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Málaga-Figueroa L, Alarcón MA, Pannuti CM, Horna P, López-Pacheco A, Gómez M, Jiménez P, Romito GA, Lozano E, Duque A, Montealegre M, Vega MVM, Galindo R, Umanzor V, Zerón A, Barrios C, Shedden M, Castillo R, Collins J, Bueno L, Giménez X, Sanz M, Herrera D. Ibero-Panamerican Federation of Periodontology Delphi study on the trends of periodontology and periodontics by the year 2030. A Latin American consensus. J Periodontal Res 2024; 59:237-248. [PMID: 38135675 DOI: 10.1111/jre.13221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 11/22/2023] [Indexed: 12/24/2023]
Abstract
BACKGROUND AND OBJECTIVE As elsewhere in the world, the prevalence of periodontitis in stages I-II is high in the Latin American population, this scenario emphasizes the need for identification of urgent needs for allocating adequate resources to provide diagnosis, prevention, and treatment of these diseases. The aim of this Delphi study was to predict the trends in periodontology/periodontics in the Latin American region by the year 2030. METHODS A steering committee and an advisory group of experts in periodontology/periodontics were selected from 16 countries. An open questionnaire of 60 questions was validated and used following the Delphi methodology. RESULTS Two hundred and twenty-five experts from Latin America answered the two rounds of the questionnaire. Moderate to strong consensus was reached on 45 questions (75%). The prediction was that the prevalence of gingivitis and periodontitis in stages I and II will be maintained, the importance of the link with systemic diseases will increase, and the impact of prevention and periodontal treatment will also increase, mainly in the private sector. There was a strong consensus that plastic and regenerative surgical procedures will increase, as well as the demand for training in the specialty of periodontology. CONCLUSIONS The present study has provided relevant and useful information on predictions in periodontology/periodontics in Latin America, with important level of consensus among experts. It has been predicted that periodontitis will still be a highly prevalent disease, and its links with other medical conditions should demand more attention by health authorities to develop adequate prevention and management policies and strategies.
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Affiliation(s)
- Lilian Málaga-Figueroa
- PerioImplant Research Group UPCH, Academic Department of Clinical Stomatology, Cayetano Heredia Peruvian University, Lima, Peru
| | - Marco Antonio Alarcón
- PerioImplant Research Group UPCH, Academic Department of Clinical Stomatology, Cayetano Heredia Peruvian University, Lima, Peru
| | - Claudio Mendes Pannuti
- Department of Periodontology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Patricia Horna
- PerioImplant Research Group UPCH, Academic Department of Clinical Stomatology, Cayetano Heredia Peruvian University, Lima, Peru
| | - Andrea López-Pacheco
- PerioImplant Research Group UPCH, Academic Department of Clinical Stomatology, Cayetano Heredia Peruvian University, Lima, Peru
| | - Mariel Gómez
- Faculty of Health Sciences, Department of Periodontics, Maimonides University, Buenos Aires, Argentina
| | | | | | - Elizabeth Lozano
- Private Practice, Chilean Society of Periodontology, Santiago de Chile, Chile
| | - Andrés Duque
- Department of Periodontology, School of Dentistry, Universidad CES, Medellín, Colombia
| | - Mauricio Montealegre
- Private Practice, Perio Costa Rica Institute, Costa Rican Society of Periodontology, San José, Costa Rica
| | | | - Roberto Galindo
- Postgraduate Periodontology and Oral Implantology, Universidad Francisco Marroquín, Ciudad de Guatemala, Guatemala
| | - Vilma Umanzor
- Private Practice, Periodontics and Implant Dentistry, Department of Social/Prevention, School of Dentistry, Universidad Nacional Autónoma de Honduras, Tegucigalpa, Honduras
| | - Agustín Zerón
- Editor of the Journal of the Mexican Dental Association, Mexico City, Mexico
| | - Carlos Barrios
- Private Practice, Institute of Advance dentistry, Asunción, Paraguay
| | | | - Ruth Castillo
- PerioImplant Research Group UPCH, Academic Department of Clinical Stomatology, Cayetano Heredia Peruvian University, Lima, Peru
| | - James Collins
- Department of Periodontology, School of Dentistry, Pontificia Universidad Católica Madre y Maestra (PUCMM), Santo Domingo, Dominican Republic
| | - Luis Bueno
- Periodontics Department, School of Dentistry, Universidad de la República, Montevideo, Uruguay
| | - Xiomara Giménez
- PerioImplant Research Group UCV, University Central of Venezuelan, Caracas, Venezuela
| | - Mariano Sanz
- ETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain
