Global epidemiology of dental caries and severe periodontitis – a comprehensive review

Abstract

Global epidemiology of dental caries and severe periodontitis -a comprehensive review. J Clin Periodontol 2017; 44 (Suppl. 18): S94-S105. doi: 10.1111/jcpe.12677. AbstractBackground: Dental caries and periodontitis are the most common oral diseases and major causes of tooth loss. Aim: To perform a review of global prevalence and incidence of dental caries and periodontitis. Methodology: Inclusion and exclusion criteria were developed. MEDLINE database and EMBASE database were used to search for eligible publications using keywords and MeSH terms. Additionally, WHO databank was used for obtaining dental caries information and PUBMED for a search on trends of dental caries prevalence and severity. Results: Over the last four decades, the prevalence and severity of dentine carious lesions among 5-and 12-year-olds have declined; the decay-component is very high, with the lowest prevalence among 12-year-olds in high-income countries, which also had the lowest prevalence among 35-to 44-year-olds; and the number of retained teeth has increased around the globe. The prevalence of periodontitis is high, with approximately 10% of the global population affected by severe periodontitis. Study heterogeneity and methodological issues hamper comparisons across studies and over time. Conclusion: While the prevalence of dental caries has decreased, the disease is prevalent in all age groups. The prevalence of periodontitis is high. There is insufficient evidence to conclude that the prevalence of periodontitis has changed over time.

Oral health parameters in the regional study among young seniors in an urban area of Wrocław

“…This assessment stems from the fact that there are no significant changes in the global prevalence and incidence of dental caries and periodontitis,which are the main medical causes of tooth loss. [6][7][8] The prevalence and incidence of untreated dental caries in older patients has remained unchanged over the past 20 years, with the third peak of incidence around the age of 70. This is partly due to the occurrence of dental root caries at this age.…”

“…The incidence peak for periodontitis occurs about the age of 38, and the prevalence of severe periodontitis reaches its maximum around the age of 40, and then it remains stable. 6,7 The loss of connective tissue attachment, progressing with age, causes the proportion of pathological changes in the elderly's periodontium to remain at a high level (especially if we apply the definition of periodontal inflammation, taking into account this parameter), leading to gum recession in a greater degree rather than to generalized new cases of severe periodontitis. The majority of the elderly suffer from persistent, localized and moderate forms of periodontitis, because the most severe forms cause tooth loss usually between the ages of 40 and 60.…”

“…In 2010, severe periodontitis ranged from 4.5% reported for the population of Oceania, to 20.4% reported for inhabitants of Southern Latin America. 6 These differences may be substantial, even within a country; for instance, the fourth German Dental Health Survey of 2005 shows that differences in the number of teeth between seniors aged 65-74 years from the western and eastern Länder were 14.1 vs 12.5, respectively. 10 Therefore, a representative regional research is a valuable supplement to a nationwide epidemiological research.…”

Association of chairside salivary aMMP-8 findings with periodontal risk assessment parameters in patients receiving supportive periodontal therapy

“…The prevalence of gingival and periodontal diseases remains high despite the global decline in dental caries [1]. Although the incidence of severe periodontitis in German adults (35–44 years of age) declined by half from 16% to 8.2% during the last decade, the incidence of moderate periodontitis remains high, as does the need for periodontal treatment, with approximately 60% of German adults requiring periodontal care [2].…”

Type IX secretion system : characterization of an effector protein and an insight into the role of c-terminal domain dimeration in outer membrane translocation.

“…The prevalence of a chronic form of periodontitis was notably found higher among the adult population (141 million) of United States [4,5]. The initial manifestations include gingivitis caused by the local immune responses, due to formation of plaque.…”