在日本社区居民中,牙齿沉积物与牙周状况和牙齿数量的差异相关:长崎岛的研究

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Masayuki Oohira, Masayasu Kitamura, Kanako Higuchi, Mark Luigi Fabian Capati, Mami Tamai, Saki Ichinose, Yasunori Yamashita, Yukio Ozaki, Eijiro Sakamoto, Yumiko Kawashita, Sakiko Soutome, Takahiro Maeda, Atsushi Kawakami, Toshiyuki Saito, Atsutoshi Yoshimura
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引用次数: 0

摘要

目的本研究旨在确定牙沉积物与后藤岛居民牙周状况和牙齿数量的关系。以前的研究表明,牙齿沉积物增加了患牙周病的风险。然而,在超老龄化社会中,牙齿沉积物与牙周/牙齿状况之间的关系仍不清楚。材料与方法采用长崎岛研究(NaIS)的数据,对671名参与者(年龄:65.0±12.0岁)进行横断面研究。参与者接受了例行体检。口腔卫生和吸烟状况的信息收集自一份自我管理的问卷。进行口腔检查,确定牙数、探诊袋深度(PPD)、临床附着水平(CAL)、探诊出血(BOP)比、牙石指数(CI)评分、碎片指数(DI)评分。通过实时聚合酶链反应,收集参与者的唾液样本,检测牙龈卟啉单胞菌和放线菌聚集菌的水平。采用多变量logistic回归分析来评估牙周沉积物与牙周/牙齿状况之间的关系。结果多变量logistic回归分析显示,DI评分越高,BOP比值越高(OR = 2.51, 95% CI: 1.75 ~ 3.61), CAL越高(OR = 1.51, 95% CI: 1.02 ~ 2.23),牙数越少(OR = 1.70, 95% CI: 1.04 ~ 2.76)。较高的CI评分与较高的BOP比率(OR = 2.18, 95% CI: 1.47-3.23)、较深的PPD (OR = 2.04, 95% CI: 1.22-3.50)和较多的牙齿(OR = 0.13, 95% CI: 0.08-0.23)显著相关。结论牙垢和牙石沉积与牙周疾病的严重程度相关,而牙石沉积与牙齿数量的增加密切相关。在超老龄化社会中,结石沉积与牙齿数量之间的关系可能是一个新兴趋势,未来的纵向研究有必要阐明结石与牙齿数量之间的变化关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Dental Deposits Are Differentially Associated With Periodontal Conditions and the Number of Teeth in Japanese Community-Dwelling Individuals: The Nagasaki Islands Study

Dental Deposits Are Differentially Associated With Periodontal Conditions and the Number of Teeth in Japanese Community-Dwelling Individuals: The Nagasaki Islands Study

Objective

This study aimed to determine how dental deposits are associated with periodontal conditions and the number of teeth in Goto Islands' residents.

Background

Previous studies have shown that dental deposits increase the risk of developing periodontal diseases. However, the relationships between dental deposits and the periodontal/dentitional conditions in a super-aging society remain unclear.

Materials and Methods

A cross-sectional study involving 671 participants (age: 65.0 ± 12.0 years) was conducted using data from the Nagasaki Islands Study (NaIS). Participants underwent a routine medical examination. Information on oral hygiene and smoking status was collected from a self-administered questionnaire. Dental examinations were conducted to determine the number of teeth, probing pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BOP) ratio, calculus index (CI) score, and debris index (DI) score. Saliva samples were collected from the participants to determine the levels of Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans by real-time polymerase chain reaction. Multivariable logistic regression analyses were performed to evaluate the relationships between dental deposits and periodontal/dentitional conditions.

Results

Multivariable logistic regression analyses show that greater DI score was significantly associated with higher BOP ratio (OR = 2.51, 95% CI: 1.75–3.61), greater CAL (OR = 1.51, 95% CI: 1.02–2.23), and fewer teeth (OR = 1.70, 95% CI: 1.04–2.76). Greater CI score was significantly associated with a higher BOP ratio (OR = 2.18, 95% CI: 1.47–3.23), deeper PPD (OR = 2.04, 95% CI: 1.22–3.50), and more teeth (OR = 0.13, 95% CI: 0.08–0.23).

Conclusions

Debris and calculus deposition were associated with more severe periodontal conditions, but calculus deposition was strongly associated with more teeth. The association between calculus deposition and more teeth may be an emerging trend in super-aging societies, and future longitudinal studies are warranted to elucidate the changing relationship between calculus and number of teeth.

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来源期刊
Clinical and Experimental Dental Research
Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.30
自引率
5.60%
发文量
165
审稿时长
26 weeks
期刊介绍: Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.
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