Journal of Prevention and Treatment for Stomatological Diseases ›› 2017, Vol. 25 ›› Issue (12): 767-773.doi: 10.12016/j.issn.2096-1456.2017.12.004

• The Fourth National Epidemiological Survey of Oral Health • Previous Articles     Next Articles

A sampling survey of periodontal health status in 15-74-year-old population in Guangdong province (2015-2016)

Weihua FAN1(), Jianbo LI1, Wanghong ZHAO2, Ziqiang LIU1, Shaohong HUANG1()   

  1. 1.Stomatological Hospital of Southern Medical University Guangzhou 510280 China
    2.Department of Stomatology Nanfang Hospital Southern Medical University & Stomatological College of Southern Medical University
  • Received:2017-10-18 Revised:2017-11-06 Online:2017-01-04 Published:2018-09-03

Abstract:

Objective To investigate current status of periodontal health in the population at the age of 15-74 in Guangdong province and provide information for oral health care in Guangdong. Methods A stratified multistage randomly sampling design was applied to obtain 4 provincially representative sample groups consisted of 2784 Guangdong residents, aged at 15, 35-44, 55-64 and 65-74 respectively, with a gender ratio of half to half. The status of probing depth (PD) and loss of attachment (LOA) of the whole mouth were assessed according to the Guideline for the fourth National Oral Health Survey by using a CPI probe, and the data obtained were analyzed with SAS9.2 package. Results The prevalence of shallow periodontal pocket in the 15, 35-44, 55-64 and 65-74 years old group were 0.52%, 38.54%, 49.65%, 47.22% with 0.02, 2.05, 3.74, 2.80 affected teeth on average. The corresponding percentages of deep periodontal pocket in the 4 groups were 0.05%, 3.47%, 15.97%, 9.03% with 0, 0.07, 0.31, 0.16 affected teeth on average. Prevalence and the mean affected teeth of 4-5 mm LOA were 0.10%, 26.74%, 33.68%, 35.07% and 0, 1.54, 4.33, 4.05. The prevalence and the mean affected teeth of 6-8 mm LOA were 0, 6.94%, 32.29%, 27.08% and 0, 0.24, 1.23, 0.97. The prevalence of LOA≥4 mm were 0.10%, 35.07%, 79.17%, 74.65% and the prevalence of LOA≥6 mm were 0, 8.33%, 45.49%, 39.58%. In the 35-74 years old group, the prevalence and the mean teeth with PD and LOA increased with age and reached a peak in 55-64 years old group (P < 0.05). There were no significant differences in the prevalence and the mean teeth of PD and LOA between urban and rural areas. The mean teeth of PD in 35-44 and 55-64 years old groups were significant higher in the male than the female. The prevalence and the mean teeth with LOA were both significant higher in the male than the female. Conclusion The periodontal diseases indications are common in 35-74 years old people and most necessary at the age of 55-64 in Guangdong. The periodontal health may have extensive influence on oral health status in the middle-aged and the elder population in Guangdong.

Key words: Periodontitis, Oral epidemiology, Survey, Cross-sectional survey, Oral health care

CLC Number: 

  • R781.4

Table 1

Prevalence and mean of probing depth (PD) in 15, 35-44, 55-64 and 65-74 year old population in Guangdong province"

