Dynamics of dental morbidity in Armenian adults: A national examination survey during 2003-2018

Document Type : Original Article

Authors

1 Professor, Department of Pediatric Dentistry and Orthodontics, Yerevan State Medical University, Yerevan, Armenia

2 Professor, Department of Therapeutic Dentistry, Yerevan State Medical University, Yerevan, Armenia

3 Associate Professor, Department of Pediatric Dentistry and Orthodontics, Yerevan State Medical University, Yerevan, Armenia

4 Assistant Professor, Department of Therapeutic Dentistry, Yerevan State Medical University, Yerevan, Armenia

Abstract

BACKGROUND AND AIM: Many researchers have stated that the quality of dental care, its accessibility, and insufficient provision of the preventive measures are worsening. The present study was conducted to analyze the epidemiological situation of the dental morbidity in the adult population of Armenia in order to improve the therapeutic and preventive measures.
METHODS: Analyses of 1493 World Health Organization (WHO) maps in the key adult age groups evaluated the intensity severity and prevalence of dental caries (682 in Yerevan, Armenia, and 811 in the regions). The condition of periodontal tissues was determined by the Community Periodontal Index (CPI). The state of oral hygiene was assessed by the Simplified Oral Hygiene Index (OHI-S). The data were analyzed in the Statistica software for Excel (version 6.0), using Kruskal-Wallis test, Pearson's chi-square test, and t-test. Statistical significant level was considered at P < 0.05.
RESULTS: The prevalence of caries among the adults and older people was within 100% both in Yerevan and its regions. The indicator of the decayed, missing, and filled teeth (DMFT) at the age of 35-44 years in Yerevan was 11.90 and in its regions was 11.02, while the component of "missing teeth" in Yerevan and its regions was 45.9% and 55.1%, respectively. The average severity index at the age of 65 years and older increased to 27.7. In adulthood, the signs of destructive processes in the periodontium were expressed, and the periodontal pockets of different depths were observed. In the elderly, the prevalence and severity of destructive changes progressed, and there were no significant differences compared in the baseline data.
CONCLUSION: According to the results of the present study, older people are at a relatively higher risk of developing oral diseases; therefore, this population group should be involved in preventive measures with an age consideration.

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References

  1. Lauritano D, Moreo G, Della Vella F, Di Stasio D, Carinci F, Lucchese A, et al. Oral health status and need for oral care in an aging population: A systematic review. Int J Environ Res Public Health 2019; 16(22): 4558.
  2. Batista MJ, Lawrence HP, Sousa MDLR. Oral health literacy and oral health outcomes in an adult population in Brazil. BMC Public Health 2017; 18(1): 60.
  3. Gil-Montoya JA, de Mello AL, Barrios R, Gonzalez-Moles MA, Bravo M. Oral health in the elderly patient and its impact on general well-being: A nonsystematic review. Clin Interv Aging 2015; 10: 461-7.
  4. Eke PI, Thornton-Evans GO, Wei L, Borgnakke WS, Dye BA, Genco RJ. Periodontitis in US adults: National health and nutrition examination survey 2009-2014. J Am Dent Assoc 2018; 149(7): 576-88.
  5. Watson S, McMullan J, Brocklehurst P, Tsakos G, Watt RG, Wassall RR, et al. Development of a core outcome set for oral health services research involving dependent older adults (DECADE): A study protocol. Trials 2020; 21(1): 599.
  6. Murray Thomson W. Epidemiology of oral health conditions in older people. Gerodontology 2014; 31(Suppl 1): 9-16.
  7. Maru AM, Narendran S. Epidemiology of dental caries among adults in a rural area in India. J Contemp Dent Pract 2012; 13(3): 382-8.
  8. Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim) 2017; 11(2): 72-80.
  9. Petersen PE. Improvement of global oral health-the leadership role of the World Health Organization. Community Dent Health 2010; 27(4): 194-8.

10. Kidd E, Fejerskoy O. Dental caries: The disease and its clinical management. Hoboken, NJ: Wiley; 2003.

11. Bokhari SA, Suhail AM, Malik AR, Imran MF. Periodontal disease status and associated risk factors in patients attending a Dental Teaching Hospital in Rawalpindi, Pakistan. J Indian Soc Periodontol 2015; 19(6): 678-82.

12. Shewale AH, Gattani DR, Bhatia N, Mahajan R, Saravanan SP. Prevalence of periodontal disease in the general population of India-a systematic review. J Clin Diagn Res 2016; 10(6): ZE04-ZE09.

13. Baiju RM, Peter E, Varghese NO, Sivaram R. Oral health and quality of life: Current concepts. J Clin Diagn Res 2017; 11(6): ZE21-ZE26.

14. Singla N, Acharya S, Prabhakar RV, Chakravarthy K, Singhal D, Singla R. The impact of lifestyles on the periodontal health of adults in Udupi district: A cross sectional study. J Indian Soc Periodontol 2016; 20(3): 330-5.

15. AlJehani YA. Risk factors of periodontal disease: Review of the literature. Int J Dent 2014; 2014: 182513.

16. Manrikyan ME. The dental morbidity assesment of Republic of Armenia with record of medico-social viewpoints (aspects) and effectiveness of primary prevention programs [PhD Thesis]; Yerevan, Armenia: Yerevan State Medical University; 2014.

17. World Health Organization. Oral health surveys: Basic methods. Geneva, Switzerland: WHO; 2013.

18. National Institutes of Health. Rheumatoid arthritis [Online]. [cited 2019]; Available from: URL: https://www.niams.nih.gov/health-topics/rheumatoid-arthritis

Journal of Oral Health and Oral Epidemiology
Volume 10, Issue 3
July 2021
Pages 116-121

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History

  • Receive Date: 06 October 2020
  • Revise Date: 22 May 2021
  • Accept Date: 22 July 2021

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