PMID- 17502711
OWN - NLM
STAT- MEDLINE
DCOM- 20070731
LR  - 20220409
IS  - 0970-9290 (Print)
IS  - 0970-9290 (Linking)
VI  - 18
IP  - 2
DP  - 2007 Apr-Jun
TI  - Assessment of periodontal status in dental fluorosis subjects using community 
      periodontal index of treatment needs.
PG  - 67-71
AB  - BACKGROUND: Periodontitis is multifactorial in nature. The various determinants 
      of periodontal disease are age, sex, race, socioeconomic status and risk factors 
      including tobacco usage and oral hygiene status. However, there is inconsistent 
      epidemiological data on the periodontal status of subjects living in 
      high-fluoride areas. The aim of the study was to investigate the effect of dental 
      fluorosis on the periodontal status using community periodontal index of 
      treatment needs (CPITN), as a clinical study. The purpose of this study is to 
      determine the periodontal status using CPITN index in a population aged between 
      15 and 74 years residing in the high fluoride areas of Davangere district. The 
      possible reasons for the susceptibility of this population to periodontal disease 
      are discussed. MATERIALS AND METHODS: 1029 subjects, aged between 15 and 74 years 
      suffering from dental fluorosis were assessed for their periodontal status. 
      Clinical parameters recorded were OHI-S to assess the oral hygiene status, 
      Jackson's fluorosis index to assess the degree of fluorosis and CPITN index to 
      assess the periodontal status where treatment need was excluded. RESULTS: 
      Gingivitis and periodontitis were more common in females (65.9% and 
      32.8%,respectively) than in males (75.1% and 24.2%, respectively). Periodontitis 
      was significantly more common in females. As the age advanced from 15 to 55 years 
      and above, gingivitis reduced from 81.0 to 42.9% and periodontitis increased 
      steadily from 18.0 to 57.1%, which was significant. Periodontitis was high in 
      subjects with poor oral hygiene (81.3%), compared to those with good oral hygiene 
      (14.5%), which was significant. As the degree of fluorosis increased, severity of 
      gingivitis reduced and periodontitis increased, i.e, with A degree fluorosis, 
      gingivitis was 89.4% and periodontitis 8.5%, but with F degree fluorosis the 
      former was 64% and the latter 35.8%, which was statistically significant. 
      CONCLUSION: The results suggest that there is a strong association of occurrence 
      of periodontal disease in high-fluoride areas. The role of plaque is well 
      understood in contrast to the effect of fluorides on periodontal tissues. It goes 
      a long way to reason out fluoride as an important etiological agent in 
      periodontal disease.
FAU - Vandana, K L
AU  - Vandana KL
AD  - Department of Periodontics, College of Dental Sciences, Davangere - 577 004, 
      Karnataka, India. vanrajs@hotmail.com
FAU - Reddy, M Sesha
AU  - Reddy MS
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - India
TA  - Indian J Dent Res
JT  - Indian journal of dental research : official publication of Indian Society for 
      Dental Research
JID - 9202990
MH  - Adolescent
MH  - Adult
MH  - Age Distribution
MH  - Aged
MH  - Chi-Square Distribution
MH  - Comorbidity
MH  - Dental Health Surveys
MH  - Dental Plaque/epidemiology
MH  - Female
MH  - Fluorosis, Dental/*epidemiology
MH  - Gingivitis/*epidemiology
MH  - Health Services Needs and Demand/statistics & numerical data
MH  - Humans
MH  - India/epidemiology
MH  - Male
MH  - Middle Aged
MH  - *Periodontal Index
MH  - Periodontitis/*epidemiology
MH  - Prevalence
MH  - Sex Distribution
EDAT- 2007/05/16 09:00
MHDA- 2007/08/01 09:00
CRDT- 2007/05/16 09:00
PHST- 2007/05/16 09:00 [pubmed]
PHST- 2007/08/01 09:00 [medline]
PHST- 2007/05/16 09:00 [entrez]
AID - 10.4103/0970-9290.32423 [doi]
PST - ppublish
SO  - Indian J Dent Res. 2007 Apr-Jun;18(2):67-71. doi: 10.4103/0970-9290.32423.