| | - David Herrera
- ETEP (Etiology and Therapy of Periodontal and Peri-Implant Diseases) Research Group, University Complutense of Madrid, Madrid, Spain
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Antônio Raulino do Nascimento T, Vilton Costa J, Oliveira Guerra R. Periodontal Disease in the Brazilian Population: A Retrospective Analysis on the 2013 National Health Survey to Identifying Risk Profiles. Int J Dent 2022; 2022:5430473. [PMID: 36249730 PMCID: PMC9568304 DOI: 10.1155/2022/5430473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 08/27/2022] [Indexed: 11/18/2022] Open
Abstract
Periodontal disease (PD) is a global public health problem with prevalence varying according to social and economic contexts; however, few studies have investigated the distribution of PD worldwide. PD is the host response to an infection or progression of a clinical condition, and the identification of modifiable risk factors for adequate clinical management of patients should be a priority in health policies directed to vulnerable population groups. In this context, we investigated the characteristics and risk factors for PD using the Brazilian National Health Survey 2013 (PNS-2013). A cluster analysis using the interdependence technique was applied to explore data on the risk of periodontitis. The presence or absence of a risk factor was analyzed using five variables (ten categories), while ordinal regression assessed risk profiles based on sociodemographic aspects of the Brazilian population. Individuals were classified as low (26.33%), medium (23.34%), or high risk (50.32%) for PD. Age, educational level, ethnicity, and Brazilian regions (except the North region) were significantly associated with risk for PD in the adjusted final regression model. Individual and social contexts were factors related to the high risk of PD in the Brazilian population. Our results highlight the need for public policies on healthy habits to prevent systemic diseases affecting oral health.
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Affiliation(s)
- Thiago Antônio Raulino do Nascimento
- Federal Institute of Education Science and Technology of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
- Subcoordination of Sanitary Surveillance of State of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - José Vilton Costa
- Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
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Acuña-González GR, Casanova-Sarmiento JA, Islas-Granillo H, Márquez-Rodríguez S, Benítez-Valladares D, Mendoza-Rodríguez M, de la Rosa-Santillana R, Navarrete-Hernández JDJ, Medina-Solís CE, Maupomé G. Socioeconomic Inequalities and Toothbrushing Frequency among Schoolchildren Aged 6 to 12 Years in a Multi-Site Study of Mexican Cities: A Cross-Sectional Study. CHILDREN (BASEL, SWITZERLAND) 2022; 9:1069. [PMID: 35884053 PMCID: PMC9321228 DOI: 10.3390/children9071069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 07/12/2022] [Accepted: 07/15/2022] [Indexed: 11/16/2022]
Abstract
Periodic toothbrushing is the most common, effective, and reliable way to mechanically remove biofilm from oral tissues. The objective of the present study was to determine the association between toothbrushing frequency and socioeconomic position for schoolchildren between 6 and 12 years of age in four cities in Mexico. A cross-sectional study was conducted on 500 Mexican schoolchildren between 6 and 12 years of age from public schools in four Mexican cities. Questionnaires were administered to the parents/guardians of the schoolchildren to obtain the variables included in the study. The dependent variable was toothbrushing frequency, dichotomized as: 0 = less than twice a day and 1 = at least twice a day. The analysis was performed in Stata. The average age of the schoolchildren was 8.9 ± 1.9 years; 50.4% were female. The prevalence of toothbrushing was 52.8% (at least twice a day) (95% CI = 48.4−57.1). In the multivariate model, the variables associated (p < 0.05) with toothbrushing frequency were older age of the schoolchild (OR = 1.14); younger age of the mother (OR = 0.93); being a girl (OR = 1.70); being enrolled in Seguro Popular (OR = 0.69); being in a household that was owned (OR = 2.43); and being a schoolchild who lived in a home that owned a car (OR = 1.31). The prevalence of toothbrushing at least twice a day was just over 50% in these Mexican children. We found demographic and socioeconomic variables to be associated with toothbrushing. Based on socioeconomic variables that were associated with toothbrushing frequency—such as health insurance, home ownership and the household owning a car—the results of the present study confirm the existence of health inequalities in toothbrushing frequency.
