2016, Number 2
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Rev Cubana Estomatol 2016; 53 (2)
Prevalence of gingivitis and associated factors among students from the Autonomous University of Guerrero, Mexico
Romero-Castro NS, Paredes-Solís S, Legorreta-Soberanis J, Reyes-Fernández S, Flores-Moreno M, Andersson N
Language: Spanish
References: 32
Page: 9-16
PDF size: 232.99 Kb.
ABSTRACT
Introduction: gingivitis is the most common periodontal disease. The most effective prophylactic measure against this condition is oral hygiene.
Objectives: estimate the prevalence of gingivitis and identify associated risk factors among first year university students.
Methods: across-sectional study was conducted from September to December 2012 based on a survey applied to 1 387 students from the Autonomous University of Guerrero in Acapulco, Mexico. Sample size was not estimated because all the students registered were surveyed. The data collection tools used were a self-applied questionnaire, oral examination forms, the simplified Green and Vermillion oral hygiene index, and the simplified Löe and Silness plaque and gingivitis indices. Gingivitis was diagnosed with values on Löe and Silness indices, where scores from 0 to 0.09 were considered healthy. The result variable studied was gingivitis. Cause variables were dental plaque, poor oral hygiene, tartar, detritus, diastema, orthodontic appliances, dental crowding and cervical wear.
Results: prevalence of gingivitis estimated by school cluster was 74.5 %, of which 62.8 % was mild, 11.5 % was moderate and 0.2 % was severe. According to the Green and Vermillion index, 16 % of the students had poor hygiene, and according to the Löe and Silness indices 87.3 % had plaque. Adjustment by clusters and other variables revealed four factors associated with gingivitis: poor oral hygiene (OR 2.58; CI 95 %; 1.32-5.05), detritus (OR 2.62; CI 95 %; 1.49-4.58), diastema (OR 1.72; CI 95 %; 1.13-2.64) and cervical wear (OR 0.49; CI 95 %; 0.24-1.00).
Conclusions: prevalence of gingivitis was found to be within the range reported by other studies. Poor oral hygiene, detritus and diastema were the risk factors associated with gingivitis.
REFERENCES
Silva-Flores XD, Ruiz-Benavides RC, Cornejo-Barrera J, Llanas-Rodríguez JD. Prevalencia de caries, gingivitis y maloclusiones en escolares de Ciudad Victoria, Tamaulipas y su relación con el estado nutricional. Revista Odontológica Mexicana. 2013;17(4):221-7.
Rocha Navarro ML, Serrano Reyes S, Fajardo Araujo ME, Servín Zavala VHG. Prevalencia y grado de gingivitis asociada a placa dentobacteriana en niños. Nova Scientia. 2014;6(2):190-218.
Fonseca Reyes S. Periodontitis crónica: ¿un factor de riesgo cardiovascular? Med Int Mex. 2013;29(5):495-503.
Mayán Reina G, de Beche Riambau E, Sosa Rodríguez I, Parejo Maden D, Morales Morán L. Gingivitis crónica y la higiene bucal en adolescentes de la secundaria básica "Raúl González Diego". Revista Habanera de Ciencias Médicas. 2012;11(4):484-95.
Murrieta-Pruneda JF, Juárez-López L A, Linares-Vieyra C, Zurita-Murillo V, Meléndez-Ocampo AF, Ávila-Martínez CR, et al. Prevalencia de gingivitis asociada a la higiene oral, ingreso familiar y tiempo transcurrido desde la última consulta dental, en un grupo de adolescentes de Iztapalapa, Ciudad de México. Bol Med Hosp Infant Mex. 2008;65(5):367-75.
Ababneh KT, Hwaij Z, Khader Y. Prevalence and risk indicators of gingivitis and periodontitis in a Multi-Centre study in North Jordan: a cross sectional study. BMC Oral Health. [En línea]. 2012 [consultado: 3 junio de 2013];12(1). Disponible en: http://www.biomedcentral.com/1472-6831/12/1
Gesser H, Peres MA, Marcenes W. Condições gengivais e periodontais associadas a fatores socioeconômicos. Rev Saúde Pública. 2001;35(3):289-93.
Wawrzyn-Sobczak K, Kozłowska M, Stokowska W, Karczewski JK. The evaluation of parodontium in medical students of the Medical University of Białystok according to CPITN index. Rocz Akad Med Bialymst. 2005;50(1):156-9.
Umoh AO, Azodo CC. Prevalence of gingivitis and periodontitis in an adult male population in Nigeria. Niger J Basic Clin Sci. 2012;9(1):65-9.
Hopcraft MS, Morgan MV, Satur JG, Wright FA, Darby IB. Oral hygiene and periodontal disease in Victorian nursing homes. Gerodontology. 2012;29(2):220-8.
Resultados del Sistema de Vigilancia Epidemiológica de Patologías Bucales SIVEPAB 2009. Primera edición. Subsecretaría de prevención y promoción a la salud. Secretaría de salud: México; Septiembre 2010. p. 1-48.
Ardila CM, Vivares-Builes AM, Agudelo-Suárez AA. Influence of the Socio-Economic Context on Self-Reported Gingival Bleeding in Individuals of Ethnic Minority Groups: A Multilevel Analysis. Global Journal of Health Science. 2015;8(2):1.
Ortega-Maldonado M, Mota-Sanhua V, López-Vivanco JC. Estado de salud bucal en adolescentes de la Ciudad de México. Revista de Salud Pública. 2007;9(3):380-7.
Zorar Sánchez C, Muñoz Millán P, Sanhueza Campos A. Prevalencia de gingivitis y factores asociados en niños chilenos de cuatro años. Avances en Odontoestomatología. 2012;28(1):33-8.
Pérez Barrero BR, Rodríguez Mediaceja G, Pérez González A, Rodríguez García B, Paneque Gamboa MR. Principales factores de riesgo de la gingivitis crónica en pacientes de 15 a 34 años. MEDISAN. [En línea]. 2009. [Consultado: 17 de octubre de 2012];13(1). Disponible en: http://bvs.sld.cu/revistas/san/vol13_1_09/san06109.htm
Álvarez ML, Martínez AR, Delgado AV. Responsabilidad del estomatólogo general en la prevención, diagnóstico y tratamiento de la enfermedad periodontal. Revista Archivo Médico de Camagüey. 2015;4(2):1-9.
González- Díaz M, Toledo- Pimentel B, Nazco- Ríos C. Enfermedad periodontal y factores locales y sistémicos asociados. Rev Cubana Estomatol. 2002;39(3):374-95.
Duque de Estrada Riverón J, Rodríguez Calzadilla A, Countin Marie G, Riverón Herrera F. Factores de riesgo asociados con la enfermedad periodontal en niños. Rev Cubana Estomatol. [En línea]. 2003. [Consultado: 11 de noviembre 2012];40(1). Disponible en: http://bvs.sld.cu/revistas/est/vol40_1_03/est09103.htm
Bharti R, Chandra A, Prakash A, Arya D. Palatogingival groove: a cause for periapical infection. International Journal of Prosthodontics and Restorative Dentistry. 2012;2(2):61-5.
Gómez-Arcila V, Fang-Mercado L, Herrera-Herrera A, Caballero D. El níquel y su vínculo con el agrandamiento gingival: revisión de la literatura. Avances en Periodoncia e Implantología Oral. 2014;26(2):83-9.
Genco RJ, Bargnakke WS. Risk factors for periodontal disease. Periodontol 2000. 2013;62(1):59-94.
Palacios-Sánchez B, Cerero-Lapiedra R, Campo-Trapero J, Esparza-Gómez G. Alteraciones gingivales no relacionadas con placa. RCOE. 2006;11(1):43-55.
Patil SN, Kalburgi NB, Koregol AC, Warad SB, Patil S, Ugale MS. Female sex hormones and periodontal health-awareness among gynecologists- A questionnaire survey. The Saudi Dental Journal. 2012;24(1):99-104.
Vogt M, Sallum A, Cecatti J, Morais S. Factors associated with the prevalence of periodontal disease in low-risk pregnant women. Reproductive Health. 2012;9(3):5-8.
Gómez CR, Danta LF, Isla DV, Chaveco ST, de los Reyes Carballosa O. Enfermedad periodontal y tabaquismo en jóvenes. Correo Científico Médico. 2012;16(2):1-2.
Mohan RP, Rastogi K, Bhushan R, Verma S. Phenytoin-induced gingival enlargement: a dental awakening for patients with epilepsy. BMJ Case Rep. 2013;23(1):1-3.
Murrieta Pruneda JF, López Rodríguez Y, Juárez López LA, Zurita Murillo V, Linares Vieyra C. Índices epidemiológicos de morbilidad bucal. [En línea]. 2013. [Consultado: 25 de marzo 2013]. Disponible en: http://documents.pageflip-flap.com/oqRFCm7iGGgrKoplky9sbq#.VWS_701FCM8=&p=0
Lauritsen JM. EpiData Data Analysis Introduction. EpiData Association. [En línea]. 2008 [consultado: 9 Noviembre 2013];2(1). Disponible en: http://www.epidata.dk/downloads/epidataanalysis_introduction_en.pdf
Andersson N, Mitchell S. CIETmap: Free GIS and epidemiology software from the CIETgroup, helping to build the community voice into planning. Conference proceedings of the World Congress of Epidemiology, 2002 August 18-22, Montreal, Canada.
Andersson N. La estimación del riesgo. Prioridades de Salud. 1990;1(2):57-64.
Andersson N, Matthis J, Paredes S, Ngxowa N. Social audit of provincial health services: Building the community voice into planning in South Africa. Journal of Interprofessional Care. 2004;18(4):381-90.
Lamothe G. Adjusting the Mantel Haenszel test statistic and Odds Ratio for cluster sampling. BMC Health Serv Res. 2011;11 Suppl 2:S2-15.