Evaluation of socioeconomic status, nutritional habits and periodontal disease status of patients applying to the department of periodontology

Year 2025, Volume: 7 Issue: 3, 297 - 303, 30.05.2025

Selcen Özcan Bulut , Nihan Özel Erçel

https://doi.org/10.38053/acmj.1634095

Abstract

Aims: To analyze the socioeconomic status, nutritional habits and periodontal disease status of patients who applied to the periodontology clinic for treatment.
Methods: 191 patients (149 female, 42 male) participated in the study. The diagnosis of periodontal disease was made according to the 2017 Periodontal Disease Classification. Using a survey, data on eating habits (using the Wilhom Index (WI) survey), Body-mass index (BMI), socioeconomic levels and education level were obtained. All data were analyzed.
Results: It was observed that 61.3% of the patients were not university graduates, 27.7% had low income, 53% had unhealthy BMI, nutritional habits were at a moderate level. The prevalence of periodontal disease was 42.4% for gingivitis and 48.7% for periodontitis. According to periodontal disease diagnoses, a significant difference was observed in socioeconomic status, education level, WI score and BMI.
Conclusion: In order to reduce the prevalence of periodontal disease and improve public health, comprehensive health policies and educational programs should be developed regarding socioeconomic status, education level, awareness of healthy nutrition and oral health.

Keywords

Education, nutrition surveys, nutritional status, periodontal diseases, socioeconomic factors

References

• Korkmaz B, Cengiz Mİ. Türkiye'de periodontal hastalıklar ve sosyoekonomik düzey. Turkiye Klinikleri Periodontology-Special Topics. 2019;5(3):14-19.
• Papapanou PN, Sanz M, Buduneli N, et al. Periodontitis: consensus report of workgroup 2 of the 2017 World Workshop on the classification of periodontal and peri-ımplant diseases and conditions. J Periodontol. 2018;89(Suppl 1):S173-s182. doi:10.1002/jper.17-0721
• Periodontitis O. American Academy of Periodontology Task Force report on the update to the 1999 classification of periodontal diseases and conditions. J Periodontol. 2015;86(7):835-838. doi:10.1902/jop.2015. 157001
• Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Periodontol. 2018;89(Suppl 1):S159-S172. doi:10.1002/JPER. 18-0006
• Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontol 2000. 2013;62(1):59-94. doi:10.1111/j.1600-0757.2012.00457.x
• Janakiram C, Dye BA. A public health approach for prevention of periodontal disease. Periodontology 2000. 2020;84(1):202-214. doi:10. 1111/prd.12337
• Bascones-Martinez A, Matesanz-Perez P, Escribano-Bermejo M, González-Moles MÁ, