Periodontal diseases in Africa.

IF 17.5 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Periodontology 2000 Pub Date : 2024-11-04 DOI:10.1111/prd.12617
Mojisola Olujitan, Patricia O Ayanbadejo, Kehinde Umeizudike, Afolabi Oyapero, Christopher Okunseri, Azeez Butali
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Abstract

Periodontal diseases, a group of complex conditions marked by an excessive immune response and periodontal tissue destruction, are a global health concern. Since 1990, the incidence of these diseases has doubled, with Western sub-Saharan Africa experiencing the highest burden. Accurate diagnosis and case identification are crucial for understanding the etiology, features of disease, research, treatment and prevention. Modern perspectives on periodontal disease classification are based on commonality among those affected. However, current literature is often plagued by methodological inconsistencies and focused on disease mechanisms in European populations. Health inequalities in low- and middle-income countries (LMICs) are exacerbated by these challenges, with sub-Saharan Africa, and Nigeria specifically, facing unique difficulties such as clinical personnel shortages and limited research infrastructure. This review explored disparities in periodontal disease research, care and outcomes in African populations. We highlighted these disparities and identified the factors contributing to inequities in periodontal health outcomes. We further demonstrated the critical need for inclusive and equitable healthcare and research practices tailored to the unique challenges faced by diverse populations and regions with limited resources. Addressing these disparities is essential for ensuring that advancements in healthcare are accessible to all, thereby improving global oral health and general health.

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非洲的牙周病。
牙周病是一组以过度免疫反应和牙周组织破坏为特征的复杂疾病,是一个全球健康问题。自 1990 年以来,这些疾病的发病率翻了一番,其中撒哈拉以南非洲西部的发病率最高。准确的诊断和病例鉴定对于了解病因、疾病特征、研究、治疗和预防至关重要。牙周病分类的现代观点是基于患者的共性。然而,目前的文献往往受到方法不一致的困扰,并且侧重于欧洲人群的疾病机制。这些挑战加剧了中低收入国家(LMICs)的健康不平等,撒哈拉以南非洲地区,特别是尼日利亚,面临着独特的困难,如临床人员短缺和研究基础设施有限。本综述探讨了非洲人口在牙周病研究、护理和结果方面的差距。我们强调了这些差距,并确定了造成牙周健康结果不平等的因素。我们进一步表明,针对资源有限的不同人群和地区所面临的独特挑战,亟需采取包容性和公平的医疗保健和研究措施。要确保所有人都能享受到医疗保健的进步,从而改善全球口腔健康和总体健康状况,解决这些差距至关重要。
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来源期刊
Periodontology 2000
Periodontology 2000 医学-牙科与口腔外科
CiteScore
34.10
自引率
2.20%
发文量
62
审稿时长
>12 weeks
期刊介绍: Periodontology 2000 is a series of monographs designed for periodontists and general practitioners interested in periodontics. The editorial board selects significant topics and distinguished scientists and clinicians for each monograph. Serving as a valuable supplement to existing periodontal journals, three monographs are published annually, contributing specialized insights to the field.
期刊最新文献
Methods for 3D evaluation and quantification of gingival recessions and gingival margin changes: Advancements from conventional techniques. Periodontal and orthodontic management of impacted canines. Periodontal disease: A systemic condition. Periodontal diseases in Africa. Autologous platelet concentrates in alveolar ridge preservation: A systematic review with meta-analyses.
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