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Dişeti Çekilmesi: Yetişkin Bir Alt Popülasyonda Prevalans ve İlişkili Faktörler

Year 2021, Volume: 14 Issue: 2, 216 - 227, 30.08.2021
https://doi.org/10.52976/vansaglik.942756

Abstract

Amaç: Bu çalışmanın amacı yetişkin bir alt popülasyonda diş eti çekilmesi prevalansı ile pe-riodontal ve epidemiyolojik değişkenleri içeren olası risk faktörleri arasındaki ilişkiyi araştır-maktır.
Gereç ve Yöntem: Bu çalışma 18-53 yaş arasında bulunan 140 gönüllü hasta üzerinde yürü-tülmüştür. Tüm katılımcıların demografik bilgileri, oral hijyen alışkanlıkları, diş hekimi ziya-ret sıklığı, anormal alışkanlık varlığı, sigara kullanımı ve sistemik durumu kayıt altına alın-mıştır. Klinik muayenede dişeti çekilmesi tespit edilen 211 alanda, ark dışı diş varlığı, dişler-de malpozisyon, aşınma, fırça izi, mobilite, dentin hipersensitivitesi, oklüzal travma, primer kontakt varlığı, anormal restorasyon kenarları, anormal frenulum varlığı, yapışık dişeti geniş-liği ve periodontal sağlık durumunu içeren çeşitli değişkenler incelenmiştir.
Bulgular: Katılımcıların %89,3’ ü sistemik olarak sağlıklı olup, %77,9’ u sigara kullanma-maktadır. %31,4 oranında katılımcı yılda 2 kez diş hekimi ziyareti yapmaktadır. Bireylerin %47,9’ u günde iki kez diş fırçaladığını belirtmiş, ancak tüm katılımcıların yalnızca %16,4’ ünün doğru teknikle fırçaladığı gözlenmiştir. Diş eti çekilmesi bulunan hastalar toplam birey-lerin %52,1’ ini oluşturmaktadır. Bu bireylerin ise %58,9’ unda dentin hipersensitivitesi, %35,6’ sında frenulum faktörü ve %32,9’ unda yetersiz yapışık dişeti tespit edilmiştir. Dişe-ti çekilmesi yaşla birlikte anlamlı şekilde artmıştır (p<0,05). Periodontitis teşhis edilen birey-lerdeki diş eti çekilmesi oranı ise gingivitis teşhis edilenlerden anlamlı şekilde daha fazladır (p<0,05).

Sonuç: Bu çalışmanın sınırları dahilinde, periodontal sağlık durumu, fırçalama tekniği, yeter-siz yapışık dişeti ve dentin hipersensitivitesi dişeti çekilmesi ile ilişkili faktörler olarak öne çıkmaktadır.

Supporting Institution

Yoktur

Project Number

Yoktur

Thanks

Yazarlar araştırmada verileri kullanılarak bilime katkı sağlayan hastalara teşekkür etmektedir.

