CERVICAL LESIONS OF THE TEETH IN PATIENTS WITH GENERALIZED PERIODONTITIS ACCORDING TO GENDER AND AGE
DOI:
https://doi.org/10.35220/2078-8916-2021-39-1-2-10Keywords:
cervical lesions of hard tissues of the teeth, abfraction, root caries, combined lesions, erosionAbstract
Cervical lesions of the teeth are common during the prac-tice of dentists.
The purpose of the research was to study the prevalence of cervical lesions of the teeth in patients with generalized periodontitis, to analyze their distribution according to gender and age, functional affiliation of the teeth of the upper and lower jaws.
Materials and methods. The study involved 133 patients with periodontitis, who underwent a comprehensive ex-amination for the presence of cervical lesions of the teeth: abfraction, erosion, root caries, and combined lesions. Each participant filled out a questionnaire on the influ-ence of potential etiological factors. Depending on gen-der, patients were divided into groups of males and fe-males, and depending on age, into groups 20 year olds, 30 year olds, 40 year olds, 50 year olds.
The results of the study showed that the prevalence of cervical lesions of the teeth in patients with generalized periodontitis was 67.67 %. The total prevalence of abfraction was 59.40 %, combined lesions – 14.29 %, erosion – 1.50 %, root caries – 12.78 %. Concomitant le-sions occurred in 20.30 % of subjects. The prevalence of cervical lesions increases with age: in 20 year olds, abfraction was present in 10.53 % of subjects, in 30 year olds and 40 year olds – in 59.52 %, in 50 year olds – in 90.00 %. A comparative analysis of the prevalence of cer-vical lesions by gender showed significantly higher rates of caries in females (20.00 %) compared to males (4.76 %) (p=0.009). No significant difference in the prevalence of abfraction and erosion between males and females was found. The highest prevalence of abfraction and com-bined lesions was recorded on the premolars of the lower jaw, root caries – on the lateral incisors of the upper jaw, and the first molars of the lower jaw, erosion – on the ca-nines, molars, and premolars of the upper and lower jaws.
Conclusion. The high prevalence of cervical lesions in patients with periodontitis necessitates the introduction of a protocol for the prevention of root caries and non-carious cervical lesions of the teeth, which will be an in-tegral component of supportive periodontal treatment.
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