Periodontoloji Kliniğine Başvuran Hastalarının Mevcut Periodontal Durumlarının Risk Faktörleri ile İlişkisinin Değerlendirilmesi
Öz
Çalışmamızın amacı Periodontoloji Kliniğine başvuran hastaların demografik verilerini, periodontal durumlarını (PD), çeşitli risk faktörlerini belirlemek ve PD’nin bu faktörler ile ilişkisini değerlendirmektir. Bu çalışmaya 2016-2018 tarihleri arasında Periodontoloji Kliniğine başvuran 1758 hasta (941 kadın / 817 erkek) dahil edilmiştir. Çalışmaya dahil edilen hastalar; demografik bilgiler (yaş, cinsiyet, eğitim durumu), PD, sistemik hastalık, diş fırçalama sıklığı, diş ipi kullanımı, diş hekimi ziyaret sıklığı ve sigara kullanımı açısından değerlendirilmiştir. Elde edilen tüm veriler SPSS programıyla (ver.20) analiz edilmiştir. Hastaların %28.2’si sağlıklı (sağlıklı ve azalmış periodonsiyumda klinik gingival sağlık), %46.4’ü gingivitis, %22.6’sı evre 1-2 ve %2.8’si evre 3-4 periodontitis olarak tespit edilmiştir. Katılımcıların %33.9’u hiç diş hekimini ziyaret etmemiştir. Katılımcıların çoğu (%91,2) diş ipi kullanmazken, günde 2 kez dişlerini fırçalayanların oranı %71.7 olarak tespit edilmiştir. Sigara kullananların %48’i gingivitis hastası iken %26.7’si evre 1-2 periodontitis hastası olarak belirlenmiştir. PD ile diş hekimine gitme sıklığı, PD ile diş ipi kullanım ve PD ile cinsiyet arasında istatistiksel olarak anlamlı ilişki bulunmuştur (p<0.05). Periodontitisin erkekler arasında daha yaygın olduğu tespit edilmiştir. Gingivitis ve evre 1-2 periodontitis hastalarında en çok görülen sistemik hastalık hipertansiyon iken evre 3-4 periodontitis hastalarının çoğunun (%85.7) sistemik olarak sağlıklı olduğu görülmüştür. Bu çalışmanın sınırları dahilinde periodontal hastalığın bir halk sağlığı sorunu olduğu görülmüştür. Bu nedenle gelecekte daha çok epidemiyolojik çalışmaya ihtiyaç vardır.
Anahtar Kelimeler
Kaynakça
- 1. Del Pinto R, Pietropaoli D, Munoz-Aguilera E, D’Aiuto F, Czesnikiewicz-Guzik M, Monaco A, et al. Periodontitis and Hypertension: Is the Association Causal? High Blood Press Cardiovasc Prev. 2020;27(4):281- 9.
- 2. Sanz M, Marco del Castillo A, Jepsen S, Gonzalez‐Juanatey JR, D’Aiuto F, Bouchard P, et al. Periodontitis and cardiovascular diseases: Consensus report. J Clin Periodontol. 2020;47(3):268-88.
- 3. Gasner NS, Schure RS. Periodontal Disease. Içinde: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 [a.yer 30 Mayıs 2021]. Erişim adresi: http://www.ncbi.nlm.nih.gov/books/NBK5545 90/
- 4. Monsarrat P, Blaizot A, Kémoun P, Ravaud P, Nabet C, Sixou M, et al. Clinical research activity in periodontal medicine: a systematic mapping of trial registers. J Clin Periodontol. 2016;43(5):390-400.
- 5. Tonetti MS, D’Aiuto F, Nibali L, Donald A, Storry C, Parkar M, et al. Treatment of Periodontitis and Endothelial Function. N Engl J Med. 2007;356(9):911-20.
- 6. Sälzer S, Graetz C, Dörfer CE, Slot DE, Van der Weijden FA. Contemporary practices for mechanical oral hygiene to prevent periodontal disease. Scannapieco FA, editör. Periodontol 2000. 2020;84(1):35-44.
- 7. Xiao L, Karapen K, Dong S, Yang H, Zhang X. Epidemiology of periodontal disease in adolescents in mainland China, 1983–2020: a systematic review and meta-analysis. Ann Palliat Med. 2021;10(1):45-60.
- 8. Armitage GC. Development of a Classification System for Periodontal Diseases and Conditions. Ann Periodontol. 1999;4(1):1- 6.
- 9. Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: 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:S74-84.
- 10. Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions: Classification and case definitions for periodontitis. J Periodontol. 2018;89:S173-82.
- 11. Janakiram C, Dye BA. A public health approach for prevention of periodontal disease. Periodontol 2000. 2020;84(1):202-14.
- 12. Marcenes W, Kassebaum NJ, Bernabé E, Flaxman A, Naghavi M, Lopez A, et al. Global Burden of Oral Conditions in 1990-2010: A Systematic Analysis. J Dent Res. 2013;92(7):592-7.
