head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2021, vol. 27, issue4
Subject Area: Dental Medicine
DOI: 10.5272/jimab.2021274.4092
Published online: 12 November 2021

Original article

J of IMAB. 2021 Oct-Dec;27(4):4092-4097
Hristina Tankova1ORCID logo Corresponding Autoremail, Nadezhda Mitova1ORCID logo, Maya Rashkova1ORCID logo, Hristina Popova2ORCID logo,
1) Department of Pediatric Dentistry, Faculty of dental medicine, Medical University – Sofia, Bulgaria.
2) Department of Periodontology, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria.

Aim: The aim of the present study is an epidemiological study of risk factors and the prevalence of periodontal disease in children aged 10-14 years.
Materials and methods: The subject of the study were 457 children. All were clinically examined, and the data were recorded on a specially designed card. Each child was assessed for risk periodontal profile in 4 levels, which includes: assessment of oral hygiene habits; registration of dental status, reporting of carious lesions and obturations on surfaces dangerous for periodontal health (proximal, cervical); the presence of orthodontic anomalies and other risk factors; assessment of the plaque index of Silness-Loe (PLSL); assessment of gingival index according to Loe and Silness (GILS)
Results: Carious lesions at risk for gingival inflammation surfaces are registered in 59% of children, at risk for periodontal health fillings in 32% and orthodontic anomalies in 37%. The studied children showed relatively good oral hygiene (PLSL-0.43 ± 0.28), which improved with age, with the largest amount of plaque observed on the proximal and vestibular surfaces. Over 88% of children have mild gingival inflammation (GILS-0.56 ± 0.42), mainly affecting the front teeth in both jaws.
Conclusions: Gingival inflammation in 10-14 year old children covers more than half of the studied children, with mild forms of inflammation predominating with a relatively low oral hygiene index. 2/3 of  registered caries and 1/3 of the fillings have a localization which presents a risk for periodontal health. Orthodontic anomalies are the next most serious risk factor for plaque accumulation and gingival inflammation.

Keywords: gingival inflammation, risk factors, periodontal indices,

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Please cite this article as: Tankova H, Mitova N, Rashkova M, Popova H. Risk factors and gingival inflammation in children aged 10 to 14 years - an epidemiological study. J of IMAB. 2021 Oct-Dec;27(4):4092-4097. DOI: 10.5272/jimab.2021274.4092

Corresponding AutorCorrespondence to: Dr. Hristina Ivanova Tankova-Zlateva, Department of Pediatric Dentistry, Faculty of Dental Medicine, Medical University - Sofia; 1, Georgi Sofiyski Str., Sofia, Bulgaria; E-mail: la_svetichi@yahoo.com

1. Caton JG, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, et al. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018 Jun;45 Suppl 20:S1-S8. [PubMed]
2. Trombelli L, Farina R, Silva CO, Tatakis DN. Plaque-induced gingivitis: Case definition and diagnostic considerations. J Clin Periodontol. 2018 Jun;45(Suppl 20):S44-S67. [PubMed]
3. Albandar JM. Epidemiology and risk factors of periodontal diseases. Dent Clin North Am. 2005 Jul;49(3):517-32, v-vi. [PubMed]
4. Peycheva V, Angelov A, et al. Effect of Bulgarian propolis on the oral microflora in adolescents with plaque-induced gingivitis. Rev Bras Farmacogn. 2019 May-Jun;29(3):271-277. [Crossref].
5. Rashkova M, Ribagin L, Doganova Ts, Aleksieva V. Children's oral diseases in Rouse region - epidemiological  research, a part of the National Program of Prophylaxis of Oral Diseases in Children 0-18 years in Bulgaria. Problems of dental medicine. 2011; 37(2):22-31.
6. Nair RA, Jain J, Praveena J, Shashidhar K, Pooja MR, Shetty S. Incidence of Dental Caries and Periodontal Diseases among Adolescents Receiving Orthodontic Treatment in a Dental Institute in Virajpet. J Evol Med Dent Sci. 2021 Apr;10(16):1119.
7. ARCPOH, The University of Adelaide, South Australia. Periodontal diseases in the Australian adult population. Aust Dent J. 2009 Dec;54(4):390-3. [PubMed]
8. Silness J, Loe H. Periodontal Disease in Pregnancy. II. Correlation Between Oral Hyggiene and Periodontal  Condtion. Acta Odontol Scand. 1964 Feb;22:121-35. [PubMed]
9. De David SC, Mario TG, De Freitas GC, Kantorski KZ, Wikesjo UME, Moreira CHC. Correlation between plaque control and gingival health using short and extended oral hygiene intervals. Clin Oral Investig. 2018 Sep;22(7):2593-2597. [PubMed]
10. Murakami S, Mealey BL, Mariotti A, Chapple ILC. Dental plaque-induced gingival conditions. J Periodontol. 2018 Jun;89(Suppl 1):S17-S27. [PubMed]
11. Brito DI, Dias PF, Gleiser R. Prevalence of malocclusion in children aged 9 to 12 years old in the city of nova friburgo, rio de Janeiro State, Brazil. Rev Dent Press Ortodon Ortop Facial. 2009 Nov-Dec;14(6):118–124. [Crossref]
12. Daing A, Jafri Z, Bhardwaj A, Sawai MA, Sultan N, Periodontal lesions associated with deep bite: Report of three cases. Int J Oral Health Dent. 2018 Jan-Mar;4(1):43-45. [Crossref]
13. Jenkins WM, Papapanou PN. Epidemiology of periodontal disease in children and adolescents. Periodontol 2000. 2001; 26:16-32. [PubMed]
14. Nakagawa S, Fujii H, Machida Y, Okuda K. A longitudinal study from prepuberty to puberty of gingivitis. Correlation between the occurrence of Prevotellaintermedia and sex hormones. J Clin Periodontol. 1994 Nov;21(10):658-65. [PubMed]
15. McDonald RE, Avery DR. Dentistry for the Child and Adolescent. 7th Edition. Dean JA.(Editor). Mosby. September 22, 1999, pp.440-452. [Internet].

Received: 27 April 2021
Published online: 12 November 2021

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