Global Prevalence of Periodontal Disease and Lack of Its Surveillance

Background. Periodontal disease is a public health problem and is strongly associated with systemic diseases; however, its worldwide distribution is not fully understood. Objective. To evaluate global data of periodontal disease: (1) among adolescents, adults, and older population and (2) in low-, m...

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Main Authors: Muhammad Nazir, Asim Al-Ansari, Khalifa Al-Khalifa, Muhanad Alhareky, Balgis Gaffar, Khalid Almas
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2020/2146160
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author Muhammad Nazir
Asim Al-Ansari
Khalifa Al-Khalifa
Muhanad Alhareky
Balgis Gaffar
Khalid Almas
author_facet Muhammad Nazir
Asim Al-Ansari
Khalifa Al-Khalifa
Muhanad Alhareky
Balgis Gaffar
Khalid Almas
author_sort Muhammad Nazir
collection DOAJ
description Background. Periodontal disease is a public health problem and is strongly associated with systemic diseases; however, its worldwide distribution is not fully understood. Objective. To evaluate global data of periodontal disease: (1) among adolescents, adults, and older population and (2) in low-, middle-, and high-income countries. Methods. This ecological study included data of periodontal disease from the World Health Organization’s data bank which are based on the Community Periodontal Index of Treatment Needs (CPITN code: 0 = no disease; 1 = bleeding on probing; 2 = calculus; 3 = periodontal pocket (PD) 4-5 mm; 4 = PD (6+ mm). Age- and income-related periodontal disease inequalities were evaluated across the globe. Results. Compared with 9.3% of adults and 9.7% of older persons, 21.2% of adolescents had no periodontal disease (P=0.005). Nearly 18.8% of adolescents compared with 8.9% of adults and 5% of older persons had bleeding on probing (P≤0.001). Similarly, 50.3% of adolescents, 44.6% of adults, and 31.9% older persons demonstrated the occurrence of calculus (P=0.01). On the other hand, older persons had the highest prevalence of PD 4-5 mm and PD 6+ mm than adults and adolescents (P≤0.001). The distribution of periodontitis (CPITN code 3 + 4) in adults differed significantly in low- (28.7%), lower-middle- (10%), upper-middle- (42.5%), and high-income countries (43.7%) (P=0.04). However, no significant differences in periodontitis (CPITN code 3 + 4) were observed in adolescents and older persons in low- to high-income countries. Conclusions. Within the limitations of data, this study found that the distribution of periodontal disease increases with age. Periodontitis was the most common in older persons and in population from high-income countries.
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spelling doaj-art-4ff1ef2d1ae04767aedfcfac377bf0e12025-08-20T02:05:38ZengWileyThe Scientific World Journal2356-61401537-744X2020-01-01202010.1155/2020/21461602146160Global Prevalence of Periodontal Disease and Lack of Its SurveillanceMuhammad Nazir0Asim Al-Ansari1Khalifa Al-Khalifa2Muhanad Alhareky3Balgis Gaffar4Khalid Almas5Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaBackground. Periodontal disease is a public health problem and is strongly associated with systemic diseases; however, its worldwide distribution is not fully understood. Objective. To evaluate global data of periodontal disease: (1) among adolescents, adults, and older population and (2) in low-, middle-, and high-income countries. Methods. This ecological study included data of periodontal disease from the World Health Organization’s data bank which are based on the Community Periodontal Index of Treatment Needs (CPITN code: 0 = no disease; 1 = bleeding on probing; 2 = calculus; 3 = periodontal pocket (PD) 4-5 mm; 4 = PD (6+ mm). Age- and income-related periodontal disease inequalities were evaluated across the globe. Results. Compared with 9.3% of adults and 9.7% of older persons, 21.2% of adolescents had no periodontal disease (P=0.005). Nearly 18.8% of adolescents compared with 8.9% of adults and 5% of older persons had bleeding on probing (P≤0.001). Similarly, 50.3% of adolescents, 44.6% of adults, and 31.9% older persons demonstrated the occurrence of calculus (P=0.01). On the other hand, older persons had the highest prevalence of PD 4-5 mm and PD 6+ mm than adults and adolescents (P≤0.001). The distribution of periodontitis (CPITN code 3 + 4) in adults differed significantly in low- (28.7%), lower-middle- (10%), upper-middle- (42.5%), and high-income countries (43.7%) (P=0.04). However, no significant differences in periodontitis (CPITN code 3 + 4) were observed in adolescents and older persons in low- to high-income countries. Conclusions. Within the limitations of data, this study found that the distribution of periodontal disease increases with age. Periodontitis was the most common in older persons and in population from high-income countries.http://dx.doi.org/10.1155/2020/2146160
spellingShingle Muhammad Nazir
Asim Al-Ansari
Khalifa Al-Khalifa
Muhanad Alhareky
Balgis Gaffar
Khalid Almas
Global Prevalence of Periodontal Disease and Lack of Its Surveillance
The Scientific World Journal
title Global Prevalence of Periodontal Disease and Lack of Its Surveillance
title_full Global Prevalence of Periodontal Disease and Lack of Its Surveillance
title_fullStr Global Prevalence of Periodontal Disease and Lack of Its Surveillance
title_full_unstemmed Global Prevalence of Periodontal Disease and Lack of Its Surveillance
title_short Global Prevalence of Periodontal Disease and Lack of Its Surveillance
title_sort global prevalence of periodontal disease and lack of its surveillance
url http://dx.doi.org/10.1155/2020/2146160
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