References

  • 1. Addy, M. (2005). Tooth brushing, tooth wear and dentine hypersensitivity--are they associated?. Int Dent J. 55, 261-267.
  • 2. Ainamo, J. and Bay, I. (1975). Problems and proposals for recording gingivitis and plaque. Int Dent J. 25(4), 229-235.
  • 3. Almeida, A.L., Madeira, L.C., Freitas, K.C., Greghi, S.L. and Pegoraro, L.F. (2007). Cross-sectional evaluation of the presence of gingival recession in individuals with cleft lip and palate. J Periodontol. 78(1), 29-36.
  • 4. Amarasena, G. and Ekanayake, L. (2010). Periodontal status and associated factors in 15-year-old Sri Lankans. J Investig Clin Dent. 1(2), 74-78.
  • 5. Banihashemrad, S., Fatemi, K. and Najafi, M. (2008). Effect of smoking on gingival recession. Dent Res J. 5, 1–4.
  • 6. Beck, J. and Koch, G. (1994). Characteristics of the elderly with periodontal attachment loss as gingival recession or probing depth. J Periodontal Res. 29, 290–8.
  • 7. Bekes, K. and Hirsch, C. (2013). What is known about the influence of dentine hypersensitivity on oral health-related quality of life?. Clin Oral Investig. 17, 45-51.
  • 8. Bernimoulin, J. and Curilovié, Z. (1977). Gingival recession and tooth mobility. J Clin Periodontol. 4(2), 107-114.
  • 9. Bindu, R. and Cheru, T. (1992). Prevalence and etiology of gingival recession-An epidemiological study. ISP Bull. 16, 4–8.
  • 10. Bokor-Bratić, M. (2002). Effects of smoking on the periodontium. Med Pregl. 55, 229-232.
  • 11. Bui, F.Q., Almeida-da-Silva, C.L.C., Huynh, B., Trinh, A., Liu, J., Woodward, J., et al. (2019). Association between periodontal pathogens and systemic disease. Biomed J. 42(1), 27-35.
  • 12. Caton, J.G., Armitage, G., Berglundh, T., Chapple, I., Jepsen, S., Kornman, K.S., et al. (2018). A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 45, 1-8.
  • 13. Chrysanthakopoulos, N.A. (2013). Prevalence and associated factors of gingival recession in Greek adults. J Investig Clin Dent. 4(3), 178-185.
  • 14. Chrysanthakopoulos, N.A. (2014). Gingival recession: prevalence and risk indicators among young greek adults. J Clin Exp Dent. 6(3), 243-249.
  • 15. Dodwad, V. (2001). Etiology and severity of gingival recession among young individuals in Belgaum district in India. Ann Dent Univ Malaya. 8, 1–6. 16. Francetti, L., Weinstein, R., Taschieri, S. and Corbella, S. (2018). Coronally advanced flap with or without subepithelial connective tissue graft for the treatment of single recession: 5-Year outcomes from a comparative study. Int J Periodontics Restorative Dent. 38(6), 819–825.
  • 17. Grover, H. and Aggarwal, N. (2012). Observational study on the association between gingival recession and other clinical variables in an adult population in India. Indian J Dent Sci. 4, 1–7.
  • 18. Hanamura, H., Houston, F., Rylander, H., Carlsson, G.E., Haraldson, T. and Nyman, S. (1987). Periodontal status and bruxism. A comparative study of patients with periodontal disease and occlusal parafunctions. J Periodontol. 58(3), 173-176.
  • 19. Joshipura, K.J., Kent, R.L. and DePaola, P.F. (1994). Gingival recession: intra-oral distribution and associated factors. J Periodontol. 65(9), 864-871.
  • 20. Kassab, M.M. and Cohen, R.E. (2003). The etiology and prevalence of gingival recession. J Am Dent Assoc. 134(2), 220-225.
  • 21. Kisch, J., Badersten, A. and Egelberg, J. (1986). Longitudinal observation of "unattached," mobile gingival areas. J Clin Periodontol. 13(2), 131-134.
  • 22. Kozłowska, M., Wawrzyn-Sobczak, K., Karczewski, J.K. and Stokowska, W. (2005). The oral cavity hygiene as the basic element of the gingival recession prophylaxis. Rocz Akad Med Bialymst. 50, 234-237.
  • 23. Kundapur, P.P., Bhat, K.M. and Bhat, G.S. (2009). Association of trauma from occlusion with localized gingival recession in mandibular anterior teeth. Dent Res J. 6(2), 71-74.
  • 24. Löe, H., Anerud, A. and Boysen, H. (1992). The natural history of periodontal disease in man: prevalence, severity, and extent of gingival recession. J Periodontol. 63(6), 489-495.
  • 25. Mathur, A., Jain, M., Jain, K., Samar, M., Goutham, B., Swamy, P.D., et al. (2009). Gingival recession in school kids aged 10-15 years in Udaipur, India. J Indian Soc Periodontol. 13(1), 16-20.
  • 26. Malathi, K., Arjun, S. and Blaisie, R. (2013). Attached gingiva:a review. Int J Sci Res Rev. 3(2), 188–98.
  • 27. Mirko, P., Miroslav, S. and Lubor, M. (1974). Significance of the labial frenum attachment in periodontal disease in man. Part I. Classification and epidemiology of the labial frenum attachment. J Periodontol. 45(12), 891-894.
  • 28. Murray, J.J. (1973). Gingival recession in tooth types in high fluoride and low fluoride areas. J Periodontal Res. 8(4), 243-251.
  • 29. Roman, A., Louise, F., M’barek, R. and Brun-el-Trotebas, S. (2009). Gingival recessions: epidemiologic, etiologic and therapeutic aspects. Intern Jour Dent Sci. 7, 1.
  • 30. Sangnes, G. and Gjermo, P. (1976). Prevalence of oral soft and hard tissue lesions related to mechanical toothcleansing procedures. Community Dent Oral Epidemiol. 4(2), 77-83.
  • 31. Santamaria, M.P., Silveira, C.A., Mathias, I.F., Neves, F., Dos Santos, L.M., Jardini, M., et al. (2018). Treatment of single maxillary gingival recession associated with non-carious cervical lesion: Randomized clinical trial comparing connective tissue graft alone to graft plus partial restoration. J Clin Periodontol. 45(8), 968-976. 32. Sarfati, A., Bourgeois, D., Katsahian, S., Mora, F. and Bouchard, P. (2010). Risk assessment for buccal gingival recession defects in an adult population. J Periodontol. 81(10), 1419-1425.
  • 33. Schlee, M., Rathe, F., Bommer, C., Bröseler, F. and Kind, L. (2018). Self-assembling peptide matrix for treatment of dentin hypersensitivity: A randomized controlled clinical trial. J Periodontol. 89(6), 653-660.
  • 34. Seong, J., Bartlett, D., Newcombe, R.G., Claydon, N.C.A., Hellin, N. and West, N.X. (2018). Prevalence of gingival recession and study of associated related factors in young UK adults. J Dent. 76, 58-67.
  • 35. Shkreta, M., Atanasovska-Stojanovska, A., Dollaku, B. and Belazelkoska, Z. (2018). Exploring the gingival recession surgical treatment modalities: A literature review. Open Access Maced J Med Sci. 6(4), 698-708.
  • 36. Silness, J. And Löe, H. (1964). Periodontal disease in pregnancy. II. Correlation between oral hygıene and periodontal condtıon. Acta Odontol Scand. 22, 121-135.
  • 37. Susin, C., Haas, A.N., Oppermann, R.V., Haugejorden, O., Albandar, J.M. (2004). Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. J Periodontol. 75(10), 1377-1386.
  • 38. Toker, H. and Ozdemir, H. (2009). Gingival recession: epidemiology and risk indicators in a university dental hospital in Turkey. Int J Dent Hyg. 7(2), 115-120.
  • 39. Tugnait, A. and Clerehugh, V. (2001). Gingival recession-its significance and management. J Dent. 29(6), 381-394.
  • 40. Vehkalahti, M. (1989). Occurrence of gingival recession in adults. J Periodontol. 60(11), 599-603.
  • 41. Watson, P.J. (1984). Gingival recession. J Dent. 12(1), 29-35.
  • 42. Zucchelli, G., Testori, T. and De Sanctis, M. (2006). Clinical and anatomical factors limiting treatment outcomes of gingival recession: a new method to predetermine the line of root coverage. J Periodontol. 77(4), 714-721.