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Affiliation(s)
| | - Juan Alejandro Casanova-Sarmiento
- School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico; (G.R.A.-G.); (J.A.C.-S.)
- Dentistry Department, Campus Campeche, Vizcaya of the Americas University, Campeche 24099, Mexico
| | - Horacio Islas-Granillo
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
| | - Sonia Márquez-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
| | | | - Martha Mendoza-Rodríguez
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
| | - Rubén de la Rosa-Santillana
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
| | - José de Jesús Navarrete-Hernández
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
| | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico; (H.I.-G.); (S.M.-R.); (M.M.-R.); (R.d.l.R.-S.); (J.d.J.N.-H.)
- Center for Advanced Studies and Research on Dentistry Dr. Keisaburo Miyata, School of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN 46202, USA;
- Indiana University Network Science Institute, Bloomington, IN 47408, USA
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Gutiérrez Romero F, Padilla-Avalos CA, Marroquín Soto C. Enfermedad periodontal en latinoamerica: enfoque regional y estrategia sanitaria. Rev Salud Publica (Bogota) 2022. [DOI: 10.15446/rsap.v24n4.97675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
La periodontitis es una enfermedad crónica de tipo no transmisible, caracterizada por ser inflamatoria, infecciosa y multifactorial. Es una de las enfermedades más prevalentes en cavidad oral hasta el punto de ser considerada una epidemia. Esta condición se puede prevenir y tratar; sin embargo, las medidas sanitarias siguen siendo insuficientes para lograr un control efectivo en la práctica clínica. La progresión de la periodontitis se basa en la presencia de un microbioma disbiótico que desencadena una respuesta inflamatoria del huésped, lo cual se traduce clínicamente en la pérdida del tejido de soporte dental y provoca su pérdida. Cabe destacar la importancia del conocimiento sobre la relación existente entre la enfermedad periodontal y la salud sistémica, la bidireccionalidad y la necesidad del manejo multidisciplinario. La periodontitis representa un problema para la salud pública de los países de Latinoamérica y es responsabilidad que los estados gubernamentales, así como de todo el personal sanitario, ejecutar estrategias de salud con el fin de reducir el impacto de la enfermedad en las poblaciones más vulnerables. El objetivo del presente ensayo es analizar los factores por los cuales la enfermedad periodontal sigue siendo altamente prevalente y, así mismo, promover la prevención de la enfermedad y medidas de control.
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Acute Myocardial Infarction and Periodontitis: Importance of Awareness and Prevention in Latin America. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12063131] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
By 2030, non-communicable diseases will have accounted for more than three-quarters of deaths worldwide. Cardiovascular diseases (CVDs) have been the leading cause of death worldwide for several years. Acute myocardial infarction (AMI) is a CVD characterized by necrosis of the heart at the myocardial level due to prolonged ischemia caused by the reduction or sudden absence of coronary blood supply. The prevalence of AMI is higher in men at all ages. The incidence of AMI has decreased in industrialized nations; however, it has been on the rise in Latin America (LATAM) due to lifestyle changes. These changes have caused the combined incidence of CVDs and unresolved health concerns in LATAM, such as infections and malnutrition. It is well known that periodontitis, a highly prevalent chronic infectious inflammatory disease, has been associated with systemic diseases, such as diabetes, kidney diseases, and AMI. This review addresses proposed aspects of the correlation between periodontitis and AMI, explains the importance of preventing periodontitis and CVDs, and analyzes the preventative measures being implemented in LATAM, particularly in Mexico.
