Periodontoloji Kliniğine Başvuran Hastaların Periodontal Durumlarının, Sistemik Hastalıklarının ve Kişisel Alışkanlıklarının Değerlendirilmesi

Dilek Özkan Şen; İbrahim Çayır; Fatma Ucan Yarkac; Zeynep Taştan Eroğlu

doi:10.51122/neudentj.2023.53

Research Article

Periodontoloji Kliniğine Başvuran Hastaların Periodontal Durumlarının, Sistemik Hastalıklarının ve Kişisel Alışkanlıklarının Değerlendirilmesi

Year 2023, Volume: 5 Issue: 1, 10 - 18, 30.04.2023

Dilek Özkan Şen İbrahim Çayır Fatma Ucan Yarkac Zeynep Taştan Eroğlu

https://doi.org/10.51122/neudentj.2023.53

Abstract

Bu çalışmanın amacı, Necmettin Erbakan Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Anabilim Dalı’nda cerrahi olmayan periodontal tedavileri yapılan bireylerin periodontal durumları ile sistemik hastalık ve kişisel alışkanlıkları arasındaki ilişkinin değerlendirilmesidir.Gereç ve Yöntemler: Çalışmaya 289’u erkek, 510’u kadın olmak üzere toplam 799 birey dahil edildi. Hasta formlarına kaydedilmiş olan demografik veriler, medikal ve dental anamnezler, sigara kullanımı, sistemik durum bilgileri ile klinik periodontal parametreleri değerlendirildi. Periodontal durumlarına göre gingivitis (G) ve periodontitis (P) olmak üzere hastalar iki gruba ayrıldı. Oluşturulan grupların periodontal klinik parametreleri (gingival indeks, plak indeksi ve sondalamada kanama indeksi), sistemik hastalıkları, yaş, cinsiyet ve kişisel alışkanlıkları değerlendirildi. P<0.05 istatistiksel olarak anlamlı kabul edildi. Bulgular: Gingivitisli bireylerin yaş ortalaması 39.55±15.15, periodontitisli bireylerin yaş ortalaması 48.51±11.16 idi. Periodontitis grubunda periodontal parametre değerleri daha yüksekti (p<0.05). Yaş, cinsiyet, eğitim durumu ve beden kitle indeksi açısından gingivitisli ve periodontitisli gruplar arasında anlamlı farklılık vardı (p<0.05). Çalışmaya dahil edilen bireylerde sistemik hastalık oranı %86.2 idi. Sonuç: Hastalardan alınan anamnez bilgileri ve yapılan klinik ölçümler periodontal hastalıkların teşhis ve tedavisinde oldukça öneme sahiptir. Hastalar taşıdıkları risk faktörleri açısından bilgilendirilmeli ve tedavi planlamasında bu faktörler dikkate alınmalıdır.

