Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/588017da7f8c9d0a098b493f
Revista de Odontologia da UNESP
Original Article

Avaliação da necessidade de tratamento periodontal e índice de cárie radicular numa população de Anápolis - GO

Periodontal treatment needs and root caries index of a Anapolis - GO population

Moraes, L.C.; Mori, K.S.; Lima, A.A.; Stefani, C.M.

Downloads: 0
Views: 1146

Resumo

O objetivo deste estudo foi avaliar a necessidade de tratamento periodontal e o Índice de Cárie Radicular (ICR) de pacientes dentados com 40 ou mais anos que procuraram tratamento no Curso de Odontologia da UniEVANGÉLICA. Foram examinados 140 pacientes. Para a análise da necessidade de tratamento periodontal, foi utilizado o Índice PSR modificado. A recessão gengival foi medida em milímetros, e foi calculado o Índice de Cárie Radicular (superfícies radiculares cariadas ou restauradas/total de superfícies radiculares expostas x 100%). Observou-se diminuição do número médio de dentes remanescentes (40-49 anos: 20,1; 70 anos ou mais: 12,3); aumento da extensão e severidade das recessões gengivais (40-49 anos: 56,01% e 1,74 mm; 70 anos ou mais: 91,89% e 3,72 mm, respectivamente) e aumento no Índice de Cárie Radicular (40-49 anos: 5,4%; 70 anos ou mais: 10%) em função da idade. Entretanto, a necessidade de tratamento periodontal (PSR graus 3 e 4 verdadeiros) foi maior nos grupos de faixa etária mais baixa. Concluiu-se que, com a progressão da idade, houve redução da necessidade de tratamento periodontal e aumento no Índice de Cárie Radicular.

Palavras-chave

Cavidade dentária/epidemiologia, periodontite/epidemiologia, envelhecimento

Abstract

The aim of this study was to evaluate the periodontal treatment needs and the Root Caries Index (RCI) from 40 years old or elder patients of UniEVANGELICA School of Dentistry. 140 dentated patients were examined. For Periodontal Treatment Needs evaluation it was used a modified Periodontal Screening and Recording (PSR) index. Gingival recession was measured in millimeters and the Root Caries Index was calculated (decayed or filled root surfaces/total exposed root surfaces x 100%). It was observed a reduction in remaining teeth (40-49 years old: 20.1; 70 years old or older: 12.3); increased severity and extension of gingival recession (40-49 years old: 56,01% and 1.74 mm; 70 years old or older: 91.89% and 3.72 mm, respectively) and increased Root Caries Index (40-49 years old: 5.4%; 70 years old or older: 10%) related to aging. However, the Periodontal Treatment Needs (true 3 and 4 PSR scores) were higher at low age patients. It was concluded that, with aging, there were less Periodontal Treatment Needs, while the Root Caries Index increased.

Keywords

Dental cavity/epidemiology, periodontitis/epidemiology, aging

References



1. World Health Organization. Men ageing and health - achieving health across the life span [cited 2002 Feb 19]. Available from: http://www.who.int/hpr/ageing/ Men%20Ageing%20and%20Health.pdf

2. Meneghim MC, Pereira AC, Silva FRB. Prevalência de cárie radicular e condição periodontal numa população idosa institucionalizada de Piracicaba, SP. Pesqui Odontol Bras. 2002;16:50-6.

3. Locker D, Leake JL. Coronal and root decay experience in older adults in Ontario, Canada. J Public Health Dent. 1993;53:158-64.

4. Guivante-Nabet C, Tavernier JC, Trevoux M, Berenholc C, Berdal A. Active and inactive caries lesions in a selected elderly institutionalized French population. Int Dent J. 1998;48:111-22.

5. Keltjens H, Sechaeken T, van der Hoeven H. Preventive aspects of root caries. Int Dent J. 1993;43:143-8.

6. Warren JJ, Cowen HJ, Watkins CM, Hand JS. Dental caries prevalence and dental care utilization among the very old. J Am Dent Assoc. 2000;131:1571-9.

