The prevalence of periodontitis in an Iraqi population using the 2017 classification

Main Article Content

Nada K Imran
Hayder R Abdulbaqi
Mike Milward

Abstract

Background: To determine the prevalence and severity of periodontitis in an Iraqi population using the 2017 classification. Methods: Data on the periodontal status of patients were retrospectively collected from healthcare records. The information included demographics, clinical parameters including bleeding on probing (BOP), probing pocket depth (PPD), and clinical attachment loss (CAL). Descriptive and inferential statistical analyses were performed using SPSS (version 26, IBM, USA) software. Results: Out of 1578 records, the periodontal health, gingivitis, and periodontitis represented 26.4%, 37.1%, and 36.5%, respectively with males more affected by periodontal disease compared with females. Periodontitis cases were dominated by stage 3 and 4 which combined accounted for 77.3%, followed by stage 2 (21.3%), and stage 1 (1.4%). When looking at disease grade and levels of stability, localized pattern, Grade C, and unstable status were the most prevalent domains. Regression analysis suggested age, BOP, male, and positive family history as predictors for increasing extent and severity of CAL both in periodontal health and disease. Conclusion: The prevalence of periodontal disease (periodontitis, and gingivitis) was almost equally expressed. Severe periodontitis was the most dominant group whilst milder forms of disease were least prevalent. The data indicated that demographic variables and clinical parameters could predict severity of attachment loss.

Downloads

Download data is not yet available.

Article Details

Section

Research Articles

Author Biographies

Nada K Imran, Department of Periodontics, College of Dentistry, University of Baghdad, Bab-Almoadham, P.O. Box 1417, Baghdad, Iraq

Department of Periodontics, College of Dentistry, University of Baghdad, Bab-Almoadham, P.O. Box 1417, Baghdad, Iraq

Hayder R Abdulbaqi, Department of Periodontics, College of Dentistry, University of Baghdad, Bab-Almoadham, P.O. Box 1417, Baghdad, Iraq

Department of Periodontics, College of Dentistry, University of Baghdad, Baghdad 1417, Bab Al Mudam, Baghdad, Iraq.

Mike Milward, College of Dentistry, University of Birmingham, Birmingham B5 7EG, UK

College of Dentistry, University of Birmingham, Birmingham B5 7EG, UK

How to Cite

1.
Imran NK, Abdulbaqi HR, Milward M. The prevalence of periodontitis in an Iraqi population using the 2017 classification. J Bagh Coll Dent [Internet]. 2024 Jun. 15 [cited 2025 Jan. 15];36(2):1-10. Available from: https://jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3668

References

Abdulkareem AA, Al-Taweel FB, Al-Sharqi AJB, Gul SS, Sha A, Chapple ILC. Current concepts in the pathogenesis of periodontitis: from symbiosis to dysbiosis. J Oral Microbiol. 2023;15(1):2197779.

Gil AMC, López GP, Williams T. Reasons of tooth mortality by continents in the last 20 years. Revista Cubana de Estomatología. 2022;59(1).

Botelho J, Machado V, Leira Y, Proença L, Chambrone L, Mendes JJ. Economic burden of periodontitis in the United States and Europe: An updated estimation. J Periodontol. 2022;93(3):373-9.

Tonetti MS, Bottenberg P, Conrads G, Eickholz P, Heasman P, Huysmans MC, et al. Dental caries and periodontal diseases in the ageing population: call to action to protect and enhance oral health and well-being as an essential component of healthy ageing - Consensus report of group 4 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol. 2017;44 Suppl 18:S135-s44.

Sanz M, D'Aiuto F, Deanfield J, Fernandez-Avilés F. European workshop in periodontal health and cardiovascular disease—scientific evidence on the association between periodontal and cardiovascular diseases: a review of the literature. European Heart Journal Supplements. 2010;12(suppl_B):B3-B12.

Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression. J Dent Res. 2014;93(11):1045-53.

Eke PI, Dye BA, Wei L, Slade GD, Thornton-Evans GO, Borgnakke WS, et al. Update on Prevalence of Periodontitis in Adults in the United States: NHANES 2009 to 2012. J Periodontol. 2015;86(5):611-22.

Stødle IH, Verket A, Høvik H, Sen A, Koldsland OC. Prevalence of periodontitis based on the 2017 classification in a Norwegian population: The HUNT study. J Clin Periodontol. 2021;48(9):1189-99.

Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89 Suppl 1:S237-s48.

Jin LJ, Lamster IB, Greenspan JS, Pitts NB, Scully C, Warnakulasuriya S. Global burden of oral diseases: emerging concepts, management and interplay with systemic health. Oral Dis. 2016;22(7):609-19.

Nocini R, Lippi G, Mattiuzzi C. Periodontal disease: the portrait of an epidemic. J Public Health Emerg. 2020;4(1):1-6.

Gold SI. Periodontics. The past. Part (I). Early sources. J Clin Periodontol. 1985;12(2):79-97.

Page RC, Schroeder HE. Periodontitis in man and other animals: S. karger Basel; 1982.

