Serveur d'exploration sur le patient édenté

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Periodontal Disease in American Indians and Alaska Natives

Identifieur interne : 008E36 ( Main/Exploration ); précédent : 008E35; suivant : 008E37

Periodontal Disease in American Indians and Alaska Natives

Auteurs : Fred B. Skrepcinski ; William J. Niendorff

Source :

RBID : ISTEX:72470185D53E5A27CE0FC4AFBCCFAD819289180C

Descripteurs français

English descriptors

Abstract

Objective: The primary purpose of this paper is to provide information on the periodontal disease status of Native Americans using a variety of data sources. The impact of periodontal disease on the provision of dental care within the Indian Health Service (IHS) is also discussed. Methods: Four data sources were used to evaluate the periodontal disease status of Native Americans: IHS periodontal disease monitoring system (1962‐78), 1984 IHS Patient Oral Health Survey, 1990 WHO community‐based survey (ICS‐II), and the 1991 IHS Patient Oral Health Survey. Results: There appears to be a trend toward a higher prevalence of incipient and overt periodontal disease among Native Americans over time. The prevalence of overt periodontal disease (periodontal pockets >5.5 mm) is higher among Native American diabetic patients than nondiabetic patients (34% vs 19%). Conclusions: Due to the variety of indices used by the IHS during the last 20 years, it is difficult to make direct comparisons of the available periodontal disease data. However, it appears that the prevalence of periodontal disease among Native Americans is increasing. Type II diabetes accounts for significant increases in periodontal disease and tooth loss in Native American populations. Certain forms of early onset periodontal disease also may pose significant threats to the oral health of Native Americans.

Url:
DOI: 10.1111/j.1752-7325.2000.tb04072.x


Affiliations:


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Le document en format XML

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<title level="j" type="main">Journal of Public Health Dentistry</title>
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<term>Alaska natives</term>
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<term>Data sources</term>
<term>Dent</term>
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<term>Diabetes</term>
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<term>Diabetes mellitus</term>
<term>Diabetic</term>
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<term>Diabetic status</term>
<term>Disease category</term>
<term>Early onset</term>
<term>Health survey</term>
<term>High prevalence</term>
<term>High risk</term>
<term>Higher prevalence</term>
<term>Highest cpitn score</term>
<term>Icsii</term>
<term>Indian health service</term>
<term>Juvenile periodontitis</term>
<term>Monitoring data</term>
<term>More teeth</term>
<term>National survey</term>
<term>Native american</term>
<term>Native american adults</term>
<term>Native american patients</term>
<term>Native american populations</term>
<term>Native americans</term>
<term>Navajo</term>
<term>Navajo indians</term>
<term>Nondiabetic patients</term>
<term>Oral health</term>
<term>Oral health status</term>
<term>Patient icsii</term>
<term>Patient monitoring system</term>
<term>Patient sample</term>
<term>Patient survey</term>
<term>Periodontal</term>
<term>Periodontal care</term>
<term>Periodontal disease</term>
<term>Periodontal disease prevention</term>
<term>Periodontal disease status</term>
<term>Periodontal health</term>
<term>Periodontal index</term>
<term>Periodontal risk</term>
<term>Periodontal status</term>
<term>Periodontal treatment</term>
<term>Periodontitis</term>
<term>Prevalence</term>
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<term>Public health dentistry</term>
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<term>Sextant</term>
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<term>Dental caries</term>
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<term>Dentist examiners</term>
<term>Diabetes</term>
<term>Diabetes care</term>
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<term>Diabetic patients</term>
<term>Diabetic status</term>
<term>Disease category</term>
<term>Early onset</term>
<term>Health survey</term>
<term>High prevalence</term>
<term>High risk</term>
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<term>Highest cpitn score</term>
<term>Icsii</term>
<term>Indian health service</term>
<term>Juvenile periodontitis</term>
<term>Monitoring data</term>
<term>More teeth</term>
<term>National survey</term>
<term>Native american</term>
<term>Native american adults</term>
<term>Native american patients</term>
<term>Native american populations</term>
<term>Native americans</term>
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<term>Navajo indians</term>
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<term>Oral health</term>
<term>Oral health status</term>
<term>Patient icsii</term>
<term>Patient monitoring system</term>
<term>Patient sample</term>
<term>Patient survey</term>
<term>Periodontal</term>
<term>Periodontal care</term>
<term>Periodontal disease</term>
<term>Periodontal disease prevention</term>
<term>Periodontal disease status</term>
<term>Periodontal health</term>
<term>Periodontal index</term>
<term>Periodontal risk</term>
<term>Periodontal status</term>
<term>Periodontal treatment</term>
<term>Periodontitis</term>
<term>Prevalence</term>
<term>Public health dent</term>
<term>Public health dentistry</term>
<term>Regional differences</term>
<term>Sextant</term>
<term>Special issue</term>
<term>Statewide survey</term>
<term>Tooth loss</term>
<term>Treatment model</term>
<term>Treatment programs</term>
<term>World health organization</term>
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<div type="abstract">Objective: The primary purpose of this paper is to provide information on the periodontal disease status of Native Americans using a variety of data sources. The impact of periodontal disease on the provision of dental care within the Indian Health Service (IHS) is also discussed. Methods: Four data sources were used to evaluate the periodontal disease status of Native Americans: IHS periodontal disease monitoring system (1962‐78), 1984 IHS Patient Oral Health Survey, 1990 WHO community‐based survey (ICS‐II), and the 1991 IHS Patient Oral Health Survey. Results: There appears to be a trend toward a higher prevalence of incipient and overt periodontal disease among Native Americans over time. The prevalence of overt periodontal disease (periodontal pockets >5.5 mm) is higher among Native American diabetic patients than nondiabetic patients (34% vs 19%). Conclusions: Due to the variety of indices used by the IHS during the last 20 years, it is difficult to make direct comparisons of the available periodontal disease data. However, it appears that the prevalence of periodontal disease among Native Americans is increasing. Type II diabetes accounts for significant increases in periodontal disease and tooth loss in Native American populations. Certain forms of early onset periodontal disease also may pose significant threats to the oral health of Native Americans.</div>
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