- 13. Dye BA. The Global Burden of Oral Disease: Research and Public Health Significance. J Dent Res. 2017;96(4):361-3.
- 14. Vos T, Abajobir AA, Abate KH, Abbafati C, Abbas KM, Abd-Allah F, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2017;390(10100):1211-59.
- 15. Sezgin Y,, Nisanci Yılmaz, MN. Periodontoloji Kliniğine Başvuran Hastaların Periodontal Durumlarının ve Sistemeik Hastalıklarının Değerlendirilmesi. Ata Diş Hek Fak Derg. 29(3):432-9.
- 16. M, Talmaç AC. Dişhekimliği Fakültesine Başvuran Hastalarda Periodontal Durum ve Sistemik Hastalıkların Değerlendirilmesi. ADYÜ Sağlık Bilimleri Derg. 2018;938-49.
- 17. Yılmaz M, Özmen S, Kınoğlu NG, Karaduman B. Evaluation of periodontal, behavioural and systemic conditions of patiens with gingivitis and mild-moderate periodontitis. Yeditepe J Dent. 2020;16(1):37- 42.
- 18. Shiau HJ, Reynolds MA. Sex Differences in Destructive Periodontal Disease: A Systematic Review. J Periodontol. 2010;81(10):1379-89.
- 19. Bui FQ, Almeida-da-Silva CLC, Huynh B, Trinh A, Liu J, Woodward J, et al. Association between periodontal pathogens and systemic disease. Biomedical Journal. 2019;42(1):27-35.
- 20. Petersen PE, Baehni PC. Periodontal health and global public health: Periodontal disease - a public health problem. Periodontol 2000. 2012;60(1):7-14.
- 21. Muñoz Aguilera E, Suvan J, Buti J, Czesnikiewicz-Guzik M, Barbosa Ribeiro A, Orlandi M, et al. Periodontitis is associated with hypertension: a systematic review and meta-analysis. Cardiovasc Res. 2020;116(1):28-39.
- 22. Chang J, Meng H, Lalla E, Lee C. The impact of smoking on non‐surgical periodontal therapy: A systematic review and meta‐ analysis. J Clin Periodontol. 2021;48(1):61-76.
- 23. Helal O, Göstemeyer G, Krois J, Fawzy El Sayed K, Graetz C, Schwendicke F. Predictors for tooth loss in periodontitis patients: Systematic review and meta‐analysis. J Clin Periodontol. 2019;46(7):699-712.
- 24. Joshi S, Suominen AL, Knuuttila M, Bernabé E. Toothbrushing behaviour and periodontal pocketing: An 11-year longitudinal study. J Clin Periodontol. 2018;45(2):196-203.
- 25. Kassebaum NJ, Smith AGC, Bernabé E, Fleming TD, Reynolds AE, Vos T, et al. Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990– 2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors. J Dent Res. 2017;96(4):380-7.
Evaluation of the Relationship Existing Periodontal Condition With Risk Factors of the Patients Visiting Periodontology Clinic
Öz
The aim of our study was to determine the demographic data, periodontal condition (PC), various risk factors of patients who applied to the periodontology clinic, and to evaluate the relationship between PC with these factors. In this study, 1758 patients (941 female/817 male), who applied to the periodontology clinic between 2016-2018 were included. Patients included in the study; demographic data (age, gender, educational status), PC, systemic disease, frequency of toothbrushing, dental flossing usage, visit to the dentist, and smoking were evaluated. All the data obtained were analyzed with the SPSS (ver.20) software. It was determined that 28.2% of the patients had healthy (clinical gingival health on an intact or a reduced periodontium), 46.4% had gingivitis, 22.6% had stage 1-2 and 2.8% had stage 3-4 periodontitis. 33.9% of the participants had never visited a dentist. While most of the participants (91.2%) did not use dental floss, the rate of those who toothbrushing twice aday was 71.7%. While 48% of smokers were gingivitis patients, 26.7% were stage 1-2 periodontitis patients. There was a statistically significant relationship between PC and visited the dentist, PC and dental flossing, PC and gender (p<0.05). Periodontitis were more common among male. While the most common systemic disease was hypertension in gingivitis and the stage 1-2 periodontitis patients, most of the stage 3-4 periodontitis patients (85.7%) were systemically healthy. Within the limits of this study, it was seen that periodontal disease is a public health problem. Therefore, more epidemiological studies are needed in the future.
Anahtar Kelimeler
Kaynakça
- 1. Del Pinto R, Pietropaoli D, Munoz-Aguilera E, D’Aiuto F, Czesnikiewicz-Guzik M, Monaco A, et al. Periodontitis and Hypertension: Is the Association Causal? High Blood Press Cardiovasc Prev. 2020;27(4):281- 9.
- 2. Sanz M, Marco del Castillo A, Jepsen S, Gonzalez‐Juanatey JR, D’Aiuto F, Bouchard P, et al. Periodontitis and cardiovascular diseases: Consensus report. J Clin Periodontol. 2020;47(3):268-88.
