Page 152 - 7. FINAL draft Compendium 2019 2020_22072022

PREVALENCE AND CLINICAL ASSESSMENT OF AGGRESSIVE PERIODONTITIS IN PATIENTS
VISITING JERANTUT PERIODONTAL SPECIALIST CLINIC BETWEEN 2014 AND 2018
NMRR-18-3276-44974

Norhayati A, Cheng ZH, Mior AMI, Noor HH

Introduction: In Malaysia, there is sparse information about the prevalence of Aggressive
Periodontitis (AP). But such studies of disease prevalence and its clinical features are
indispensable for a proper treatment planning as the AP known to have a rapid progression
and causing severe periodontal destruction in a short of time. Objective: To determine the
prevalence of AP and to assess its clinical parameters in patients visited Jerantut
Periodontal Specialist Clinic between 2014 and 2018. Material and Methods: This
retrospective study involved 542 patient records between December 2014 and December
2018. Patients’ history and symptoms of periodontitis (bleeding gums, recurrent abscesses,
gum swelling, bad breath, food impaction, sensitivity, loose teeth, drifting teeth, poor
appearance, difficulty in chewing) were recorded. Clinical parameters data (full mouth
plaque score and bleeding score, percentage of sites with probing depth ≥6mm, number of
teeth present and missing teeth) were collected from records taken during baseline (before
active periodontal treatment) and reassessment (after active periodontal treatment).
Periodontitis patients were diagnosed using American Academy of Periodontology (AAP)
Workshop 1999 classification. Results: A total of 97 patients (17.5%) exhibited clinical
features of AP. The mean age was 35.9 (±0.83) years. About one-third were smokers. The
most common symptoms reported were bleeding gums, loose teeth and gum swelling. The
mean total number of missing teeth was 4.71 (± 3.99) and the most common missing tooth
was lower right first molar (28.9%). The clinical assessment on periodontal parameters
were found statistically significant between baseline and reassessment phases (p<0.01).
Conclusion: Our study suggested that the prevalence of AP in the referred population is
17.5% and majority were from middle age group. Following active periodontal therapies,
all the periodontal parameters showed great improvement. However, further larger scale
and multicentre studies are necessary.

Dr Norhayati Abas
Unit Pakar Periodontik
Paya Besar Dental Clinic
Kuantan Pahang

Dr Cheng Zi Hui
Dr Mior Azrizal M Ibrahim
Dr Noor Hasliza Hashim
Unit Pakar Periodontik
Bandar Jerantut Dental Clinic
Pahang

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