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Martignon S, Roncalli AG, Alvarez E, Aránguiz V, Feldens CA, Buzalaf MAR. Risk factors for dental caries in Latin American and Caribbean countries. Braz Oral Res 2021; 35:e053. [PMID: 34076077 DOI: 10.1590/1807-3107bor-2021.vol35.0053] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Accepted: 03/09/2021] [Indexed: 11/22/2022] Open
Abstract
Identifying the risk factors for dental caries is vital in epidemiology and clinical practices for developing effective preventive strategies, both, at the individual and collective levels. Different causality/determination models have been proposed to understand the development process of dental caries. In the present review, we designed a model inspired by the world-known social determinants models proposed in the 90s and more recently in the 10s, wherein the contextual factors are placed more externally and encompass the individual factors. The contextual factors included those related to the cultural and societal values, as well as the social and health government policies. The individual factors were classified into the following categories: socioeconomic (social class, occupation, income, and education level), demographic characteristics (age, sex, and ethnicity), behavioral factors (non-use of fluoride dentifrice, sugar consumption, poor oral hygiene, and lack of preventive dental care), and biological factors (recent caries experience/active caries lesions, biofilm retentive factors, developmental defects of the enamel, disabilities, saliva amount and quality, cariogenic biofilm). Each of these variables was addressed, while focusing on the current evidence from studies conducted in Latin American and Caribbean countries (LACC). Based on the proposed model, educational aspects were addressed, and individual caries risk assessment and management decisions were proposed; further, implications for public health policies and clinical practice were described. The identification of modifiable risk factors for dental caries should be the basis for multi-strategy actions that consider the diversity of Latin American communities.
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Affiliation(s)
- Stefania Martignon
- Universidad El Bosque, Caries Research Unit, Research Department, Bogotá, Colombia
| | | | - Evelyn Alvarez
- Universidad Científica del Sur, School of Dentistry, Department of Pediatric Dentistry, Lima, Perú
| | - Vicente Aránguiz
- Universidad de los Andes, Faculty of Dentistry, Cariology Unit, Santiago, Chile
| | - Carlos Alberto Feldens
- Universidade Luterana do Brasil, School of Dentistry, Department of Pediatric Dentistry, Canoas, RS, Brazil
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Becerra-Ruiz JS, Guerrero-Velázquez C, Martínez-Esquivias F, Martínez-Pérez LA, Guzmán-Flores JM. Innate and adaptive immunity of periodontal disease. From etiology to alveolar bone loss. Oral Dis 2021; 28:1441-1447. [PMID: 33884712 DOI: 10.1111/odi.13884] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 03/25/2021] [Accepted: 04/14/2021] [Indexed: 12/16/2022]
Abstract
Periodontal disease refers to inflammation of the tissues that support the tooth. It is of multifactorial etiology. Innate and adaptive immune cells participate jointly through the release of their molecules and mechanisms of action in order to maintain homeostasis in periodontal tissues, so the host's immune response plays an essential role in defense against microorganisms. However, bacterial persistence and the dysregulation of the immune system as an exaggerated response can lead to the worsening of periodontal disease, leading to loss of gingival tissue and alveolar bone and thereby loss of teeth. Therefore, a better understanding of the cellular mechanisms involved in the development of periodontal disease is necessary to design new treatments and prophylactic measures in order to decrease the prevalence of this disease that afflicts a large part of the world population.
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Affiliation(s)
- Julieta Saraí Becerra-Ruiz
- Doctorado en Biociencias, Centro Universitario de Los Altos, Universidad de Guadalajara, Jalisco, México
| | - Celia Guerrero-Velázquez
- Instituto de Investigación en Odontología, Centro Universitario de Ciencias de La Salud, Universidad de Guadalajara, Jalisco, México
| | | | - Luz Andrea Martínez-Pérez
- Doctorado en Biociencias, Centro Universitario de Los Altos, Universidad de Guadalajara, Jalisco, México
| | - Juan Manuel Guzmán-Flores
- Instituto de Investigación en Biociencias, Centro Universitario de Los Altos, Universidad de Guadalajara, Jalisco, México
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