Prevalence of Periodontal Diseases among the Adult Tribal Population in Nilgiris: An Epidemiological Study

Biju, Philip (2012) Prevalence of Periodontal Diseases among the Adult Tribal Population in Nilgiris: An Epidemiological Study. Masters thesis, Sri Ramakrishna Dental College and Hospital, Coimbatore.

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Abstract

We had assessed the prevalence of periodontal disease, oral hygiene status, the relationship of the prevalence of periodontal disease with the oral hygiene, oral hygiene methods practiced, habits and nature of the diet among the adult (35-44 yrs) tribal population in Nilgiris which comprised of Paniyas, Mullakurumbas, Bettakurumbas, Kattunayakans and Irulas. After a pilot study, which included fifty people from different tribal groups, the main study was conducted. The total numbers of people examined were 303 (Males-126 ; Females-177). We used Community Periodontal Index and Loss of Attachment (Ainamo, 1997) to assess the periodontal status. Oral hygiene status was assessed by using Plaque Index (Silness J and Loe H, 1964). Personal interview was conducted to assess the awareness about the oral hygiene, nature of the diet and the prevalence of deleterious habits like smoking, paan chewing and use of alcohol among the population. All the data collected were recorded in WHO oral health assessment form and subjected to statistical analysis. Mean age of the population was 39.3%. In this, the percentage of females and males were 58.4 and 41.6 respectively. 75.2% of the population exhibited abundant presence of calculus. 26.3% of the population had an attachment loss of 0-3mm, which means healthy periodontium whereas others showed more severe form of attachment loss. When males and females were compared, more number of females had healthy periodontium than the males whereas more number of males had deeper periodontal pockets and severe Loss of Attachment than the females. Regardless of the Plaque Index scores, majority of the population exhibited abundant presence of calculus. But when the Plaque Index is higher, majority of the people showed severe form of attachment loss. Majority of the people showed abundant presence of calculus, severe form of attachment loss and fair to poor Plaque Index score, when they used finger and charcoal as oral hygiene measures. But in case of deeper pockets, there was no significant difference between use of brush and finger. When the habits like smoking, paan chewing and alcohol were compared with the disease, the people who have these habits showed greater Plaque Index score, higher CPI score and severe Loss of Attachment. In our study male population suffered more severe form of periodontitis than females. The reason for this may be majority of the smokers and alcohol users were males. Overall prevalence of periodontal disease in the tribal population of Nilgiris was 73.6% which is comparatively less than the results of the other studies. The reason for this may be due to their exposure to modern oral hygiene measures like tooth brush and toothpaste and health care provided by ASHWINI and Government of Tamil Nadu.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Prevalence ; Periodontal Diseases ; Adult Tribal Population in Nilgiris ; Epidemiological study.
Subjects: DENTAL > Periodontology
Depositing User: Kambaraman B
Date Deposited: 13 May 2018 10:03
Last Modified: 26 Oct 2018 00:55
URI: http://repository-tnmgrmu.ac.in/id/eprint/7769

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