Community periodontal index of treatment needs and prevalence of periodontal conditions

Abstract

Only 8.5% of adults had at least one tooth with a 6 mm or deeper periodontal pocket when probing on 2 sites, whereas if probing is done all around the tooth, this percentage is 2.5x higher (21.4%). The partial recording of pocket depths (10 index teeth recommended by WHO, or 2 quadrants chosen at random) resulted in an underestimation of the prevalence of subjects with at least one tooth with a periodontal pocket (CPITN score 3 and 4). Among subjects with at least one tooth with a 6 mm or deeper periodontal pocket, 12% were not detected with the 10 index teeth recording, and 25% go undetected with the measure on 2 quadrants. Finally, using the % of subjects with periodontal pockets overestimates the prevalence of deep pockets compared with using sextants. Indeed, close to 30.0% of sextants have no treatment needs, whereas only 5.2% of subjects are in this category. Similarly, 7.7% of sextants have at least one tooth with a 6 mm or deeper periodontal pocket, yet there are 3x more subjects in this category (21.4%).

Are there differences between partial and total periodontal examination of the mouth?

“…According to sex when the presence of gingival bleeding was analyzed in both methods, the partial examination showed satisfactory results for both males and females, these data corroborate other [10].…”

“…Only the worst condition revealed on a sextant is recorded. Such index is therefore based on a hierarchical concept of progression of periodontal diseases [10,16]. Because of possible discrepancies that may occur between the evaluations that use partial recordings and full-mouth recordings, the method that uses only the tooth index is questioned by some authors [2,12,[17][18][19][20][21].…”

“…The CPI is an index widely recommended because it is easy to use and it has been adopted throughout the world, thus allowing international comparisons to be made [10]. This index was proposed by Ainamo et al [8], and has been implemented in several studies [11][12][13][14][15].…”

Association Between Periodontal Disease and Left Ventricle Mass in Essential Hypertension

“…Of these structures, periodontal ligament is a dynamic tissue with a high rate of remodeling and turnover, which connects the teeth to the alveolar bone. 1 Prevalence of periodontal disease approaches 14% over a wide age span, including younger and elderly people. 1 Periodontitis begins with a loss of alveolar bone and subsequent formation of a pocked around the tooth, the final stage being tooth mobility and loss.…”

“…1 Prevalence of periodontal disease approaches 14% over a wide age span, including younger and elderly people. 1 Periodontitis begins with a loss of alveolar bone and subsequent formation of a pocked around the tooth, the final stage being tooth mobility and loss. 2 Periodontal pocket can be detected with a periodontal probe and estimated through measurement of distance from gingival margin to the base of the periodontal pocket.…”