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      Prevalence of periodontitis in the Indian population: A literature review

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          Abstract

          Background:

          Periodontitis is one of the major reasons for tooth loss in adults. India, with a population of over 1 billion, is bound to become a developed nation soon. This transition will require a population that is healthy, including in terms of periodontal health. Early studies done in India gave an indication that the population is highly susceptible to periodontitis.

          Aim:

          This paper reviews the prevalence of periodontitis in the Indian population.

          Settings and Design:

          Review of periodontitis prevalence studies on the Indian population.

          Materials and Methods:

          After identifying articles from PubMed and hand searching, the epidemiology of periodontitis is reviewed together with the case definition, study settings, type of population, age and other factors as all these are bound to affect the prevalence rates determined in various studies.

          Statistical Analysis:

          None.

          Results:

          This review identifies very limited number of studies that provide prevalence data and faces difficulty in comparing various studies due to nonstandardization of case definition and use of nonrepresentative samples. There is a high prevalence of periodontitis among the adults and the economically weak population.

          Conclusions:

          There is a very urgent need for standardized population-based studies with a robust design to identify the true prevalence of periodontitis, which in turn will help in planning oral health policies and creating the necessary infrastructure.

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          Most cited references21

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          Global epidemiology of periodontal diseases: an overview.

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            Isolation and identification of Candida from the oral cavity.

            A number of methods of sampling the oral cavity for the presence of candida have been developed. Such techniques play an important role in the diagnosis and management of oral candidosis. In the past, identification of candida isolated from the oral cavity has usually been limited to the genus Candida or to the species C. albicans. However, with the recognition that Candida species differ in the production of putative virulence factors and sensitivity to antifungal agents, greater emphasis has been placed on identification of isolates to species level. As a result a range of commercially available systems for yeast identification can now be used in conjunction with traditional identification procedures.
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              Effect of chewing a mixture of areca nut and tobacco on periodontal tissues and oral hygiene status.

              The present study was conducted to clarify the effects of chewing a quid containing areca nut and tobacco on periodontal tissue and oral hygiene status. A total of 365 subjects (168 chewers and 197 non-chewers with a mean age of 32.5 +/- 0.7 and 30.4 +/- 0.8 years, respectively) were enrolled. Clinical data on periodontal tissues, oral hygiene status, as well as information on bleeding from gums, ulcers in the oral cavity, or a burning sensation in the soft tissues, were collected as indicators of the possible presence and extent of periodontal lesions. The results indicated that a significantly higher number of quid-chewers suffered bleeding from the gums, halitosis, difficulty in opening the mouth and swallowing solid food, a burning sensation in the soft tissues, and ulcers in the oral cavity than non-chewers. There was no significant difference between quid-chewers and non-chewers with respect to oral hygiene measures adopted. However, clinical examination using the oral hygiene index score indicated that the oral hygiene status of quid-chewers was significantly deteriorated. The effect of quid-chewing on the periodontium, i.e. the occurrence of periodontal pockets, gingival lesions and gum recession, were significantly higher in quid-chewers than in non-chewers. Age, sex and smoking adjusted odds ratios for quid-chewers against non-chewers using logistic regression analysis indicated that, in general, chewers were at significantly higher risk for various oral complaints and periodontium status. The present data indicate that chewing quid comprising areca nut and tobacco has adverse effects on periodontal tissues, oral hygiene and incidence of oral lesions.
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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
                Jan-Mar 2011
                : 15
                : 1
                : 29-34
                Affiliations
                [1] Department of Periodontics, Chhattisgarh Dental College and Research Institute, Rajnandgaon, Chhattisgarh, India
                Author notes
                Address for correspondence: Dr. Shaju Jacob P., Department of Periodontics and Oral Implantology, Chhattisgarh Dental College and Research Institute, Post Box 25, Village Sundara, Rajnandgaon, Chhattisgarh - 491 441, India. E-mail: shajujacob@ 123456yahoo.com
                Article
                JISP-15-29
                10.4103/0972-124X.82261
                3134042
                21772718
                26c0af35-27df-425d-ae01-99faeddd711f
                © 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
                : 31 October 2009
                : 09 August 2010
                Categories
                Review Article

                Dentistry
                cross-sectional studies,india,epidemiology,periodontitis,prevalence
                Dentistry
                cross-sectional studies, india, epidemiology, periodontitis, prevalence

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