年龄
(岁)
城乡/
性别
受检
人数
浅牙周袋(4~6 mm) 深牙周袋(≥6 mm) 有牙周袋 Z P1 χ2 P2
检出
牙数
检出率
(%)
检出
牙数
检出率
(%)
检出
牙数
检出率
(%)
15 960 15 0.02 ± 0.28 0.31 1 0.00 ± 0.03 0.10 16 0.02 ± 0.31 0.42 0.905 0.366 0.823 0.364
960 19 0.02 ± 0.29 0.73 0 0.00 ± 0.00 0.00 19 0.02 ± 0.29 0.73
960 10 0.01 ± 0.21 0.42 0 0.00 ± 0.00 0.00 10 0.01 ± 0.21 0.42 0.910 0.363 0.823 0.364
960 24 0.03 ± 0.34 0.63 1 0.00 ± 0.03 0.10 25 0.03 ± 0.36 0.73
合计 1 920 34 0.02 ± 0.28 0.52 1 0.00 ± 0.02 0.05 35 0.02 ± 0.30 0.57
35~44 144 321 2.23 ± 4.54 38.19 15 0.10 ± 0.67 4.17 336 2.33 ± 4.86 42.36 0.107 0.915 0.014 0.905
144 270 1.88 ± 3.72 38.89 6 0.04 ± 0.29 2.78 276 1.92 ± 3.85 41.67
144 384 2.67 ± 4.73 42.36 16 0.11 ± 0.67 4.86 400 2.78 ± 5.07 47.22 2.466 0.014 3.207 0.073
144 207 1.44 ± 3.37 34.72 5 0.03 ± 0.28 2.08 212 1.47 ± 3.46 36.81
合计 288 591 2.05 ± 4.15 38.54 21 0.07 ± 0.51 3.47 612 2.13 ± 4.38 42.01
55~64 144 528 3.67 ± 5.00 47.92 56 0.39 ± 1.35 16.67 584 4.06 ± 5.58 64.58 0.120 0.904 0.139 0.710
144 548 3.81 ± 5.39 51.39 33 0.23 ± 0.64 15.28 581 4.03 ± 5.60 66.67
144 649 4.51 ± 5.81 54.17 50 0.35 ± 1.32 15.97 699 4.85 ± 6.23 70.14 2.176 0.029 2.601 0.107
144 427 2.97 ± 4.38 45.14 39 0.27 ± 0.72 15.97 466 3.24 ± 4.73 61.11
合计 288 1 076 3.74 ± 5.19 49.65 89 0.31 ± 1.06 15.97 1 165 4.05 ± 5.58 65.63
65~74 144 413 2.87 ± 4.64 47.22 24 0.17 ± 0.69 9.72 437 3.03 ± 4.89 56.94 0.202 0.840 0.056 0.812
144 392 2.72 ± 4.22 47.22 22 0.15 ± 0.70 8.33 414 2.88 ± 4.50 55.56
144 456 3.17 ± 4.94 43.75 33 0.23 ± 0.86 13.19 489 3.40 ± 5.27 56.94 0.767 0.443 0.056 0.812
144 349 2.42 ± 3.83 50.69 13 0.09 ± 0.47 4.86 362 2.51 ± 4.00 55.56
合计 288 805 2.80 ± 4.43 47.22 46 0.16 ± 0.70 9.03 851 2.95 ± 4.69 56.25

Table 3

Prevalence of periodontitis in 15, 35-44, 55-64 and 65-74 year old population in Guangdong province"

年龄
(岁)
城乡/
性别
受检
人数
健康 轻度 中度 重度 轻度 + 中度
人数 检出率
(%)
人数 检出率
(%)
人数 检出率
(%)
人数 检出率
(%)
人数 检出率
(%)
15 960 956 99.58 3 0.31 1 0.10 0 0 4 0.42
960 955 99.48 4 0.42 1 0.10 0 0 5 0.52
960 958 99.79 1 0.10 1 0.10 0 0 2 0.21
960 953 99.27 6 0.63 1 0.10 0 0 7 0.73
合计 1 920 1911 99.53 7 0.36 2 0.10 0 0 9 0.47
35~44 144 92 63.89 18 12.50 31 21.53 3 2.08 49 34.03
144 92 63.89 19 13.19 30 20.83 3 2.08 49 34.03
144 75 52.08 24 16.67 41 28.47 4 2.78 65 45.14
144 109 75.69 13 9.03 20 13.89 2 1.39 33 22.92
合计 288 184 63.89 37 12.85 61 21.18 6 2.08 98 34.03
55~64 144 36 25.00 9 6.25 83 57.64 16 11.11 92 63.89
144 40 27.78 6 4.17 84 58.33 14 9.72 90 62.50
144 31 21.53 8 5.56 91 63.19 14 9.72 99 68.75
144 45 31.25 7 4.86 76 52.78 16 11.11 83 57.64
合计 288 76 26.39 15 5.21 167 57.99 30 10.42 182 63.19
65~74 144 58 40.28 7 4.86 70 48.61 9 6.25 77 53.47
144 38 26.39 7 4.86 87 60.42 12 8.33 94 65.28
144 42 29.17 2 1.39 85 59.03 15 10.42 87 60.42
144 54 37.50 12 8.33 72 50.00 6 4.17 84 58.33
合计 288 96 33.33 14 4.86 157 54.51 21 7.29 171 59.37
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