The Prevalance Of Juvenile Periodontitis Among Patietns Attending Khartoum Teaching Dental Hospital
The Prevalance Of Juvenile Periodontitis Among Patietns Attending Khartoum Teaching Dental Hospital
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Date
2015-03-31
Authors
Ali Ahmed, Fatima
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Abstract
The need to accurately determine the prevalence of disease is
important especially in establishing treatment needs for particular
population groups.
The purpose of this study was to determine the prevalence and gender
ratio of Juvenile periodontitis in selected Sudanese patients, to compare
those results with previous Sudanese figures and results, and determine
the percentage of localized and generalized Juvenile periodontitis
among those patients.
During three months (From November 2004 to January 2005) a total of
4.688 patients attending the out patient clinic at Khartoum Teaching
Dental Hospital were examined. Patients were diagnosed to be juvenile
periodontitis subjects if they had mild gingival inflammation, scanty
plaque deposits, have any tooth mobility or pathologic migration, their
age range from 11- 29 years and had a negative medical history.
Subjects were specifically excluded if they have a history of systemic
disease, with special attention to Down’s syndrome, blood dyscrasiase,
Papillon- Lefever syndrome and diabetes mellitus.
Panoramic radiographs to confirm the diagnosis (for 24 cases)
were taken. Radiographs show vertical bone loss (arch-shape). The
patients with juvenile periodontitis were then classified as localized or
generalized type. Any extracted or missing teeth were not included in
the criteria for the classification similar to what was used by Harmand
(1979). (42) Localized Juvenile periodontitis was characterized by loss of
attachment > 3mm around the incisors, molars and the mesial surface of
the second molars in both jaws. A more generalized pattern of
periodontal destruction, involving teeth other than or in addition to the
incisors and first molars, was recognized as generalized Juvenile
periodontitis.
Personal data for each patient with Juvenile periodontitis including age,
gender, occupation, tribe, residence as well as oral hygiene practice was
recorded.
Ninety-five cases of Juvenile periodontitis were diagnosed from the
total population (4688), 18 (18.9%) males and 77 (81.1%) females. The
over all prevalence of juvenile periodontitis was 2% and varied
considerably between males and females' .Females had a higher juvenile
periodontitis prevalence (1.6%) than males (0.4%) with female to male
ratio of 4:1.
Approximately (83.2%) of Juvenile periodontitis patients were
estimated to have localized Juvenile periodontitis while (16.8%) had a
generalized type. The data supports the idea that periodontal disease is
more prevalent among Sudanese coming from Western (38.9%) and
Northern (34.7%) than those from Eastern (3.2%) and Southern (1.1%)
Sudanese States.
Finally about 6 cases from the 95 patients with juvenile periodontitis
had supernumerary teeth , 4 of them were males and 2 were females.
In conclusion it is important to advice patients with juvenile
periodontitis for maintenance of good oral hygiene levels, together with
regular dental visits at an early stage of the disease progression.
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The Prevalance Of Juvenile Periodontitis Among Patietns Attending Khartoum Teaching Dental Hospital