رسائل ماجيستير
English
2003
The Prevalance Of Juvenile Periodontitis Among Patietns Attending Khartoum Teaching Dental Hospital
ابراهيم غندور, فاطيمة علي
كلية الأسنان-جامعة الخرطوم · السودان
The need to accurately determine the prevalence of disease isimportant especially in establishing treatment needs for particularpopulation groups.The purpose of this study was to determine the prevalence and genderratio of Juvenile periodontitis in selected Sudanese patients, to comparethose results with previous Sudanese figures and results, and determinethe percentage of localized and generalized Juvenile periodontitisamong those patients.During three months (From November 2004 to January 2005) a total of4.688 patients attending the out patient clinic at Khartoum TeachingDental Hospital were examined. Patients were diagnosed to be juvenileperiodontitis subjects if they had mild gingival inflammation, scantyplaque deposits, have any tooth mobility or pathologic migration, theirage range from 11- 29 years and had a negative medical history.Subjects were specifically excluded if they have a history of systemicdisease, with special attention to Down’s syndrome, blood dyscrasiase,Papillon- Lefever syndrome and diabetes mellitus.Panoramic radiographs to confirm the diagnosis (for 24 cases)were taken. Radiographs show vertical bone loss (arch-shape). Thepatients with juvenile periodontitis were then classified as localized orgeneralized type. Any extracted or missing teeth were not included inthe criteria for the classification similar to what was used by Harmand(1979). (42) Localized Juvenile periodontitis was characterized by loss ofattachment > 3mm around the incisors, molars and the mesial surface ofthe second molars in both jaws. A more generalized pattern ofperiodontal destruction, involving teeth other than or in addition to theincisors and first molars, was recognized as generalized Juvenileperiodontitis.Personal data for each patient with Juvenile periodontitis including age,gender, occupation, tribe, residence as well as oral hygiene practice wasrecorded.Ninety-five cases of Juvenile periodontitis were diagnosed from thetotal population (4688), 18 (18.9%) males and 77 (81.1%) females. Theover all prevalence of juvenile periodontitis was 2% and variedconsiderably between males and females' .Females had a higher juvenileperiodontitis prevalence (1.6%) than males (0.4%) with female to maleratio of 4:1.Approximately (83.2%) of Juvenile periodontitis patients wereestimated to have localized Juvenile periodontitis while (16.8%) had ageneralized type. The data supports the idea that periodontal disease ismore prevalent among Sudanese coming from Western (38.9%) andNorthern (34.7%) than those from Eastern (3.2%) and Southern (1.1%)Sudanese States.Finally about 6 cases from the 95 patients with juvenile periodontitishad supernumerary teeth , 4 of them were males and 2 were females.In conclusion it is important to advice patients with juvenileperiodontitis for maintenance of good oral hygiene levels, together withregular dental visits at an early stage of the disease progression.