Dentaltown November 2013 - (Page 93)

hygiene and prevention perio reports NHANES Report on the Prevalence of Perio in Adults The National Health and Nutrition Examination Survey (NHANES) is a large-scale study first completed in 19601962 and repeated several times since then, with the most recent report covering 2009 and 2010. One area of investigation within this large scale study is the prevalence and incidence of periodontal disease in adults. In past surveys, only partial-mouth probings were done. This is the first to report six probing sites per tooth for all teeth in the mouth. Dental hygienists working in mobile clinics examined 3,743 patients across 50 states and the District of Columbia. This sample represents 137.1 million civilian, non-institutionalized American adults. Definitions of periodontitis for this study included severe with two or more interproximal sites with 6mm or more of attachment loss (AL) and one or more sites with 5mm or more of probing depth (PD), moderate was two or more interproximal sites with 4mm or more of AL and two or more sites with 5mm or more of PD, and mild was two or more interproximal sites with 3mm or more of AL and two or more sites with 4mm or more of probing depth. The prevalence of periodontitis in this group was 47.2 percent representing 64.7 million people. Reports for disease severity were: 8.7 percent with mild, 30 percent with moderate and 8.5 percent with severe. In adults 64 years or older the prevalence of periodontitis was 70.1 percent. Periodontitis was highest in men and Mexican Americans. Clinical Implications: Periodontitis remains a significant public health problem, especially among the aging population. n Perio Reports Vol. 25, No. 11 Eke, P., Dye, B., Wei, L., Thornton-Evans, G., Genco, R.: The Prevalence of Periodontitis in the United States: 2009 and 2010. J Dent Res 91(10): 914-920, 2012. www.hygienetown.com t Perio Reports provides easy-to-read research summaries on topics of specific interest to clinicians. Perio Reports research summaries will be included in each issue to keep you on the cutting edge of dental hygiene science. Periodontal Disease Significantly Underestimated Past NHANES studies suggested a decline in periodontitis based on partial-mouth probings. Previous partial-mouth probings presented biased data that did not accurately represent the extent of periodontal disease in this country. In past studies, only two random quadrants were evaluated and only two sites per tooth measured: mesial-buccal and mid-buccal. In one of the studies they used three sites, including the distal-buccal site. This data led to a prevalence rate for periodontitis of 19.5 percent with two sites per tooth or 27.1 percent with three sites per tooth compared to the 2009-2010 figure of 47.2 percent, based on full-mouth data. Prior to the current study results, a decrease was reported over a 15-year period. Attachment levels of 6mm or more were reported to drop from 8.4 percent to 5.3 percent. Compare the 5.3 percent reported in 1999-2004 to the current level of 25.5 percent reported for attachment loss of 6mm more and the bias of partial-mouth probing in previous study results is clear. Had the latest data been collected with partial probings, there would have been nearly a five-fold underestimation of periodontal disease prevalence. Socio-demographic patterns remain the same from past to current NHANES findings. Periodontitis is more prevalent in men, smokers, people below the poverty line and those with the lowest education. Mexican Americans are now more affected than Non-Hispanic Blacks. Clinical Implications: Periodontitis has been underestimated by 50 percent with new figures suggesting that nearly 50 percent of the population has some periodontal disease and 70 percent of those over 65 years of age are affected. n Papapanou, P.: The Prevalence of Periodontitis in the US: Forget What You Were Told. J Dent Res 91(10): 907-908, 2012. continued on page 94 dentaltown.com « NOVEMBER 2013 93 http://www.hygienetown.com http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown November 2013

Dentaltown.com Highlights
Howard Speaks: Not Getting it Done? Hire a Consultant
Professional Courtesy: Painful Advertising
Continuing Education Update
Second Opinion: The Role of Teamwork in the Third Era of Medicine
Deprogrammed Open Bite Can Help with Veneers
Bruxism Worse with Splint
Corporate Profile: Burbank Dental Laboratory
Product Profile: Eaglesoft 17
Debunking the Social Stigma of Stress
The Personal Side of Stress
In Your Face: Facing the Realities of Stress in Dentistry
When Tragedy Strikes: How to Prepare for and Recover from a Natural Disaster
The Latex Problem: It’s More Complicated Than You Think
Why Dentists Require Specific Exercise
How Much Money Can You Make When You’re Dead?
Denture Stabilizations with Small-diameter Implants
You Should Know: CrownMen
Product Profile: Synergy
Product Profile: NuSmiles ZR
Continuing Education: The New Evolution of Chariside CAD/CAM Technology
Ad Index
In This Issue: Dry Brush Inside Bottom Teeth First
Perio Reports
Dentally Incorrect
101 Ways to Reduce Stress
Achieving Goal Congruency

Dentaltown November 2013