Keywords

gingivitis, periodontitis, sistemik hastalık, periodontal durum

References

1. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodon- tal diseases. Lancet. 2005;366.
2. Ozmeric N. Advances in periodontal disease markers. Clinica chimica acta. 2004;343:1-16.
3. Greenstein G. Nonsurgical periodontal therapy in 2000: a literature review. J Am Dent Assoc. 2000;131:1580-92.
4. Nazir MA. Prevalence of periodontal disease, its asso- ciation with systemic diseases and prevention. Int J He- alth Sci . 2017;11:72-80.
5. Filgueiras LV, Konflanz W, Haas AN, Celeste RK. Assess- ment of the contextual effects on the prevalence of perio- dontitis: a systematic review. Brazilian Oral Res. 2023;36.
6. Otomo-Corgel J. Osteoporosis and osteopenia: implica- tions for periodontal and implant therapy. Periodontol 2000. 2012;59:111-39.
7. Lagervall M, Jansson L, Bergström J. Systemic disorders in patients with periodontal disease. J Clin Periodontol. 2003;30:293-9.
8. Silness J, Löe H. Periodontal disease in pregnancy II. Correlation between oral hygiene and periodontal condi- tion. Acta odontologica scandinavica. 1964;22:121-35.
9.Tonetti, M. S., Greenwell, H., & Kornman, K. S. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition.J Periodontol.2018; 89, S159-S172.
10.Chapple IL, Mealey BL, Van Dyke TE, Bartold PM, Dom- misch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced perio- dontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89:S74-S84.
11.Sezgin Y, Yılmaz MNN. Periodontoloji kliniğine başvuran hastaların periodontal durumlarının ve sistemik hastalık- larının değerlendirilmesi. Atatürk Üni Diş Hek Fak Derg. 2019;29:432-9.
12.Eren G, Becerik S. Evaluating the periodontal status and oral hygiene habits among dental patients. Istanbul Med J. 2016;17.
13.Akpınar A, Toker H, Çalışır M. Periodontoloji kliniğine başvuran hastalarda periodontal durum ve sistemik has- talıkların değerlendirilmesi. Cumhuriyet Dental J. 2012;15:93-100.
14.Relvas M, López-Jarana P, Monteiro L, Pacheco JJ, Braga AC, Salazar F. Study of prevalence, severity and risk fac- tors of periodontal disease in a Portuguese population. J Clin Medicine. 2022;11:3728.
15. Mostafa B, El-Refai I. Prevalence of Plaque-Induced Gingi- vitis in a Sample of the Adult Egyptian Population. Open Access Maced J Med Sci. 2018;6:554-8.
16.Albandar JM, Kingman A. Gingival recession, gingival ble- eding, and dental calculus in adults 30 years of age and older in the United States, 1988-1994. J Periodontol. 1999;70:30-43.
17.Brown LF, Beck JD, Rozier RG. Incidence of attachment loss in community-dwelling older adults. J Periodontol. 1994;65:316-23.
18. Grover V, Jain A, Kapoor A, Malhotra R, Singh Chahal G. The gender bender effect in periodontal immune res- ponse. Endocr Metab Immune Disord Drug Targets. 2016;16:12-20.
19. Shiau HJ, Reynolds MA. Sex differences in destructive pe- riodontal disease: exploring the biologic basis. J Periodon- tol. 2010;81:1505-17.
20. Cao M, Shu L, Li J, Su J, Zhang W, Wang Q, et al. The expres- sion of estrogen receptors and the effects of estrogen on human periodontal ligament cells. Methods Find Exp Clin Pharmacol. 2007;29:329-35.
21. Mascarenhas P, Gapski R, Al-Shammari K, Wang HL. Influ- ence of sex hormones on the periodontium. J Clin Perio- dontol. 2003;30:671-81.
22. Zhang B, Li Y, Zhou Q, Ding Y. Estrogen deficiency leads to impaired osteogenic differentiation of periodontal liga- ment stem cells in rats. Tohoku J Exp Med. 2011;223:177- 86.
23.Mundt T, Schwahn C, Mack F, Polzer I, Samietz S, Kocher T, et al. Risk indicators for missing teeth in working-age Pomeranians--an evaluation of high-risk populations. J Public Health Dent. 2007;67:243-9.
24. Susin C, Dalla Vecchia CF, Oppermann RV, Haugejorden O, Albandar JM. Periodontal attachment loss in an urban po- pulation of Brazilian adults: effect of demographic, beha- vioral, and environmental risk indicators. J Periodontol. 2004;75:1033-41.
25. Scannapieco F. Periodontal disease as a potential risk fac- tor for systemic diseases: position paper of the American Academy of Periodontology. J Periodontol. 1998;69:841- 50.
26.Genco RJ, Sanz M. Clinical and public health implications of periodontal and systemic diseases: An overview. Peri- odontol 2000. 2020;83:7-13.
27. Acharya C, Sahingur SE, Bajaj JS. Microbiota, cirrhosis, and the emerging oral-gut-liver axis. JCI Insight. 2017;2: e94416.
28. Potempa J, Mydel P, Koziel J. The case for periodontitis in the pathogenesis of rheumatoid arthritis. Nat Rev Rheu- matol. 2017;13:606-20.
29.Schenkein HA, Papapanou PN, Genco R, Sanz M. Mecha- nisms underlying the association between periodontitis and atherosclerotic disease. Periodontol 2000. 2020;83:90-106.
30.Xiao E, Mattos M, Vieira GHA, Chen S, Corrêa JD, Wu Y, et al. Diabetes Enhances IL-17 Expression and alters the oral microbiome to increase its pathogenicity. Cell Host Mic- robe. 2017;22.1:120-128.
31.Fernández-Feijoo J, Garea-Gorís R, Fernández-Varela M, Tomás-Carmona I, Diniz-Freitas M, Limeres-Posse J. Pre- valence of systemic diseases among patients requesting dental consultation in the public and private systems. Med oral patol oral cir bucal. 2012;17.1
32.Hatipoğlu MG, Hatipoğlu H, Pekkan G. Bir üniversite has- tanesi diş hekimliği birimine başvuran hastalarin anam- nez formlarinin değerlendirilmesi. Baun Sağ Bil Derg.2012; 1: 54-58
33.Aydıntuğ YS, Şençimen M, Bayar GR, Mutlu İ, Gülses A. Ağız, diş, çene hastalıkları ve cerrahisi polikliniğine baş- vuran erişkin hastalarda çeşitli sistemik hastalıkların gö- rülme sıklıkları. Gülhane Med J. 2010;52:7-10.
34.Sachdeva SK, Raj SS, Kaushik A, Sharma D, Verma KG, Dutta S. Prevalence of medical problems among patients attending a dental school in India-A cross sectional study. OHDM. 2015;14:429-34.
35. Georgiou T, Marshall R, Bartold P. Prevalence of systemic diseases in Brisbane general and periodontal practice pa- tients. Australian Dent J. 2004;49:177-84.
36.Fermin A, Newman MG, Takei HH, Klokkevold PR Car- ranza FA. The Role of iatrogenic and other local factors. Carranza’s Clinical Periodontology Philadelphia: Saun- ders. 2006:161-73.
37. Beck J, Garcia R, Heiss G, Vokonas PS, Offenbacher S. Peri- odontal disease and cardiovascular disease. J Periodontol. 1996;67:1123-37.
38. Mattila KJ, Asikainen S, Wolf J, Jousimies-Somer H, Valto- nen V, Nieminen M. Age, dental infections, and coronary heart disease. J Dent Research. 2000;79:756-60.
39.Dunne S, Clark C. The identification of the medically compromised patient in dental practice. J Dentistry. 1985;13:45-51.
40.Nery E, Meister Jr F, Ellinger R, Eslami A, McNamara T. Prevalence of medical problems in periodontal patients obtained from three different populations. J Periodontol. 1987;58:564-8.
41.Emingil G. Periodontoloji kliniğine başvuran hastalarda sistemik hastalıkların görülme sıklıkları. EU Dişhek Fak Derg. 2001;22:59-62
42. Satman I, Yilmaz T, Sengül A, Salman S, Salman F, Uygur S, et al. Diabetes epidemiology study in Turkey: first step data results. Diabetes Care. 2002;25:1551-6.
43. Cin GT, Fenkçi SM. Knowledge levels and attitudes of type 2 diabetic patients on periodontal health: a cross-sectio- nal study. Meandros Med Dent J.2022; 3:296-302
44.Erciyas K, Üstün K, Pahlivan Y, Onat AM. Romatoid artrit ve periodontal sağlık. Gaziantep Med J. 2009;15:1-4.
45. Mercado F, Marshall RI, Klestov AC, Bartold PM. Is there a relationship between rheumatoid arthritis and periodon- tal disease. J Clin Periodontol. 2000;27:267-72.
46. Eloot A, Vanobbergen J, De Baets F, Martens L. Oral health and habits in children with asthma related to severity and duration of condition. Eur J Paediatr Dent. 2004;5:210-5.
47.Berroteran A, Perrone M, Correnti M, Cavazza ME, Tom- bazzi C, Goncalvez R, et al. Detection of Helicobacter py- lori DNA in the oral cavity and gastroduodenal system of a Venezuelan population. J Med Microbiol. 2002;51:764- 70. 48. Cammarota G, Tursi A, Montalto M, Papa A, Veneto G, Ber- nardi S, et al. Role of dental plaque in the transmission of Helicobacter pylori infection. J Clin Gastroenterology. 1996;22:174-7. 49. Yılmaz M, Özmen S, Kınoğlu NG, Karaduman B. Gingivitis ve hafif-orta şiddette periodontitis hastalarının periodon- tal, davranışsal ve sistemik durumlarının belirlenmesi. Yeditepe J Dent. 2020; 16: 37-42. 50. Rivera-Hidalgo F. Smoking and periodontal disease. Peri- odontol 2000. 2003;32:50-8. 51. Haffajee A, Socransky S. Relationship of cigarette smoking to the subgingival microbiota. J Clin Periodontol. 2001;28:377-88.

Year 2023, Volume: 5 Issue: 1, 10 - 18, 30.04.2023

Dilek Özkan Şen İbrahim Çayır Fatma Ucan Yarkac Zeynep Taştan Eroğlu

https://doi.org/10.51122/neudentj.2023.53

Abstract

References

1. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodon- tal diseases. Lancet. 2005;366.
2. Ozmeric N. Advances in periodontal disease markers. Clinica chimica acta. 2004;343:1-16.
3. Greenstein G. Nonsurgical periodontal therapy in 2000: a literature review. J Am Dent Assoc. 2000;131:1580-92.
4. Nazir MA. Prevalence of periodontal disease, its asso- ciation with systemic diseases and prevention. Int J He- alth Sci . 2017;11:72-80.
5. Filgueiras LV, Konflanz W, Haas AN, Celeste RK. Assess- ment of the contextual effects on the prevalence of perio- dontitis: a systematic review. Brazilian Oral Res. 2023;36.
6. Otomo-Corgel J. Osteoporosis and osteopenia: implica- tions for periodontal and implant therapy. Periodontol 2000. 2012;59:111-39.
7. Lagervall M, Jansson L, Bergström J. Systemic disorders in patients with periodontal disease. J Clin Periodontol. 2003;30:293-9.
8. Silness J, Löe H. Periodontal disease in pregnancy II. Correlation between oral hygiene and periodontal condi- tion. Acta odontologica scandinavica. 1964;22:121-35.
9.Tonetti, M. S., Greenwell, H., & Kornman, K. S. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition.J Periodontol.2018; 89, S159-S172.
10.Chapple IL, Mealey BL, Van Dyke TE, Bartold PM, Dom- misch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced perio- dontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89:S74-S84.
11.Sezgin Y, Yılmaz MNN. Periodontoloji kliniğine başvuran hastaların periodontal durumlarının ve sistemik hastalık- larının değerlendirilmesi. Atatürk Üni Diş Hek Fak Derg. 2019;29:432-9.
12.Eren G, Becerik S. Evaluating the periodontal status and oral hygiene habits among dental patients. Istanbul Med J. 2016;17.
13.Akpınar A, Toker H, Çalışır M. Periodontoloji kliniğine başvuran hastalarda periodontal durum ve sistemik has- talıkların değerlendirilmesi. Cumhuriyet Dental J. 2012;15:93-100.
14.Relvas M, López-Jarana P, Monteiro L, Pacheco JJ, Braga AC, Salazar F. Study of prevalence, severity and risk fac- tors of periodontal disease in a Portuguese population. J Clin Medicine. 2022;11:3728.
15. Mostafa B, El-Refai I. Prevalence of Plaque-Induced Gingi- vitis in a Sample of the Adult Egyptian Population. Open Access Maced J Med Sci. 2018;6:554-8.
16.Albandar JM, Kingman A. Gingival recession, gingival ble- eding, and dental calculus in adults 30 years of age and older in the United States, 1988-1994. J Periodontol. 1999;70:30-43.
17.Brown LF, Beck JD, Rozier RG. Incidence of attachment loss in community-dwelling older adults. J Periodontol. 1994;65:316-23.
18. Grover V, Jain A, Kapoor A, Malhotra R, Singh Chahal G. The gender bender effect in periodontal immune res- ponse. Endocr Metab Immune Disord Drug Targets. 2016;16:12-20.
19. Shiau HJ, Reynolds MA. Sex differences in destructive pe- riodontal disease: exploring the biologic basis. J Periodon- tol. 2010;81:1505-17.
20. Cao M, Shu L, Li J, Su J, Zhang W, Wang Q, et al. The expres- sion of estrogen receptors and the effects of estrogen on human periodontal ligament cells. Methods Find Exp Clin Pharmacol. 2007;29:329-35.
21. Mascarenhas P, Gapski R, Al-Shammari K, Wang HL. Influ- ence of sex hormones on the periodontium. J Clin Perio- dontol. 2003;30:671-81.
22. Zhang B, Li Y, Zhou Q, Ding Y. Estrogen deficiency leads to impaired osteogenic differentiation of periodontal liga- ment stem cells in rats. Tohoku J Exp Med. 2011;223:177- 86.
23.Mundt T, Schwahn C, Mack F, Polzer I, Samietz S, Kocher T, et al. Risk indicators for missing teeth in working-age Pomeranians--an evaluation of high-risk populations. J Public Health Dent. 2007;67:243-9.
24. Susin C, Dalla Vecchia CF, Oppermann RV, Haugejorden O, Albandar JM. Periodontal attachment loss in an urban po- pulation of Brazilian adults: effect of demographic, beha- vioral, and environmental risk indicators. J Periodontol. 2004;75:1033-41.
25. Scannapieco F. Periodontal disease as a potential risk fac- tor for systemic diseases: position paper of the American Academy of Periodontology. J Periodontol. 1998;69:841- 50.
26.Genco RJ, Sanz M. Clinical and public health implications of periodontal and systemic diseases: An overview. Peri- odontol 2000. 2020;83:7-13.
27. Acharya C, Sahingur SE, Bajaj JS. Microbiota, cirrhosis, and the emerging oral-gut-liver axis. JCI Insight. 2017;2: e94416.
28. Potempa J, Mydel P, Koziel J. The case for periodontitis in the pathogenesis of rheumatoid arthritis. Nat Rev Rheu- matol. 2017;13:606-20.
29.Schenkein HA, Papapanou PN, Genco R, Sanz M. Mecha- nisms underlying the association between periodontitis and atherosclerotic disease. Periodontol 2000. 2020;83:90-106.
30.Xiao E, Mattos M, Vieira GHA, Chen S, Corrêa JD, Wu Y, et al. Diabetes Enhances IL-17 Expression and alters the oral microbiome to increase its pathogenicity. Cell Host Mic- robe. 2017;22.1:120-128.
31.Fernández-Feijoo J, Garea-Gorís R, Fernández-Varela M, Tomás-Carmona I, Diniz-Freitas M, Limeres-Posse J. Pre- valence of systemic diseases among patients requesting dental consultation in the public and private systems. Med oral patol oral cir bucal. 2012;17.1
32.Hatipoğlu MG, Hatipoğlu H, Pekkan G. Bir üniversite has- tanesi diş hekimliği birimine başvuran hastalarin anam- nez formlarinin değerlendirilmesi. Baun Sağ Bil Derg.2012; 1: 54-58
33.Aydıntuğ YS, Şençimen M, Bayar GR, Mutlu İ, Gülses A. Ağız, diş, çene hastalıkları ve cerrahisi polikliniğine baş- vuran erişkin hastalarda çeşitli sistemik hastalıkların gö- rülme sıklıkları. Gülhane Med J. 2010;52:7-10.
34.Sachdeva SK, Raj SS, Kaushik A, Sharma D, Verma KG, Dutta S. Prevalence of medical problems among patients attending a dental school in India-A cross sectional study. OHDM. 2015;14:429-34.
35. Georgiou T, Marshall R, Bartold P. Prevalence of systemic diseases in Brisbane general and periodontal practice pa- tients. Australian Dent J. 2004;49:177-84.
36.Fermin A, Newman MG, Takei HH, Klokkevold PR Car- ranza FA. The Role of iatrogenic and other local factors. Carranza’s Clinical Periodontology Philadelphia: Saun- ders. 2006:161-73.
