Tooth mortality in an adult rural population in Kenya.
Identifieur interne : 00BE55 ( Main/Exploration ); précédent : 00BE54; suivant : 00BE56Tooth mortality in an adult rural population in Kenya.
Auteurs : F. Manji [Kenya] ; V. Baelum ; O. FejerskovSource :
- Journal of dental research [ 0022-0345 ] ; 1988.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de regroupements, Bouche édentée (épidémiologie), Caries dentaires (), Caries dentaires (épidémiologie), Extraction dentaire (), Femelle, Humains, Kenya (épidémiologie), Maladies parodontales (), Maladies parodontales (épidémiologie), Mâle, Pays en voie de développement, Perte dentaire (épidémiologie), Perte dentaire (étiologie), Planification en santé, Prévalence, Sujet âgé, Études par échantillonnage.
- MESH :
- épidémiologie : Bouche édentée, Caries dentaires, Kenya, Maladies parodontales, Perte dentaire.
- étiologie : Perte dentaire.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de regroupements, Caries dentaires, Extraction dentaire, Femelle, Humains, Maladies parodontales, Mâle, Pays en voie de développement, Planification en santé, Prévalence, Sujet âgé, Études par échantillonnage.
- Wicri :
- geographic : Kenya.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Cluster Analysis, Dental Caries (complications), Dental Caries (epidemiology), Developing Countries, Female, Health Planning, Humans, Kenya (epidemiology), Male, Middle Aged, Mouth, Edentulous (epidemiology), Periodontal Diseases (complications), Periodontal Diseases (epidemiology), Prevalence, Sampling Studies, Tooth Extraction (statistics & numerical data), Tooth Loss (epidemiology), Tooth Loss (etiology).
- MESH :
- geographic , epidemiology : Kenya.
- complications : Dental Caries, Periodontal Diseases.
- epidemiology : Dental Caries, Mouth, Edentulous, Periodontal Diseases, Tooth Loss.
- etiology : Tooth Loss.
- statistics & numerical data : Tooth Extraction.
- Adolescent, Adult, Aged, Cluster Analysis, Developing Countries, Female, Health Planning, Humans, Male, Middle Aged, Prevalence, Sampling Studies.
Abstract
This paper reports on the pattern of tooth loss in a random sample of 1131 adults aged from 15 to 65 years in a rural area of Kenya in which access to formal dental care is minimal. We found that the majority of the population retained most of their dentition in a functional state even up to the age of 65 years: In all age groups, more than 50% had at least 26 teeth present, and more than 90% had at least 16 teeth present. The prevalence of edentulousness was less than 0.3%. The principal cause of tooth loss in all age groups was caries, and this was true for all tooth-types except incisors, for which periodontal disease was the main cause of tooth loss. The cultural practice of removing lower central incisors was observed only in those over 40 years of age. More teeth were lost due to caries among women than among men, while the reverse was true for teeth lost due to periodontal diseases. In view of the fact that most people retain most of their teeth throughout life, it is suggested that the most appropriate strategies for dental health care in this population should be those promoting self care, rather than the introduction of a formal treatment-oriented approach provided by dentists.
DOI: 10.1177/00220345880670021301
PubMed: 11039065
Affiliations:
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Manji</name><affiliation wicri:level="1"><nlm:affiliation>Kenya Medical Research Institute, Medical Research Centre, Oral Health Research Programme, Nairobi, Kenya.</nlm:affiliation><country xml:lang="fr">Kenya</country><wicri:regionArea>Kenya Medical Research Institute, Medical Research Centre, Oral Health Research Programme, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Baelum, V" sort="Baelum, V" uniqKey="Baelum V" first="V" last="Baelum">V. Baelum</name></author><author><name sortKey="Fejerskov, O" sort="Fejerskov, O" uniqKey="Fejerskov O" first="O" last="Fejerskov">O. Fejerskov</name></author></analytic><series><title level="j">Journal of dental research</title><idno type="ISSN">0022-0345</idno><imprint><date when="1988" type="published">1988</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cluster Analysis</term><term>Dental Caries (complications)</term><term>Dental Caries (epidemiology)</term><term>Developing Countries</term><term>Female</term><term>Health Planning</term><term>Humans</term><term>Kenya (epidemiology)</term><term>Male</term><term>Middle Aged</term><term>Mouth, Edentulous (epidemiology)</term><term>Periodontal Diseases (complications)</term><term>Periodontal Diseases (epidemiology)</term><term>Prevalence</term><term>Sampling Studies</term><term>Tooth Extraction (statistics & numerical data)</term><term>Tooth Loss (epidemiology)</term><term>Tooth Loss (etiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de regroupements</term><term>Bouche édentée (épidémiologie)</term><term>Caries dentaires ()</term><term>Caries dentaires (épidémiologie)</term><term>Extraction dentaire ()</term><term>Femelle</term><term>Humains</term><term>Kenya (épidémiologie)</term><term>Maladies parodontales ()</term><term>Maladies parodontales (épidémiologie)</term><term>Mâle</term><term>Pays en voie de développement</term><term>Perte dentaire (épidémiologie)</term><term>Perte dentaire (étiologie)</term><term>Planification en santé</term><term>Prévalence</term><term>Sujet âgé</term><term>Études par échantillonnage</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Kenya</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Dental Caries</term><term>Periodontal Diseases</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Dental Caries</term><term>Mouth, Edentulous</term><term>Periodontal Diseases</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Tooth Extraction</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term><term>Caries dentaires</term><term>Kenya</term><term>Maladies parodontales</term><term>Perte dentaire</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Perte dentaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cluster Analysis</term><term>Developing Countries</term><term>Female</term><term>Health Planning</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Sampling Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de regroupements</term><term>Caries dentaires</term><term>Extraction dentaire</term><term>Femelle</term><term>Humains</term><term>Maladies parodontales</term><term>Mâle</term><term>Pays en voie de développement</term><term>Planification en santé</term><term>Prévalence</term><term>Sujet âgé</term><term>Études par échantillonnage</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Kenya</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This paper reports on the pattern of tooth loss in a random sample of 1131 adults aged from 15 to 65 years in a rural area of Kenya in which access to formal dental care is minimal. We found that the majority of the population retained most of their dentition in a functional state even up to the age of 65 years: In all age groups, more than 50% had at least 26 teeth present, and more than 90% had at least 16 teeth present. The prevalence of edentulousness was less than 0.3%. The principal cause of tooth loss in all age groups was caries, and this was true for all tooth-types except incisors, for which periodontal disease was the main cause of tooth loss. The cultural practice of removing lower central incisors was observed only in those over 40 years of age. More teeth were lost due to caries among women than among men, while the reverse was true for teeth lost due to periodontal diseases. In view of the fact that most people retain most of their teeth throughout life, it is suggested that the most appropriate strategies for dental health care in this population should be those promoting self care, rather than the introduction of a formal treatment-oriented approach provided by dentists.</div></front></TEI><affiliations><list><country><li>Kenya</li></country></list><tree><noCountry><name sortKey="Baelum, V" sort="Baelum, V" uniqKey="Baelum V" first="V" last="Baelum">V. Baelum</name><name sortKey="Fejerskov, O" sort="Fejerskov, O" uniqKey="Fejerskov O" first="O" last="Fejerskov">O. Fejerskov</name></noCountry><country name="Kenya"><noRegion><name sortKey="Manji, F" sort="Manji, F" uniqKey="Manji F" first="F" last="Manji">F. Manji</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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