Fogorvosi szemle, 2011 (104. évfolyam, 1-4. szám)

2011-06-01 / 2. szám

47 FOGORVOSI SZEMLE ■ 104. évf. 2. sz. 2011. 7. Gelskey S: Cigarette smoking and periodontitis: methodology to assess the strength of evidence in support of causation. Community Dent Oral Epidemiol 1999; 27: 16-24. 8. Gera I : Parodontális állapot és terápiás szükséglet Magyarországon és Kelet-Közép-Európában. Fogorv Szle 2004; 97:179-189. 9. Gera I: A fogágybetegség rizikótényezői és szerepük a fogágy­­betegség patomechanizmusában. In Gera I: Parodontológia. Sem­melweis, Budapest, 2005; 95-111. 10. Grosso JE, Nalbadian J, Sanford C & Bailit H: The quality of re­storative care. J Prosthet Dent 1979; 42: 571-578. 11. Grosso JE, Nalbadian J, Sanford C & Bailit H: Effect of restor­ative quality on periodontal health. J Prosthet Dent 1985; 53; 14-19. 12. Kallestal C, Dahlgren L & Stenlund H: Oral health behaviour and self-esteem in Swedish adolescents over four years. J Adolescent Health 2006; 38:583-590. 13. Kusela S, Honkala E, Kannas L, Tynjala J & Wold B: Oral hygiene habits of 11-years-old schoolchildren in 22 European countries and Canada in 1993/1994. J Dent Res 1997; 76: 1602-1609. 14. Madléna M, Hermann P, Tollas Ö, Gerle J, Fejérdy P: Felnőtt korúak táplálkozási, szájhigiénés és fogorvoshoz járási szokásai kérdőíves felmérés alapján. Fogorv Szle 2007; 100: 91-97. 15. Madléna M, Hermann P, Jahn M, Fejérdy P: Caries prevalence and tooth loss in Hungarian adult population: results of a national survey. BMC Public Health. 2008; 8: 364. Published online 2008 Oc­tober 21. doi: 10.1186/1471-2458-8-364. 16. Michealis W, Bauch J: Oral health of representative samples of Germans examined in 1989 and 1992. Community Dent Oral Epide­­m/o/1996; 24: 62-67. 17. Miyazaki H, Pilot T, Leclercq M. H. & Barnes D. E: Profiles of peri­odontal conditions in adults, measured by CPITN. International Den­tal Journal 1991 ; 41: 67-73. 18. Oliver RC, Brown LI & Löe H: Periodontal disease in the United States population. J Periodontol 1998; 69: 269-278. 19. Salvi G, Lawrence H, Offenbacher S & Beck J: Influence of risk factors on the pathogenesis of periodontitis. Periodontology 2000. 1997; 14: 173-201. 20. Söder P, Li Jian Jin LJ, Söder B & Wikner S: Periodontal status in an urban adult population in Sweden. Community Dent Oral Epide­­miol 1994; 22: 106-111. doi: 10.1111/j. 1600-0528.1994.tb01582.x. 21. Százntó Zs, Susánszky É: Az életminőség laikus megítélését be­folyásoló betegség- magyarázati struktúrák. In: Kopp M és Kovács ME (szerk.): A magyar népesség életminősége az ezredfordulón. Semmelweis, Budapest, 2006; 48-61. 22. Tada A & Hanada N: Sexual differences in oral health behaviour and factorsassociated with oral health behaviour in Japanese young adults. Public Health 2004; 118: 104-109. 23. World Health Organization: Oral Health Surveys: Basic Methods, 4th edition. Geneva: World Health Organization. 1997. 24. Hosmer D W, Lemeshow S: A goodness-of-fit test for the multiple logistic regression. Communications in Statistics. 1980; A10: 1043- 1069. 25. http://statisztika.tatk.elte.hu/tanszeki_honlap/Tanrendek/Kabos %20Sandor/Bev.%20mat.stat/korrel.pdf [letöltve 21. május 2007.] Dr. Hermann P, Dr. Borbély J, Dr. Gera I, Dr. Fejérdy P, Dr. Soôs B, Dr. Madléna M: Risk assessment of periodontal disease in Hungary In this study, risk determinants were assessed for periodontal disease in the oral health survey of a representative Hun­garian adult population sample. 4153 individuals participated in the study after formal consent. Participants were ques­­tionned on level of education, dental office attendance, smoking habits, oral hygiene habits and general health con­ditions. Quality of fixed partial dentures ( FPD) were evaluated. Periodontal health status was assessed with the CPI method according to WHO criteria. When the prevalence of CPI scores was assessed by educational level, significant differences were found between groups. With increasing levels of education, a significantly higher percentage of subjects visited the dental office regu­larly. Higher prevalence of CPI 0 was found among those with higher level of education but there was also high preva­lence of CPI 2, representing bad oral hygiene in the highly educated group. Findings of our study showed high percent­age (66%) of the population attending the dental office only in case of emergency. The investigation revealed destructive effect of unsatisfactory construction of FPD on the periodontium. Healthy periodontium (CPI 0) was found among 16% of those wearing no FPD and 9% among FPD-wearers. The prevalence of deep periodontal pockets (CPI 4) was 1,6 times higher among smokers as non-smokers. Oral health statistics play an important role in planning for improvement of dental health care. Hungary needs effec­tive prevention programs and emphasize on regular dental office attendance of individuals to improve the nation’s oral health status. Key words: epidemiology, periodontal disease, CPI, risk factors, prevention

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