37. Beck J, Garcia R, Heiss G, Vokonas PS, Offenbacher S. Peri- odontal disease and cardiovascular disease. J Periodontol. 1996;67:1123-37.
38. Mattila KJ, Asikainen S, Wolf J, Jousimies-Somer H, Valto- nen V, Nieminen M. Age, dental infections, and coronary heart disease. J Dent Research. 2000;79:756-60.
39.Dunne S, Clark C. The identification of the medically compromised patient in dental practice. J Dentistry. 1985;13:45-51.
40.Nery E, Meister Jr F, Ellinger R, Eslami A, McNamara T. Prevalence of medical problems in periodontal patients obtained from three different populations. J Periodontol. 1987;58:564-8.
41.Emingil G. Periodontoloji kliniğine başvuran hastalarda sistemik hastalıkların görülme sıklıkları. EU Dişhek Fak Derg. 2001;22:59-62
42. Satman I, Yilmaz T, Sengül A, Salman S, Salman F, Uygur S, et al. Diabetes epidemiology study in Turkey: first step data results. Diabetes Care. 2002;25:1551-6.
43. Cin GT, Fenkçi SM. Knowledge levels and attitudes of type 2 diabetic patients on periodontal health: a cross-sectio- nal study. Meandros Med Dent J.2022; 3:296-302
44.Erciyas K, Üstün K, Pahlivan Y, Onat AM. Romatoid artrit ve periodontal sağlık. Gaziantep Med J. 2009;15:1-4.
45. Mercado F, Marshall RI, Klestov AC, Bartold PM. Is there a relationship between rheumatoid arthritis and periodon- tal disease. J Clin Periodontol. 2000;27:267-72.
46. Eloot A, Vanobbergen J, De Baets F, Martens L. Oral health and habits in children with asthma related to severity and duration of condition. Eur J Paediatr Dent. 2004;5:210-5.
47.Berroteran A, Perrone M, Correnti M, Cavazza ME, Tom- bazzi C, Goncalvez R, et al. Detection of Helicobacter py- lori DNA in the oral cavity and gastroduodenal system of a Venezuelan population. J Med Microbiol. 2002;51:764- 70. 48. Cammarota G, Tursi A, Montalto M, Papa A, Veneto G, Ber- nardi S, et al. Role of dental plaque in the transmission of Helicobacter pylori infection. J Clin Gastroenterology. 1996;22:174-7. 49. Yılmaz M, Özmen S, Kınoğlu NG, Karaduman B. Gingivitis ve hafif-orta şiddette periodontitis hastalarının periodon- tal, davranışsal ve sistemik durumlarının belirlenmesi. Yeditepe J Dent. 2020; 16: 37-42. 50. Rivera-Hidalgo F. Smoking and periodontal disease. Peri- odontol 2000. 2003;32:50-8. 51. Haffajee A, Socransky S. Relationship of cigarette smoking to the subgingival microbiota. J Clin Periodontol. 2001;28:377-88.

There are 47 citations in total.

Details

Primary Language	Turkish
Subjects	Dentistry
Journal Section	RESEARCH ARTICLE
Authors	Dilek Özkan Şen 0000-0002-0531-1217 İbrahim Çayır 0000-0002-8649-1781 Fatma Ucan Yarkac 0000-0001-8126-585X Zeynep Taştan Eroğlu 0000-0002-0003-2120
Publication Date	April 30, 2023
Submission Date	February 22, 2023
Acceptance Date	April 7, 2023
Published in Issue	Year 2023 Volume: 5 Issue: 1

Cite

Vancouver	Özkan Şen D, Çayır İ, Ucan Yarkac F, Taştan Eroğlu Z. Periodontoloji Kliniğine Başvuran Hastaların Periodontal Durumlarının, Sistemik Hastalıklarının ve Kişisel Alışkanlıklarının Değerlendirilmesi. NEU Dent J. 2023;5(1):10-8.

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