Relationship between gingivitis severity, caries experience and orthodontic anomalies in 13-15 year-old adolescents in Brno, Czech Republic.
OBJECTIVE
The aim of the present cross-sectional study was to assess oral health in adolescents selected from the ELSPAC (European Longitudinal Study of Pregnancy and Childhood) Bmo group and complete thus the ELSPAC series of studies on child general health.


METHODS
Randomly selected children from the ELSPAC group (n=780) were examined clinically for dental and periodontal status, dental plaque, dental calculus and orthodontic anomalies. The following clinical parameters were assessed: DMFT score and its components, gingival index (GI), plaque index (PI) and calculus index (CSI). GI, PI and CSI were recorded on selected teeth. The presence/absence of orthodontic anomalies and their severity were recorded. ANOVA test for quantitative and XZ2 test for qualitative parameters evaluation were used.


RESULTS
Mean DMFT of the group was 2.82 (SE 0.36), share of caries-free children 25.4%. Mean GI index of the cohort was 0.204 (SE 0.011), grade 0 was found in 36.9% children, grade 1 in 43.0%, and grade 2 in 19.5%. Statistical significant associations (p < 0.05) were observed in GI and DMFT, GI and DT value, GI and severity of orthodontic anomaly; significant difference was found in GI of caries-free and treated children vs. treatment need and in PI value between children with gingivitis vs healthy ones.


CONCLUSIONS
The results demonstrated a relatively high caries experience, low level of gingival inflammation and relation between GI and DMFT, particularly in D component, and between GI and orthodontic anomalies.
Faculty of Medicine, Masaryk University Brno, Czech Republic.
M
M
Kukletova
L
L
Izakovicova Holla
K
K
Musilova
Z
Z
Broukal
L
L
Kukla
D000293:Adolescent; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D018153:Czech Republic / Q000453:epidemiology; D004245:DMF Index; D003728:Dental Calculus / Q000453:epidemiology; D003731:Dental Caries / Q000453:epidemiology*; D003773:Dental Plaque / Q000453:epidemiology; D003774:Dental Plaque Index; D005891:Gingivitis / Q000453:epidemiology*; D006801:Humans; D061326:Index of Orthodontic Treatment Need / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008310:Malocclusion / Q000453:epidemiology*; D020380:Needs Assessment / Q000706:statistics & numerical data; D009911:Oral Hygiene Index; D010510:Periodontal Diseases / Q000453:epidemiology; D010512:Periodontal Index; D011446:Prospective Studies