Gingival Recession: Incidence and Associated Factors in an Adult Subpopulation

Year 2021, Volume: 14 Issue: 2, 216 - 227, 30.08.2021
https://doi.org/10.52976/vansaglik.942756

Abstract

Objective: The aim of this study is investigating the relationship between the incidence of gingival recession and possible risk factors including periodontal and epidemiological variables in an adult sub-population.
Material and Method: 140 volunteer patients between the ages of 18-53 were conducted to the study. Demog-raphic information, oral hygiene habits, frequency of dental visits, bad habits, smoking and systemic conditions of all participants were recorded. In clinical examination, 211 gingival recession detected are as were inspected and various variables including the presence of non-archteeth, malposition, abrasion, brush marks, mobility, dentin hypersensitivity, occlusal trauma, presence of primary contact, poorly contoured dental restorations, presence of abnormal frenum, attached gingival width and periodontal health status were examined.
Results: 89.3% of the participants were systemically healthy and 77.9% did not smoke. 31.4% of the participants visited the dentist twice a year. 47.9% of the individuals stated that they brushed their teeth twice a day, but only 16.4% of all participants were observed to brush with the correct technique. Patients with gingival recession constitute 52.1% of the total individuals. 58.9% of these individuals had dentin hypersensitivity, 35.6 % had frenum factor and 32.9% had inadequate attached gingiva. The risk of gingival recession has increased signifi-cantly with age (p<0.05). The rate of gingival recession in individuals diagnosed with periodontitis is signifi-cantly higher than those with gingivitis (p<0.05).
Conclusion: Within the limitations of this study, periodontal health status, tooth brushing technique, inadequate attached gingiva and dentin hypersensitivity stand out as factors associated with gingival recession.

