotrieve]
• Holmgren CJ (1994). CPITN-interpretations and limitations. Int Dent J 44:533-546.[Medline] [Order article via Infotrieve]
• Holmgren CJ, Corbet EF (1990). Relationship between periodontal parameters and CPITN scores. Community Dent Oral Epidemiol 18:322-323.[Medline] [Order article via Infotrieve]
• Holmgren CJ, Corbet EF, Lim LP (1994). Periodontal conditions among the middle-aged and the elderly in Hong Kong. Community Dent Oral Epidemiol 22:396-402.[CrossRef][Medline] [Order article via Infotrieve]
• Homing GM, Hatch CL, Cohen ME (1992). Risk indicators for periodontitis in a military treatment population. JPeriodontol 63:297-302.[Medline] [Order article via Infotrieve]
• Hu CZ, Huang CR, Rong S., Zhang W., Wu J., Pilot T. (1990). Periodontal conditions in elderly people of Shanghai, People's Republic of China, in 1986. Community Dent Health 7:69-71.[Medline] [Order article via Infotrieve]
• Isidor F., Budtz-Jorgensen E. (1987). Periodontal conditions following treatment with cantilever bridges or removable partial dentures in geriatric patients. A 2-year study. Gerodontics 3:117-121.[Medline] [Order article via Infotrieve]
• Jette AM, Feldman HA, Tennstedt SL (1993). Tobacco use: a modifiable risk factor for dental disease among the elderly. Am J Public Health 83:1271-1276.[Abstract/Free Full Text]
• Lappalainen R., Koshenranta-Wuorinen P., Markkanen H. (1987). Periodontal and cariological status in relation to different combinations of removable dentures in elderly men. Gerodontics 3:122-124.[Medline] [Order article via Infotrieve]
• Lin HC, Wong Mcm, Wang ZJ, Lo Ecm (2001). Oral health knowledge, attitudes, and practices of adults in Southern China. J Dent Res 80:1466-1470.
• Locker D., Leake JL (1993). Risk indicators and risk markers for periodontal disease experience in older adults living independently in Ontario, Canada. J Dent Res 72:9-17.
• Oliver RC, Brown LJ, Loe H. (1991). Variations in the prevalence and extent of periodontitis. JAm Dent Assoc 122:43-48.
• Petersen PE, Peng B., Tai BJ (1997). Oral health status and oral health behaviour of middle-aged and elderly people in PR China. Int Dent J 47:305-312.
• Pilot T., Lu ZY, Lin ZQ, Yen WP, Cao GR (1989). Periodontal conditions in 35-44-year-old factory workers in Shanghai. Community Dent Oral Epidemiol 17:216.[Medline] [Order article via Infotrieve]
• Powell RN, Sun HF, Han NM, Zcheng ZF, Li ZR, Yie L. (1986). Dental health status of a selected group of 35-44 year old residents of Shandong Province, People's Republic of China. Community Dent Health 3:261-265.[Medline] [Order article via Infotrieve]
• Schurch E. Jr, Minder CE, Lang NP, Geering AH (1990). Comparison of clinical periodontal parameters with the Community Periodontal Index for Treatment Needs (CPITN) data. Schweiz Monatsschr Zahnmed 100:408-411.[Medline] [Order article via Infotrieve]
• Schwarz E., Zhang HG, Wang ZJ, Lin HC, Lo Ecm, Corbet EF, et al. (2001). An oral health survey in Southern China, 1997: background and methodology. J Dent Res 80:1453-1458.
• World Health Organization (1995). Periodontal profiles: an overview of CPITN data in the WHO Global Oral Data Bank for the age groups 15-19 years, 35-44 years and 65-74 years. Geneva: WHO.
• World Health Organization (1997). Oral health surveys: basic methods. 4th ed. Geneva: WHO.

Journal of Dental Research, Vol. 80, No. 5, 1480-1485 (2001)
DOI: 10.1177/00220345010800051901


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				N. Amarasena, N. Ikeda, K.K.S. Win, Y. Yamaguchi, T. Takehara, and H. Miyazaki Factors Associated with Severe Periodontitis in Rural Cambodia Asia Pac J Public Health, January 1, 2004; 16(1): 50 - 53. [Abstract] [PDF]

				N. Amarasena, N. Ikeda, K. K. S. Win, Y. Yamaguchi, T. Takehara, and H. Miyazaki Periodontal Status of Rural Inhabitants in Prek Russey, Cambodia Asia Pac J Public Health, January 1, 2002; 14(2): 105 - 109. [Abstract] [PDF]

This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Corbet, E.F. Articles by Lin, H.C. Search for Related Content PubMed PubMed Citation Articles by Corbet, E.F. Articles by Lin, H.C. Social Bookmarking                         What's this?