Caton J, editor Periodontal diagnosis and diagnostic aids. Proceedings of the world workshop in clinical periodontics; 1989: American Academy of Periodontology.

Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999;4(1):1-6.

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;45 Suppl 20:S1-s8.

Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89 Suppl 1:S74-s84.

Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018;89 Suppl 1:S159-s72.

Nocini R, Lippi G, Mattiuzzi C. Periodontal disease: the portrait of an epidemic. J Public Health Emerg. 2020;4.

Batchelor P. Is periodontal disease a public health problem? Br Dent J. 2014;217(8):405-9.

Eke PI, Thornton-Evans GO, Wei L, Borgnakke WS, Dye BA, Genco RJ. Periodontitis in US Adults: National Health and Nutrition Examination Survey 2009-2014. J Am Dent Assoc. 2018;149(7):576-88.e6.

Eke PI, Page RC, Wei L, Thornton-Evans G, Genco RJ. Update of the case definitions for population-based surveillance of periodontitis. J Periodontol. 2012;83(12):1449-54.

Germen M, Baser U, Lacin CC, Fıratlı E, İşsever H, Yalcin F. Periodontitis Prevalence, Severity, and Risk Factors: A Comparison of the AAP/CDC Case Definition and the EFP/AAP Classification. Int J Environ Res Public Health. 2021;18(7).

Wahlin Å, Papias A, Jansson H, Norderyd O. Secular trends over 40 years of periodontal health and disease in individuals aged 20-80 years in Jönköping, Sweden: Repeated cross-sectional studies. J Clin Periodontol. 2018;45(9):1016-24.

Kornman KS, Papapanou PN. Clinical application of the new classification of periodontal diseases: Ground rules, clarifications and "gray zones". J Periodontol. 2020;91(3):352-60.

Abdulkareem AA, Abdulbaqi HR, Alshami ML, Al-Rawi NH. Oral health awareness, attitude towards dental treatment, fear of infection and economic impact during COVID-19 pandemic in the Middle East. Int J Dent Hyg. 2021;19(3):295-304.

Abdulkareem AA, Imran NK, Abdulraheam RH, Gul SS. Prevalence and factors influencing reporting of true periodontal chief complaints: A retrospective analysis. Clin Exp Dent Res. 2021;7(4):443-9.

Naser MY, Momani M, Naser AY, Alarabeyat MA, Altarawneh AMB, Aladwan AS. Oral health profile and periodontal diseases awareness and knowledge among the jordanian population: a cross-sectional study. BMC Oral Health. 2023;23(1):503.

Hosadurga R, Boloor V, Kashyap R. Oral health knowledge deficit: A barrier for seeking periodontal therapy? A pilot study. J Indian Soc Periodontol. 2015;19(5):556-62.

Joss A, Adler R, Lang NP. Bleeding on probing. A parameter for monitoring periodontal conditions in clinical practice. J Clin Periodontol. 1994;21(6):402-8.

Loos BG, Van Dyke TE. The role of inflammation and genetics in periodontal disease. Periodontol 2000. 2020;83(1):26-39.

Michalowicz BS, Aeppli D, Virag JG, Klump DG, Hinrichs JE, Segal NL, et al. Periodontal findings in adult twins. J Periodontol. 1991;62(5):293-9.

Lipsky MS, Su S, Crespo CJ, Hung M. Men and Oral Health: A Review of Sex and Gender Differences. Am J Mens Health. 2021;15(3):15579883211016361.

Abdulbaqi HR, Abdulkareem AA, Alshami ML, Milward MR. The oral health and periodontal diseases awareness and knowledge in the Iraqi population: Online-based survey. Clin Exp Dent Res. 2020;6(5):519-28.

Ali AST, Varghese SS, Shenoy RP. Association Between Cervical Abrasion, Oral Hygiene Practices and Buccolingual Dimension of Tooth Surfaces: A Cross-Sectional Study. J Pharm Bioallied Sci. 2022;14(Suppl 1):S403-s9.

Litonjua LA, Andreana S, Cohen RE. Toothbrush abrasions and noncarious cervical lesions: evolving concepts. Compend Contin Educ Dent. 2005;26(11):767-8, 70-4, 76 passim.

Koppolu P, Al Arabi AA, Al Khayri MJ, Alfaraj FA, Alsafwani WM, Alhozaimi SF, et al. Correlation between Gingival Thickness and Occurrence of Gingival Recession. J Pharm Bioallied Sci. 2023;15(Suppl 1):S495-s501.

Liu F, Pelekos G, Jin LJ. The gingival biotype in a cohort of Chinese subjects with and without history of periodontal disease. J Periodontal Res. 2017;52(6):1004-10.

Atarchi AR, Miley DD, Omran MT, Abdulkareem AA. Early Failure Rate and Associated Risk Factors for Dental Implants Placed With and Without Maxillary Sinus Augmentation: A Retrospective Study. Int J Oral Maxillofac Implants. 2020;35(6):1187-94.

Similar Articles

You may also start an advanced similarity search for this article.