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Prevalence and severity of periodontal disease among Spanish military personnel
  1. Millán Bárcena García1,
  2. J M Cobo Plana2 and
  3. P I Arcos González3
  1. 1 Department of Dentistry. Military Army Base 'Conde de Gazola', Government of Spain Ministry of Defense, Ferral del Bernesga, León, Spain
  2. 2 Department of Surgery and Medical and Surgical Specialties, University of Oviedo Faculty of Medicine and Health Sciences, Oviedo, Asturias, Spain
  3. 3 Department of Medicine, University of Oviedo Faculty of Medicine and Health Sciences, Oviedo, Asturias, Spain
  1. Correspondence to Capt Millán Bárcena García, Department of Dentistry. Military Army Base "Conde de Gazola", Government of Spain Ministry of Defense, Ferral del Bernesga, León 24260, Spain; millanbg{at}hotmail.com

Abstract

Introduction Periodontal disease ranges from simple gums inflammation to major damage to the periodontal tissues, even losing teeth. Severe periodontitis has a world overall prevalence of 11.2%. These are evaluated with periodontal probes and oral epidemiological indices. Our aim is to estimate the prevalence and severity of periodontal disease of a Spanish military population according to the 2013 WHO criteria.

Methods Observational study of prevalence carried out in a representative random sample of 221 military staff from the Spanish Army base ‘Conde de Gazola’. Prevalence was estimated by calculating the Community Periodontal Index modified, loss of attachment, Plaque Index and Gingival Bleeding Index measured with a third-generation electronic ‘Pa-on’ periodontal probe.

Results Averages of probing depth, recession and clinical attachment level were 2.17, 0.19 and 2.36 mm. Plaque and gingival bleeding indices were 71% and 40.3%. All subjects bled in some tooth after probing. 3.6% of subjects had no periodontal pockets, 58.8% mild periodontal pockets and 37.1% severe periodontal pockets. All had some loss of attachment, 52% mild loss of attachment and 47.5% severe loss of attachment. Teeth present with and without bleeding were 24.4 (86.5%) and 3.6 (13.1%). 28% of teeth had periodontal pockets and 40.4% loss of attachment. Sextant averages with periodontal pockets and loss of attachment were 2.79 and 3.56.

Conclusions Our plaque and gingival bleeding indices were high and we found a higher prevalence and severity of periodontal disease than other Spanish and foreign military populations. This could be related to differences in context, life habits and insufficient dental hygiene.

  • epidemiology
  • oral medicine
  • preventive medicine

Data availability statement

Data are available upon reasonable request.

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Data availability statement

Data are available upon reasonable request.

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Footnotes

  • Contributors MBG, JMCP and PIAG contributed equally to the design, implementation of the research, analysis of results and writing of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.