Project Number

Yoktur

References

  • 1. Addy, M. (2005). Tooth brushing, tooth wear and dentine hypersensitivity--are they associated?. Int Dent J. 55, 261-267.
  • 2. Ainamo, J. and Bay, I. (1975). Problems and proposals for recording gingivitis and plaque. Int Dent J. 25(4), 229-235.
  • 3. Almeida, A.L., Madeira, L.C., Freitas, K.C., Greghi, S.L. and Pegoraro, L.F. (2007). Cross-sectional evaluation of the presence of gingival recession in individuals with cleft lip and palate. J Periodontol. 78(1), 29-36.
  • 4. Amarasena, G. and Ekanayake, L. (2010). Periodontal status and associated factors in 15-year-old Sri Lankans. J Investig Clin Dent. 1(2), 74-78.
  • 5. Banihashemrad, S., Fatemi, K. and Najafi, M. (2008). Effect of smoking on gingival recession. Dent Res J. 5, 1–4.
  • 6. Beck, J. and Koch, G. (1994). Characteristics of the elderly with periodontal attachment loss as gingival recession or probing depth. J Periodontal Res. 29, 290–8.
  • 7. Bekes, K. and Hirsch, C. (2013). What is known about the influence of dentine hypersensitivity on oral health-related quality of life?. Clin Oral Investig. 17, 45-51.
  • 8. Bernimoulin, J. and Curilovié, Z. (1977). Gingival recession and tooth mobility. J Clin Periodontol. 4(2), 107-114.
  • 9. Bindu, R. and Cheru, T. (1992). Prevalence and etiology of gingival recession-An epidemiological study. ISP Bull. 16, 4–8.
  • 10. Bokor-Bratić, M. (2002). Effects of smoking on the periodontium. Med Pregl. 55, 229-232.
  • 11. Bui, F.Q., Almeida-da-Silva, C.L.C., Huynh, B., Trinh, A., Liu, J., Woodward, J., et al. (2019). Association between periodontal pathogens and systemic disease. Biomed J. 42(1), 27-35.
  • 12. Caton, J.G., Armitage, G., Berglundh, T., Chapple, I., Jepsen, S., Kornman, K.S., et al. (2018). A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 45, 1-8.
  • 13. Chrysanthakopoulos, N.A. (2013). Prevalence and associated factors of gingival recession in Greek adults. J Investig Clin Dent. 4(3), 178-185.
  • 14. Chrysanthakopoulos, N.A. (2014). Gingival recession: prevalence and risk indicators among young greek adults. J Clin Exp Dent. 6(3), 243-249.
  • 15. Dodwad, V. (2001). Etiology and severity of gingival recession among young individuals in Belgaum district in India. Ann Dent Univ Malaya. 8, 1–6. 16. Francetti, L., Weinstein, R., Taschieri, S. and Corbella, S. (2018). Coronally advanced flap with or without subepithelial connective tissue graft for the treatment of single recession: 5-Year outcomes from a comparative study. Int J Periodontics Restorative Dent. 38(6), 819–825.
  • 17. Grover, H. and Aggarwal, N. (2012). Observational study on the association between gingival recession and other clinical variables in an adult population in India. Indian J Dent Sci. 4, 1–7.
  • 18. Hanamura, H., Houston, F., Rylander, H., Carlsson, G.E., Haraldson, T. and Nyman, S. (1987). Periodontal status and bruxism. A comparative study of patients with periodontal disease and occlusal parafunctions. J Periodontol. 58(3), 173-176.
  • 19. Joshipura, K.J., Kent, R.L. and DePaola, P.F. (1994). Gingival recession: intra-oral distribution and associated factors. J Periodontol. 65(9), 864-871.
  • 20. Kassab, M.M. and Cohen, R.E. (2003). The etiology and prevalence of gingival recession. J Am Dent Assoc. 134(2), 220-225.
  • 21. Kisch, J., Badersten, A. and Egelberg, J. (1986). Longitudinal observation of "unattached," mobile gingival areas. J Clin Periodontol. 13(2), 131-134.
  • 22. Kozłowska, M., Wawrzyn-Sobczak, K., Karczewski, J.K. and Stokowska, W. (2005). The oral cavity hygiene as the basic element of the gingival recession prophylaxis. Rocz Akad Med Bialymst. 50, 234-237.
  • 23. Kundapur, P.P., Bhat, K.M. and Bhat, G.S. (2009). Association of trauma from occlusion with localized gingival recession in mandibular anterior teeth. Dent Res J. 6(2), 71-74.
  • 24. Löe, H., Anerud, A. and Boysen, H. (1992). The natural history of periodontal disease in man: prevalence, severity, and extent of gingival recession. J Periodontol. 63(6), 489-495.
