Periodontal Disease Distribution, Risk Factors, and Importance of Primary Healthcare in the Clinical Parameters Improvement

ABSTRACT: The objective of this study is to show the distribution of periodontal disease, risk factors, and importance of primary healthcare, for the improvement of clinical parameters. Two phases study transversal and nonrandomized trial (before - after), with educational intervention and conservat...

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Autores principales:	Romero-Castro,Norma Samanta, Castro-Alarcón,Natividad, Reyes-Fernández,Salvador, Flores-Alfaro,Eugenia, Serna-Radilla,Victor Othón, Parra-Rojas,Isela
Lenguaje:	English
Publicado:	Universidad de La Frontera. Facultad de Medicina 2020
Materias:	periodontal diseases health education conservative periodontal treatment primary oral health care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200183
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spelling	oai:scielo:S0718-381X20200002001832020-02-27Periodontal Disease Distribution, Risk Factors, and Importance of Primary Healthcare in the Clinical Parameters ImprovementRomero-Castro,Norma SamantaCastro-Alarcón,NatividadReyes-Fernández,SalvadorFlores-Alfaro,EugeniaSerna-Radilla,Victor OthónParra-Rojas,Isela periodontal diseases health education conservative periodontal treatment primary oral health care ABSTRACT: The objective of this study is to show the distribution of periodontal disease, risk factors, and importance of primary healthcare, for the improvement of clinical parameters. Two phases study transversal and nonrandomized trial (before - after), with educational intervention and conservative treatment, were carried out at Dental School of the Universidad Autónoma de Guerrero México, in 161 subjects who met the inclusion criteria. Oral healthcare education was carried out as well as conservative periodontal treatment, with six months follow up. Clinical measurements were performed with a Williams probe, O’Leary plaque index, calculus index and dental mobility Miller method. Periodontal disease was found on 82 % of all participants. Multinomial logistic regression analysis showed an odds ratio of 14.3 (95 % CI: 2.5, 82.1), 13.4 (95 % CI: 1.7, 103.5), 29.2 (95 % CI: 3.2, 260.9) and 68 (95 % CI: 6.6, 711.0) plaque in gingivitis, mild, moderate and severe chronic periodontitis, respectively. The longitudinal panel data analysis showed a significant effect (p <0.001) in the mean decrease of the clinical parameters after intervention, probing depth 0.4 mm (95 % CI: -0.5, -0.3), pockets depth 1.1 mm (95 % CI: -1.3, -0.9), amount of pockets 4.5 (95 % CI: -5.2, -3.7), bleeding 5.2 (95 % CI: -5.9, -4.5) and dental mobility 0.6 degrees (95 % CI: -0.7, -0.5). Primary healthcare is still the best option to improve the periodontal health in population who do not have access to specialty services. Dentists can achieve significant clinical improvement at very low cost, if they are aware of primary health care.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.14 n.2 20202020-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200183en10.4067/S0718-381X2020000200183
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	periodontal diseases health education conservative periodontal treatment primary oral health care
spellingShingle	periodontal diseases health education conservative periodontal treatment primary oral health care Romero-Castro,Norma Samanta Castro-Alarcón,Natividad Reyes-Fernández,Salvador Flores-Alfaro,Eugenia Serna-Radilla,Victor Othón Parra-Rojas,Isela Periodontal Disease Distribution, Risk Factors, and Importance of Primary Healthcare in the Clinical Parameters Improvement
description	ABSTRACT: The objective of this study is to show the distribution of periodontal disease, risk factors, and importance of primary healthcare, for the improvement of clinical parameters. Two phases study transversal and nonrandomized trial (before - after), with educational intervention and conservative treatment, were carried out at Dental School of the Universidad Autónoma de Guerrero México, in 161 subjects who met the inclusion criteria. Oral healthcare education was carried out as well as conservative periodontal treatment, with six months follow up. Clinical measurements were performed with a Williams probe, O’Leary plaque index, calculus index and dental mobility Miller method. Periodontal disease was found on 82 % of all participants. Multinomial logistic regression analysis showed an odds ratio of 14.3 (95 % CI: 2.5, 82.1), 13.4 (95 % CI: 1.7, 103.5), 29.2 (95 % CI: 3.2, 260.9) and 68 (95 % CI: 6.6, 711.0) plaque in gingivitis, mild, moderate and severe chronic periodontitis, respectively. The longitudinal panel data analysis showed a significant effect (p <0.001) in the mean decrease of the clinical parameters after intervention, probing depth 0.4 mm (95 % CI: -0.5, -0.3), pockets depth 1.1 mm (95 % CI: -1.3, -0.9), amount of pockets 4.5 (95 % CI: -5.2, -3.7), bleeding 5.2 (95 % CI: -5.9, -4.5) and dental mobility 0.6 degrees (95 % CI: -0.7, -0.5). Primary healthcare is still the best option to improve the periodontal health in population who do not have access to specialty services. Dentists can achieve significant clinical improvement at very low cost, if they are aware of primary health care.
author	Romero-Castro,Norma Samanta Castro-Alarcón,Natividad Reyes-Fernández,Salvador Flores-Alfaro,Eugenia Serna-Radilla,Victor Othón Parra-Rojas,Isela
author_facet	Romero-Castro,Norma Samanta Castro-Alarcón,Natividad Reyes-Fernández,Salvador Flores-Alfaro,Eugenia Serna-Radilla,Victor Othón Parra-Rojas,Isela
author_sort	Romero-Castro,Norma Samanta
title	Periodontal Disease Distribution, Risk Factors, and Importance of Primary Healthcare in the Clinical Parameters Improvement
title_short	Periodontal Disease Distribution, Risk Factors, and Importance of Primary Healthcare in the Clinical Parameters Improvement
title_full	Periodontal Disease Distribution, Risk Factors, and Importance of Primary Healthcare in the Clinical Parameters Improvement
title_fullStr	Periodontal Disease Distribution, Risk Factors, and Importance of Primary Healthcare in the Clinical Parameters Improvement
title_full_unstemmed	Periodontal Disease Distribution, Risk Factors, and Importance of Primary Healthcare in the Clinical Parameters Improvement
title_sort	periodontal disease distribution, risk factors, and importance of primary healthcare in the clinical parameters improvement
publisher	Universidad de La Frontera. Facultad de Medicina
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2020000200183
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Periodontal Disease Distribution, Risk Factors, and Importance of Primary Healthcare in the Clinical Parameters Improvement

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