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      Periodontal status of a given population of West Bengal: An epidemiological study

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          Abstract

          Background:

          This paper presents the prevalence and severity of periodontal disease in a given population of West Bengal and its relationship with their age, sex, socioeconomic status, educational background, and dietary habits. Also, the treatment needs on the basis of Community Periodontal Index of Treatment Needs (CPITN), which might be helpful for future planning of dental services.

          Materials and Methods:

          A sample of 22,452 individuals aged 15 years and above was selected using a random cluster sampling from the population. All the subjects sampled were weighed by age, sex, community, income group, educational level, diet pattern, and habitation. The WHO CPITN was used to assess the levels of periodontal condition and treatment needs.

          Results:

          Score 2 was most prevalent in all the groups. Periodontal disease is widespread in West Bengal and a positive relation appears to exist between age, sex, socio-economic status, education level, and dietary habits with periodontal status. Comprehensive oral hygiene instruction and dental prophylaxis need to be initiated.

          Conclusion:

          The data on periodontal conditions presented in this study are similar to data available from WHO on global oral health. These estimates are important for the future planning of dental services in the state.

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          Most cited references17

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          Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN).

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            Periodontal diseases in adult Kenyans.

            This study comprised 1131 persons who constitute a stratified random sample of the entire population aged 15-65 years in Machakos District, Kenya. Each person was examined for tooth mobility, plaque, calculus, gingival bleeding, loss of attachment and pocket depth on the mesial, buccal, distal and lingual surface of each tooth. The oral hygiene was poor with plaque on 75-95% and calculus on 10-85% of the surfaces depending on age. Irrespective of age, pockets greater than or equal to 4 mm was seen on less than 20% of the surfaces, whereas 10-85% of the surfaces had loss of attachment greater than or equal to 1 mm. The proportion of surfaces per individual with loss of attachment greater than or equal to 4 mm or greater than or equal to 7 mm, and pocket depths greater than or equal to 4 mm or greater than or equal to 7 mm, respectively, showed a pronounced skewed distribution, indicating that in each age group, a subfraction of individuals is responsible for a substantial proportion of the total periodontal breakdown. The individual teeth within the dentition also showed a marked variation in the severity of periodontal breakdown. Our findings provide additional evidence that destructive periodontal disease should not be perceived as an inevitable consequence of gingivitis which ultimately leads to considerable tooth loss. A more specific characterization of the features of periodontal breakdown in those individuals who seem particularly susceptible is therefore warranted.
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              Frequency distribution of individuals aged 20-70 years according to severity of periodontal disease.

              This study is an analysis of the findings in an epidemiologic investigation covering a random sample of 600 individuals aged 20-70 years resident in the city of Jönköping, Sweden. The frequency distribution of individuals according to severity of periodontal disease was determined. The analysis was based on clinical registration of gingivitis, pocket depths and qualitative and quantitative changes of the alveolar bone in a full mouth intraoral survey. In the age groups 20 and 30 years, 96% and 85% of the individuals, respectively, had healthy periodontal tissues or were grouped as having gingivitis without signs of lowering of the periodontal bone level. In the age groups 40, 50 and 70 years none of the subjects was free from signs of gingivitis/periodontitis but, as for all age groups, strikingly few cases (at most 8%) of severe destructive periodontitis were found. The need for periodontal treatment is discussed as well as the role of specific etiologic agents in the development of destructive periodontal disease.
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                Author and article information

                Journal
                J Indian Soc Periodontol
                JISP
                Journal of Indian Society of Periodontology
                Medknow Publications (India )
                0972-124X
                0975-1580
                Apr-Jun 2011
                : 15
                : 2
                : 126-129
                Affiliations
                [1] Department of Periodontics, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India
                Author notes
                Address for correspondence: Dr. Shallu Rozra, Department of Periodontics, Dr. R. Ahmed Dental College & Hospital, 114, AJC Bose Road, Kolkata - 14, West Bengal, India. E-mail: shallu.rozra@ 123456gmail.com
                Article
                JISP-15-126
                10.4103/0972-124X.84380
                3183662
                21976835
                18c1b342-385a-49d3-bfc0-c497fb215818
                Copyright: © Journal of Indian Society of Periodontology

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 October 2009
                : 20 August 2010
                Categories
                Original Article

                Dentistry
                community,diet pattern,periodontal status,income group,community periodontal index of treatment needs,educational level,age,gender,habitation

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