  • 25. Mathur, A., Jain, M., Jain, K., Samar, M., Goutham, B., Swamy, P.D., et al. (2009). Gingival recession in school kids aged 10-15 years in Udaipur, India. J Indian Soc Periodontol. 13(1), 16-20.
  • 26. Malathi, K., Arjun, S. and Blaisie, R. (2013). Attached gingiva:a review. Int J Sci Res Rev. 3(2), 188–98.
  • 27. Mirko, P., Miroslav, S. and Lubor, M. (1974). Significance of the labial frenum attachment in periodontal disease in man. Part I. Classification and epidemiology of the labial frenum attachment. J Periodontol. 45(12), 891-894.
  • 28. Murray, J.J. (1973). Gingival recession in tooth types in high fluoride and low fluoride areas. J Periodontal Res. 8(4), 243-251.
  • 29. Roman, A., Louise, F., M’barek, R. and Brun-el-Trotebas, S. (2009). Gingival recessions: epidemiologic, etiologic and therapeutic aspects. Intern Jour Dent Sci. 7, 1.
  • 30. Sangnes, G. and Gjermo, P. (1976). Prevalence of oral soft and hard tissue lesions related to mechanical toothcleansing procedures. Community Dent Oral Epidemiol. 4(2), 77-83.
  • 31. Santamaria, M.P., Silveira, C.A., Mathias, I.F., Neves, F., Dos Santos, L.M., Jardini, M., et al. (2018). Treatment of single maxillary gingival recession associated with non-carious cervical lesion: Randomized clinical trial comparing connective tissue graft alone to graft plus partial restoration. J Clin Periodontol. 45(8), 968-976. 32. Sarfati, A., Bourgeois, D., Katsahian, S., Mora, F. and Bouchard, P. (2010). Risk assessment for buccal gingival recession defects in an adult population. J Periodontol. 81(10), 1419-1425.
  • 33. Schlee, M., Rathe, F., Bommer, C., Bröseler, F. and Kind, L. (2018). Self-assembling peptide matrix for treatment of dentin hypersensitivity: A randomized controlled clinical trial. J Periodontol. 89(6), 653-660.
  • 34. Seong, J., Bartlett, D., Newcombe, R.G., Claydon, N.C.A., Hellin, N. and West, N.X. (2018). Prevalence of gingival recession and study of associated related factors in young UK adults. J Dent. 76, 58-67.
  • 35. Shkreta, M., Atanasovska-Stojanovska, A., Dollaku, B. and Belazelkoska, Z. (2018). Exploring the gingival recession surgical treatment modalities: A literature review. Open Access Maced J Med Sci. 6(4), 698-708.
  • 36. Silness, J. And Löe, H. (1964). Periodontal disease in pregnancy. II. Correlation between oral hygıene and periodontal condtıon. Acta Odontol Scand. 22, 121-135.
  • 37. Susin, C., Haas, A.N., Oppermann, R.V., Haugejorden, O., Albandar, J.M. (2004). Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. J Periodontol. 75(10), 1377-1386.
  • 38. Toker, H. and Ozdemir, H. (2009). Gingival recession: epidemiology and risk indicators in a university dental hospital in Turkey. Int J Dent Hyg. 7(2), 115-120.
  • 39. Tugnait, A. and Clerehugh, V. (2001). Gingival recession-its significance and management. J Dent. 29(6), 381-394.
  • 40. Vehkalahti, M. (1989). Occurrence of gingival recession in adults. J Periodontol. 60(11), 599-603.
  • 41. Watson, P.J. (1984). Gingival recession. J Dent. 12(1), 29-35.
  • 42. Zucchelli, G., Testori, T. and De Sanctis, M. (2006). Clinical and anatomical factors limiting treatment outcomes of gingival recession: a new method to predetermine the line of root coverage. J Periodontol. 77(4), 714-721.
There are 40 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Original Research Articles
Authors

Nazlı Zeynep Alpaslan Yaylı 0000-0002-6311-385X

Elif Töre Sari 0000-0002-3487-0579

Project Number Yoktur
Publication Date August 30, 2021
Submission Date May 25, 2021
Published in Issue Year 2021 Volume: 14 Issue: 2

Cite

APA Alpaslan Yaylı, N. Z., & Sari, E. T. (2021). Dişeti Çekilmesi: Yetişkin Bir Alt Popülasyonda Prevalans ve İlişkili Faktörler. Van Sağlık Bilimleri Dergisi, 14(2), 216-227. https://doi.org/10.52976/vansaglik.942756

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