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Untreated periodontal disease in Indonesian adolescents. Subgingival microbiota in relation to experienced progression of periodontitis.
J Clin Periodontol. 2001 Jul; 28(7):617-27.JC

Abstract

BACKGROUND/AIMS

In an Indonesian population deprived of regular dental care, the experienced progression of disease between baseline (1987) and follow-up (1994) was investigated in relation to the composition of the subgingival microbiota at follow-up. At baseline the age ranged from 15 to 25 years. Clinical and microbiological evaluation was completed in 158 of the 167 subjects available at follow-up.

METHODS

Plaque index (PI), pocket depth (PD), bleeding on probing (BOP), and attachment loss (AL) were scored at the approximal surfaces of all teeth and subgingival calculus on the approximal surfaces of the Ramfjord teeth only (number of sites with subgingival calculus: NSC). A pooled sample of the deepest pocket in each quadrant was evaluated using microbiological culture techniques.

RESULTS

At baseline the mean values of the clinical parameters were AL=0.35 mm, PI=1.01, BOP=0.80 PD=3.25 mm and NSC=6.04 and at follow-up AL=0.75 mm, PI=1.16, BOP=1.19, PD=3.34 mm and NSC=5.85. All parameters except PD and NSC showed a statistically significant increase. At follow-up the prevalence of Actinobacillus actinomycetemcomitans was 40%, of Porphyromonas gingivalis 67%, of Prevotella intermedia 66%, of Fusobacterium nucleatum 79%, of Bacteroides forsythus 16%, of Campylobacter rectus 4%, and of P. micros 6%. No differences in clinical parameters were found between groups with or without these micro-organisms. In 129 subjects AL of > or =2 mm at > or =1 site was found. Logistic regression showed three significant odds-ratio's for experienced progressive periodontitis: Plaque index (12.2), gender (3.4) and Actinobacillus actinomycetemcomitans (2.9).

CONCLUSIONS

The results of this retrospective study suggest that plaque is the most important parameter related to experienced disease progression, and that the presence of A. actinomycetemcomitans may be associated with increased chance of disease progression.

Authors+Show Affiliations

Department of Periodontology, Academic Centre for Dentistry Amsterdam, ACTA, The Netherlands. M.Timmerman@acta.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11422582

Citation

Timmerman, M F., et al. "Untreated Periodontal Disease in Indonesian Adolescents. Subgingival Microbiota in Relation to Experienced Progression of Periodontitis." Journal of Clinical Periodontology, vol. 28, no. 7, 2001, pp. 617-27.
Timmerman MF, Van der Weijden GA, Arief EM, et al. Untreated periodontal disease in Indonesian adolescents. Subgingival microbiota in relation to experienced progression of periodontitis. J Clin Periodontol. 2001;28(7):617-27.
Timmerman, M. F., Van der Weijden, G. A., Arief, E. M., Armand, S., Abbas, F., Winkel, E. G., Van Winkelhoff, A. J., & Van der Velden, U. (2001). Untreated periodontal disease in Indonesian adolescents. Subgingival microbiota in relation to experienced progression of periodontitis. Journal of Clinical Periodontology, 28(7), 617-27.
Timmerman MF, et al. Untreated Periodontal Disease in Indonesian Adolescents. Subgingival Microbiota in Relation to Experienced Progression of Periodontitis. J Clin Periodontol. 2001;28(7):617-27. PubMed PMID: 11422582.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Untreated periodontal disease in Indonesian adolescents. Subgingival microbiota in relation to experienced progression of periodontitis. AU - Timmerman,M F, AU - Van der Weijden,G A, AU - Arief,E M, AU - Armand,S, AU - Abbas,F, AU - Winkel,E G, AU - Van Winkelhoff,A J, AU - Van der Velden,U, PY - 2001/6/26/pubmed PY - 2001/9/28/medline PY - 2001/6/26/entrez SP - 617 EP - 27 JF - Journal of clinical periodontology JO - J Clin Periodontol VL - 28 IS - 7 N2 - BACKGROUND/AIMS: In an Indonesian population deprived of regular dental care, the experienced progression of disease between baseline (1987) and follow-up (1994) was investigated in relation to the composition of the subgingival microbiota at follow-up. At baseline the age ranged from 15 to 25 years. Clinical and microbiological evaluation was completed in 158 of the 167 subjects available at follow-up. METHODS: Plaque index (PI), pocket depth (PD), bleeding on probing (BOP), and attachment loss (AL) were scored at the approximal surfaces of all teeth and subgingival calculus on the approximal surfaces of the Ramfjord teeth only (number of sites with subgingival calculus: NSC). A pooled sample of the deepest pocket in each quadrant was evaluated using microbiological culture techniques. RESULTS: At baseline the mean values of the clinical parameters were AL=0.35 mm, PI=1.01, BOP=0.80 PD=3.25 mm and NSC=6.04 and at follow-up AL=0.75 mm, PI=1.16, BOP=1.19, PD=3.34 mm and NSC=5.85. All parameters except PD and NSC showed a statistically significant increase. At follow-up the prevalence of Actinobacillus actinomycetemcomitans was 40%, of Porphyromonas gingivalis 67%, of Prevotella intermedia 66%, of Fusobacterium nucleatum 79%, of Bacteroides forsythus 16%, of Campylobacter rectus 4%, and of P. micros 6%. No differences in clinical parameters were found between groups with or without these micro-organisms. In 129 subjects AL of > or =2 mm at > or =1 site was found. Logistic regression showed three significant odds-ratio's for experienced progressive periodontitis: Plaque index (12.2), gender (3.4) and Actinobacillus actinomycetemcomitans (2.9). CONCLUSIONS: The results of this retrospective study suggest that plaque is the most important parameter related to experienced disease progression, and that the presence of A. actinomycetemcomitans may be associated with increased chance of disease progression. SN - 0303-6979 UR - https://www.unboundmedicine.com/medline/citation/11422582/Untreated_periodontal_disease_in_Indonesian_adolescents__Subgingival_microbiota_in_relation_to_experienced_progression_of_periodontitis_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0303-6979&date=2001&volume=28&issue=7&spage=617 DB - PRIME DP - Unbound Medicine ER -