- 3. Gasner NS, Schure RS. Periodontal Disease. Içinde: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 [a.yer 30 Mayıs 2021]. Erişim adresi: http://www.ncbi.nlm.nih.gov/books/NBK5545 90/
- 4. Monsarrat P, Blaizot A, Kémoun P, Ravaud P, Nabet C, Sixou M, et al. Clinical research activity in periodontal medicine: a systematic mapping of trial registers. J Clin Periodontol. 2016;43(5):390-400.
- 5. Tonetti MS, D’Aiuto F, Nibali L, Donald A, Storry C, Parkar M, et al. Treatment of Periodontitis and Endothelial Function. N Engl J Med. 2007;356(9):911-20.
- 6. Sälzer S, Graetz C, Dörfer CE, Slot DE, Van der Weijden FA. Contemporary practices for mechanical oral hygiene to prevent periodontal disease. Scannapieco FA, editör. Periodontol 2000. 2020;84(1):35-44.
- 7. Xiao L, Karapen K, Dong S, Yang H, Zhang X. Epidemiology of periodontal disease in adolescents in mainland China, 1983–2020: a systematic review and meta-analysis. Ann Palliat Med. 2021;10(1):45-60.
- 8. Armitage GC. Development of a Classification System for Periodontal Diseases and Conditions. Ann Periodontol. 1999;4(1):1- 6.
- 9. Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: 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:S74-84.
- 10. Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions: Classification and case definitions for periodontitis. J Periodontol. 2018;89:S173-82.
- 11. Janakiram C, Dye BA. A public health approach for prevention of periodontal disease. Periodontol 2000. 2020;84(1):202-14.
- 12. Marcenes W, Kassebaum NJ, Bernabé E, Flaxman A, Naghavi M, Lopez A, et al. Global Burden of Oral Conditions in 1990-2010: A Systematic Analysis. J Dent Res. 2013;92(7):592-7.
- 13. Dye BA. The Global Burden of Oral Disease: Research and Public Health Significance. J Dent Res. 2017;96(4):361-3.
- 14. Vos T, Abajobir AA, Abate KH, Abbafati C, Abbas KM, Abd-Allah F, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2017;390(10100):1211-59.
- 15. Sezgin Y,, Nisanci Yılmaz, MN. Periodontoloji Kliniğine Başvuran Hastaların Periodontal Durumlarının ve Sistemeik Hastalıklarının Değerlendirilmesi. Ata Diş Hek Fak Derg. 29(3):432-9.
- 16. M, Talmaç AC. Dişhekimliği Fakültesine Başvuran Hastalarda Periodontal Durum ve Sistemik Hastalıkların Değerlendirilmesi. ADYÜ Sağlık Bilimleri Derg. 2018;938-49.
- 17. Yılmaz M, Özmen S, Kınoğlu NG, Karaduman B. Evaluation of periodontal, behavioural and systemic conditions of patiens with gingivitis and mild-moderate periodontitis. Yeditepe J Dent. 2020;16(1):37- 42.
- 18. Shiau HJ, Reynolds MA. Sex Differences in Destructive Periodontal Disease: A Systematic Review. J Periodontol. 2010;81(10):1379-89.
- 19. Bui FQ, Almeida-da-Silva CLC, Huynh B, Trinh A, Liu J, Woodward J, et al. Association between periodontal pathogens and systemic disease. Biomedical Journal. 2019;42(1):27-35.
- 20. Petersen PE, Baehni PC. Periodontal health and global public health: Periodontal disease - a public health problem. Periodontol 2000. 2012;60(1):7-14.
- 21. Muñoz Aguilera E, Suvan J, Buti J, Czesnikiewicz-Guzik M, Barbosa Ribeiro A, Orlandi M, et al. Periodontitis is associated with hypertension: a systematic review and meta-analysis. Cardiovasc Res. 2020;116(1):28-39.
- 22. Chang J, Meng H, Lalla E, Lee C. The impact of smoking on non‐surgical periodontal therapy: A systematic review and meta‐ analysis. J Clin Periodontol. 2021;48(1):61-76.
- 23. Helal O, Göstemeyer G, Krois J, Fawzy El Sayed K, Graetz C, Schwendicke F. Predictors for tooth loss in periodontitis patients: Systematic review and meta‐analysis. J Clin Periodontol. 2019;46(7):699-712.
- 24. Joshi S, Suominen AL, Knuuttila M, Bernabé E. Toothbrushing behaviour and periodontal pocketing: An 11-year longitudinal study. J Clin Periodontol. 2018;45(2):196-203.
- 25. Kassebaum NJ, Smith AGC, Bernabé E, Fleming TD, Reynolds AE, Vos T, et al. Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990– 2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors. J Dent Res. 2017;96(4):380-7.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Periodontoloji |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Ağustos 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 3 Sayı: 1 |
