Abstract
AIM: To investigate oral hygiene and periodontal status of 12- and 15-year old Greek adolescents, in relation to sociodemographic and behavioural parameters. METHODS: A stratified cluster sample of 1,224 12-year old and 1,257 15-year old adolescents of Greek nationality were selected and examined by calibrated examiners. Periodontal and oral hygiene status were assessed using the Community Periodontal Index (CPI) and the simplified Debris Index (DI-s) respectively. The socio-demographic and behavioural data collected included region, location, gender, parental educational level, tooth brushing frequency and reason for dental attendance. RESULTS: The majority of adolescents aged 12 (75.0%) and 15-years (61.4%) had fair oral hygiene levels. The most frequently observed condition in both ages was calculus with or without bleeding (42.8% in the younger and 53.3% in the older age group). Bleeding on probing was found in 41.5% of the 12-year-olds and in 30.0% of the 15-year-olds. The occurrence of shallow and/ or deep periodontal pockets was very low (0.2%). Multivariable modelling revealed that gender, location and tooth brushing frequency were strongly associated with oral hygiene status in both ages; girls, those living in urban areas and brushing teeth more frequently had significantly lower DI-s. Tooth brushing frequency was also associated with periodontal status in both ages, while living in urban areas was associated with better periodontal health only in the 15-year-olds. CONCLUSIONS: The study demonstrated that oral hygiene conditions among Greek children and adolescents are not satisfactory and that the occurrence of gingivitis is high. More efforts on oral health education and oral hygiene instruction are needed to improve their periodontal and oral hygiene status.
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References
Albandar JM. Risk factors and risk indicators for periodontal diseases. Priodontology 2000, 2002, 29: 517–532.
Almeida CM, Petersen PE, Andre SJ, Toscano A: Changing oral health status of 6-and 12-year-old schoolchildren in Portugal. Community Dent Health, 2003; 20: 211–216.
Axelsson P, Albandar JM, Rams TE. Prevention and control of periodontal diseases in developing and industrialized nations. Periodontology 2000, 2002; 29: 235–246.
Benigeri M, Brodeur JM, Payette M, Charbonneau A, Ismail AI. Community periodontal index of treatment needs and prevalence of periodontal conditions. J Clin Periodontol, 2000; 27: 308–313.
Califano JV. Research, Science and Therapy Committee American Academy of Periodontology. Position paper: periodontal diseases of children and adolescents. J Periodontol, 2003; 74: 1696–1704.
Campus G, Solinas G, Cagetti MG etal. National pathfinder survey of 12-year-old children’s oral health in Italy. Caries Res, 2007; 41: 512–517.
Clerehugh V, Worthington HV, Lennon MA, Chandler R. Site progression of loss of attachment over 5 years in 14 to 19-year-old adolescents. J Clin Periodontol, 1995; 22: 15–21.
Corbet E, Davies W. The role of supragingival plaque in the control of progressive periodontal disease. J Clin Periodontol, 1993; 20: 307–313.
Corbet EF, Zee KY, Lo EC. Periodontal diseases in Asia and Oceania. Periodontol 2000, 2002; 29: 122–152.
Deepak PB, Tarulatha RS, Mallikarjun K. Study of oral hygiene status and prevalence of gingival diseases in 10–12 year school children in Maharashtra, India. J Int Oral Health, 2010; 2: 21–26.
Greene JC, Vermillion JR. The simplified oral hygiene index. J Amer Dent Ass, 1964; 68: 7–13.
Greene JC. The oral hygiene index-development and uses. J Periodontol, 1967 (suppl); 38: 625–637.
Grossi SG, Genco RJ, Machtei EE. Assessment of riskfor periodontal disease. II. Risk indicators for alveolar bone loss. J Periodontol, 1995; 66: 23–29.
Jenkins WM, Papapanou PN. Epidemiology of periodontal disease in children and adolescents. Periodontology 2000, 2001; 26: 16–32.
Khader YS. Factors associated with periodontal diseases in Jordan: principal component and factor analysis approach. J Oral Science, 2006; 48: 77–84.
Koposova N, Widstrom E, Eisemann M, Koposov R, Eriksen M. Oral health and quality of life in Norwegian and Russian school children: A pilot study. Stomatologija, Baltic Dental and Maxillofacial Journal, 2010; 12: 10–16.
Leroy R, Eaton K.A, Savage A. Methodological issues in epidemiological studies of periodontitis — How can it be improved? BMC Oral Health, 2010; 10:8. Available at: www.biomedcentral.com/1472-6831/10/8 doi: 10.1186/1472-6831-10-8.
Lopez R, Fernandez O, Baelum V. Social gradients in periodontal diseases among adolescents. Community Dent Oral Epidemiol, 2006; 34:184–196.
Lu HX, Wong MCM, McGrath C. Trends in oral health from childhood to early adulthood: a life course approach. Community Dent Oral Epidemiol, 2011; 39:352–360.
Mamai-Homata E, Polychronopoulou A, Topitsoglou V, Oulis C, Athanassouli T. Periodontal diseases in Greek adults between 1985 and 2005 — Risk indicators. Int Dent J, 2010; 60:293–299.
Marinho VCC, Higgins JPT, Sheiham A, Logan S. One topical fluoride (toothpastes, or mouthrinses, or gels, or varnishes) versus another for preventing dental caries in children and adolescents. Cochrane Database of systematic Reviews, 2004, Issue I.
Moller, I.J. Marthaler, T. National Oral Pathfinder Survey. Report on a visit to Greece. 1988: WHO regional office for Europe, Copenhagen.
Mombelli A, Rutar A, Lang NP. Correlation of the periodontal status 6 years after puberty with clinical and microbiological conditions during puberty. J Clin Periodontol, 1995; 22:300–305.
Petersen PE, Bourgeois D, Bratthall D, Ogawa H. Oral health information systems — towards measuring progress in oral health promotion and disease prevention. Bull World Health Organ, 2005; 83:686–693.
Plancak D, Aurer-Kozelj J. CPITN assessment of periodontal treatment needs in the population of Zagreb, Croatia. Int Dent J, 1992; 42:441–444.
Schiffner U, Hoffmann T, Kerschbaum T, Micheelis W. Oral health in German children, adolescents, adults and senior citizens in 2005. Community Dent Health, 2009; 26:18–22.
Vadiakas G, Oulis CJ, Tsinidou K, Mamai-Homata E, Polychronopoulou A. Socio-behavioural factors influencing oral health of 12 and 15 year old Greek adolescents. A national pathfinder survey. Eur Archs Paediatr Dent, 2011; 12:139–145.
Wang H, Petersen PE, Bian J, Zhang B. The second national survey of oral health status of children and adults in China. Int Dent J, 2002; 52:283–290.
White DA, Chadwick BL, Nuttall NM, Chestnutt IG, Steele JG. Oral health habits amongst children in the United Kingdom in 2003. Br Dent J, 2006; 200:487–491.
World Health Organization.: Oral health surveys. Basic methods. 1997; 4th ed. Geneva: WHO.
World Health Organization. Global Oral Data Bank. Periodontal country profiles. Available at: www.dent.niigata-u.ac.jp/prevent/perio/perio.html (accessed 7/6/2011).
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Vadiakas, G., Oulis, C.J., Tsinidou, K. et al. Oral hygiene and periodontal status of 12 and 15-year-old Greek adolescents. A national pathfinder survey. Eur Arch Paediatr Dent 13, 11–20 (2012). https://doi.org/10.1007/BF03262835
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DOI: https://doi.org/10.1007/BF03262835