Prevalencia de pérdida de inserción periodontal en una muestra de adolescentes de 15-19 años en Medellín, Colombia

Andrés Duque, Mario Macrini, Juan Felipe Raigoza, Luis Gonzalo Álvarez

Resumen


Introducción y Objetivo: La información epidemiológica acerca de la prevalencia de las enfermedades periodontales en adolescentes en Suramérica es escaza. Un estudio en Chile reportó que el 69,2% de los estudiantes adolescentes entre 12 y 21 años, tenían pérdida del nivel de inserción clínico ≥ 1mm, el 16% ≥ 2mm y el 4,5% ≥3mm. El objetivo de este estudio fue determinar las características epidemiológicas de la pérdida de inserción clínica de una muestra de adolescentes del Municipio de Medellín.

 

Materiales y métodos: Se realizó un estudio transversal como parte de un estudio multicéntrico sobre prevalencia de pérdida de inserción en Suramérica.  Se seleccionaron aleatoriamente estudiantes entre 15 y 19 años de  escuelas públicas y privadas del municipio de Medellín. Se evaluaron el nivel clínico de inserción (NIC), el  sangrado al sondaje (BoP) y la profundidad clínica de sondaje.

 

Resultados: Se evaluaron 73 estudiantes con un predominio del género masculino del 52,1%. El sangrado al sondaje y el índice de placa en mujeres fue de 11,1±10,8 y 54,2±26,1 respectivamente, mientras que en  los hombres fue de 15,1±15 y 44,2±21,1. Se  encontró que el 65%  de los hombres y el 60 % de las mujeres tenían pérdida de inserción ≥ 1mm. La prevalencia de pérdida de inserción ≥3 mm fue de 14 % en mujeres.

 

Conclusión: La prevalencia de pérdida de inserción leve en estudiantes de 15-19 años de colegios públicos y privados de la ciudad de Medellín es alta.

 

 

Prevalence of periodontal attachment loss in a sample of adolescents aged 15-19 in Medellin, Colombia

Introduction and objetive: The epidemiological information on the prevalence of periodontal disease in adolescents in South America is scarce. A study in Chile reported that 69.2% of teenage students between 12 and 21 years, had loss of clinical attachment level ≥ 1 mm, 16% had ≥ 2 mm loss and 4.5% ≥3mm. The aim of this study was to determine the epidemiological characteristics of the loss of a clinical sample of adolescents from Medellin insertion.

 

Materials and method: A cross-sectional study was conducted as part of a multicenter study in South America. Students between 15 and 19 years were randomized to public and private in the city of Medellin. Clinical attachment level (NIC), bleeding on probing (BOP) and clinical probing depth were evaluated.

 

Results: 73 students were evaluated with a prevalence of 52.1% male. Bleeding on probing and plaque index in women was 11.1 ± 10.8 and 54.2 ± 26.1respectively, while in men was 15.1 ± 15 and 44.2 ± 21, 1, respectively.  It was found that 65% of men and 60% of women had insertion loss ≥ 1mm. The prevalence of attachment loss ≥3 mm was 14% in women.

 

Conclusion: The prevalence of incipient clinical attachment loss is high in this sample of students aged 15-19.

 

Key words: periodontal diseases, periodontal attachment loss, periodontal pocket, prevalence.



Palabras clave


Enfermedad periodontal, perdida de inserción periodontal, bolsa periodontal y prevalencia

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Referencias


Burt B. Research, Science and Therapy Committee of the American Academy of Periodontology. Position paper: epidemiology of periodontal diseases. J Periodontol. 2005;76(8):1406-1419.

Flemmig TF. Periodontitis. Ann Periodontol Am Acad Periodontol. 1999;4(1):32-38.

Susin C, Haas AN, Valle PM, Oppermann RV, Albandar JM. Prevalence and risk indicators for chronic periodontitis in adolescents and young adults in south Brazil: Chronic periodontitis in young Brazilians. J Clin Periodontol. 2011;38(4):326-333.

Albandar JM, Tinoco EMB. Global epidemiology of periodontal diseases in children and young persons. Periodontol 2000. 2002;29:153-176.

Mros ST, Berglundh T. Aggressive periodontitis in children: a 14-19-year follow-up. J Clin Periodontol. 2010;37(3):283-287.

Berglundh T, Donati M. Aspects of adaptive host response in periodontitis. J Clin Periodontol. 2005;32 Suppl 6:87-107.

López R, Fernández O, Jara G, Baelum V. Epidemiology of clinical attachment loss in adolescents. J Periodontol. 2001;72(12):1666-1674.

Collins J, Carpio AM, Bobadilla M, Reyes R, Gúzman I, Martínez B, et al. Prevalence of clinical attachment loss in adolescents in Santo Domingo, Dominican Republic. J Periodontol. 2005;76(9):1450-1454.

Gjermo P, Rösing CK, Susin C, Oppermann R. Periodontal diseases in Central and South America. Periodontol 2000. 2002;29:70-78.

Gamonal J, Mendoza C, Espinoza I, Muñoz A, Urzúa I, Aranda W, et al. Clinical Attachment Loss in Chilean Adult Population: First Chilean National Dental Examination Survey. J Periodontol. 2010;81(10):1403-1410.