7. Ravald N. Root surface caries. Curr Opin Periodontol. 1994:78-86.

8. Vehkalahti M, Paunio I. Association between root caries ocurrence and periodontal state. Caries Res. 1994;28:301-6.

9. Vehkalahti M, Vrbic VL, Peric LM, Matvoz ES. Oral hygiene and root caries occurrence in Slovenian adults. Int Dent J. 1997;47:26-31.

10. Ettinger RL. Epidemiology of dental caries – a broad review. Dent Clin North Am. 1999;43:679-94.

11. Reiker J, van der Velden U, Barendregt DS, Loos BG. A cross-sectional study into the prevalence of root caries in periodontal maintenance patients. J Clin Periodontol. 1999;26:26-32.

12. Nunn J, Morris J, Pine C, Pitts NB, Bradnock G, Steele J. The condition of teeth in the UK in 1998 and implications for the future. Br Dent J. 2000;189:639-44.

13. Papas A, Joshi A, Giunta J. Prevalence and intraoral distribution of coronal and root caries in middle-aged and older adults. Caries Res. 1992;26:459-65.

14. Stefani CM, Rodrigues IFG, Façanha CP, Pereira SLS, Sallum EA, Nociti Júnior FH. Avaliação da necessidade de tratamento periodontal e índice de cárie radicular numa população de Fortaleza-CE. Rev Odontol UNESP. 2003;32:61-6.

15. Rihs LB, Sousa MLR, Wada RS. Prevalência de cárie radicular em adultos e idosos na região sudeste do Estado de São Paulo, Brasil. Cad Saúde Pública. 2005; 21:311- 6.

16. Katz RV. Development of an index for the prevalence of root caries. J Dent Res. 1984;63(special issue):814-8.

17. Walls AWG, Silver PT, Steele JG. Impact of treatment provision on the epidemiological recording of root caries. Eur J Oral Sci. 2000;108:3-8.

18. Heinrich R, Heinrich J, Künzel W. Will root caries become a treatment problem of the future? Zahn Mund Kieferheilhd Zentralbl. 1990;78:253-7.

19. Ravald N, Birkhed D. Prediction of root caries in periodontology treated patients maintained with different fluoride programs. Caries Res. 1992;26:450-8.

20. Ravald N, Birkhed D, Hamp SE. Root caries susceptibility in periodontally treated patients – results after 12 years. J Clin Periodontol. 1993;20:124-9.

21. Beck JD. The epidemiology of root surface caries: north american studies. Adv Dent Res. 1993;7:42-51.

22. Winn DM, Brunelle JA, Selwitz RH, Kaste LM, Oldakowski RJ, Kingman A, et al. Coronal and root caries in the dentition of adults in the United States, 1988-1991. J Dent Res. 1996; 75(special issue):642-51.

23. Mack F, Mojon P, Budtz-Jorgensen E, Kocher T, Splieth C, Schwahn C, et al. Caries and periodontal disease of the elderly in Pomerania, Germany: results of the Study of Health in Pomerania. Gerodontology. 2004;21:27-36.

24. Powell LV, Leroux BG, Persson RE, Kiyak HA. Factors associated with caries incidence in an elderly population. Community Dent Oral Epidemiol. 1998;26:170-6.

25. Kalsbeek H, Truin GJ, van Rossum GM, van Rijkom HM, Poorterman JH, Verrips GH. Trends in caries prevalence in Dutch adults between 1983 and 1995. Caries Res. 1998;32:160-5.

26. Watanabe MGC. Root caries prevalence in a group of Brazilian adult dental patients. Braz Dent J. 2003;14:153- 6.

27. Splieth CH, Schwahn CH, Bernhardt O, John U. Prevalence and distribution of root caries in Pomerania, North-East Germany. Caries Res. 2004;38:333-40.

28. Joshi A, Papas AS, Giunta J. Root caries incidence and associated risk factors in middle aged and older adults. Gerodontology. 1993;10(2):83-9.

29. Youngs G. Risk factors and the prevention of root caries in older adults. Spec Care Dent. 1994;14(2):68-70.

30. Beck JD, Drake CW. Do root lesions tend to develop in the same people who develop coronal lesions? J Public Health Dent. 1997;57(2):82-8.
588017da7f8c9d0a098b493f rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections