成人歯科集団検診と組み合わせて行う歯周病予防プログラムに関する研究 第1報 CPITNを用いた予防プログラムの検討

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タイトル別名
  • A Study of the Preventive Program for Periodontal Disease in Association with Adult Mass Dental Examination. I. Examination of the Preventive Program According to CPITN.
  • I Examination of the Preventive Program According to CPITN
  • 第1報 CPITNを用いた予防プログラムの検討

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The purpose of this study was to establish a preventive program for periodontal disease associated with adult mass dental examination. Periodontal status was surveyed by using CPITN among 900 employees (mean age: 41.2) in Hokkaido. A questionnaire was given to 411 of the subjects. The questionnaire included smoking habits, personal awareness of periodontal disease, history of periodontal treatments and habits of oral hygiene. The influence of these factors, PH. and C. I. on CPITN was analyzed by using Hayashi's Quantification to determine the essential factors of the preventive program and to evaluate the possibility of selecting a high risk group from the questionnaire, who may require intensive preventive measures. The following results were obtained. The prevalence of periodontal disease was 84.5%. 82.2% of subjects showed a CPITN of more than 2. Therefore it was suggested that oral hygiene instruction alone was ineffective and that scaling was neccesary for the prevention of periodontal disease. A significant correlation was found between CPITN and oral hygiene index, while smoking habits and other factors had little influence. Selection of a high risk group from the quesionnaire was not possible. These results suggested that a preventive program of periodontal disease combined with adult mass dental examination should be performed in all subjects irrespective of other factors (ie., awareness of periodontal disease and oral hygiene habits) and preventive measures (ie., oral hygiene instruction, scaling and recommendation to a dental office) should be taken according to periodontal status.

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