III ESTUDIO NACIONAL DE SALUD BUCAL - ENSAB III. Ministerio de Salud Colombia, 1999

IV ESTUDIO NACIONAL DE SALUD BUCAL - ENSAB III. Ministerio de Salud Colombia, https://www.minsalud.gov.co/.../ENSAB-IV-Situacion-Bucal-Actual.pdf , 2014

Albandar JM, Brown LJ, Genco RJ, Löe H. Clinical classification of periodontitis in adolescents and young adults. J Periodontol. 1997;68(6):545-555.

Thomson WM, Hashim R, Pack AR. The prevalence and intraoral distribution of periodontal attachment loss in a birth cohort of 26-year-olds. J Periodontol. 2000;71(12):1840-1845.

Lopez R, Baelum V. Classifying periodontitis among adolescents: implications for epidemiological research. Community Dent Oral Epidemiol. 2003;31(2):136-143.

Susin C, Kingman A, Albandar JM. Effect of partial recording protocols on estimates of prevalence of periodontal disease. J Periodontol. 2005;76(2):262-267.

Tran DT, Gay I, Du XL, Fu Y, Bebermeyer RD, Neumann AS, Streckfus C, Chan W, Walji MF. Assessment of partial-mouth periodontal examination protocols for periodontitis surveillance. J Clin Periodontol.2014;41(9):846-852.

Susin C, Haas AN, Albandar JM. Epidemiology and demographics of aggressive periodontitis. Periodontol 2000. 2014; 65(1):27-45.

Eke PI, Page RC, Wei L, Thornton-Evans G, Genco RJ. Update of the case definitions for population-based surveillance of periodontitis. J Periodontol. 2012;83(12):1449-1454.

Baelum V, López R. Defining a periodontitis case: analysis of a never-treated adult population. J Clin Periodontol. 2012 39(1):10-19.

Albandar JM. Underestimation of periodontitis in NHANES surveys. J Periodontol. 2011; 82(3):337-341.

Eke PI, Thornton-Evans GO, Wei L, Borgnakke WS, Dye BA. Accuracy of NHANES periodontal examination protocols. J Dent Res. 2010; 89(11):1208-1213.

Botero JE, Rösing CK, Duque A, Jaramillo A, Contreras A. Periodontal disease in children and adolescents of Latin America. Periodontol 2000. 2015;67(1):34-57.

Caffesse RG. A Latin American perspective of periodontology. Periodontol 2000. 2015;67(1):7-12.

Albandar JM. Epidemiology and risk factors of periodontal diseases. Dent Clin North Am. 2005; 49(3):517-532.

Badran Z, Struillou X, Verner C, Clee T, Rakic M, Martinez MC, Soueidan A. Periodontitis as a risk factor for systemic disease: Are microparticles the missing link? Med Hypotheses. 2015; 84(6):555-556.

Payne JB, Golub LM, Thiele GM, Mikuls TR. The Link between Periodontitis and Rheumatoid Arthritis: A Periodontist's Perspective. Curr Oral Health Rep. 2015; 2(1): 20-29.

Chapple IL, Van der Weijden F, Doerfer C, Herrera D, Shapira L, Polak D, et al. Primary prevention of periodontitis: managing gingivitis. J Clin Periodontol. 2015; 42(16):71-76.

Meyle J, Gonzáles JR. Influences of systemic diseases on periodontitis in children and adolescents. Periodontol 2000. 2001; 26(1): 92-112.

Hirschfeld J, Kawai T. Oral inflammation and bacteremia: implications for chronic and acute systemic diseases involving major organs. Cardiovasc Hematol Disord Drug Targets. 2015; 15(1):70-84.

Kudiyirickal MG, Pappachan JM. Diabetes mellitus and oral health. Endocrine. 2015; 49(1):27-34.

Pari A, Ilango P, Subbareddy V, Katamreddy V, Parthasarthy H. Gingival diseases in childhood - a review. J Clin Diagn Res. 2014; 8(10):1-4.

Kumar M, Mishra L, Mohanty R, Nayak R. Diabetes and gum disease: the diabolic duo. Diabetes Metab Syndr. 2014;8(4):255-258.

Usin MM, Menso J, Rodríguez VI, González A, Tabares S, Parodi R, Sembaj A. Association between maternal periodontitis and preterm and/or low birth weight infants in normal pregnancies. J Matern Fetal Neonatal Med. 2016;29(1)115-119.

Tonetti MS, Eickholz P, Loos BG, Papapanou P, van der Velden U, Armitage G, et al. Principles in prevention of periodontal diseases: Consensus report of group 1 of the 11(th) European Workshop on Periodontology on effective prevention of periodontal and peri-implant diseases. J Clin Periodontol. 2015; 42(16):5-11.

Lang NP, Suvan JE, Tonetti MS. Risk factor assessment tools for the prevention of periodontitis progression a systematic review. J Clin Periodontol. 2015;42(16):59-70.

Jin L, van Dijk W. Reinforcing and refining oral healthcare. Int Dent J. 2014; 64(6):285-286.

Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol 2000. 2013; 62(1):59-94.

Armitage GC. Learned and unlearned concepts in periodontal diagnostics: a

-year perspective. Periodontol 2000. 2013; 62(1):20-36.

van der Weijden F, Slot DE. Oral hygiene in the prevention of periodontal

Diseases : the evidence. Periodontol 2000. 201; 55(1):104-123.




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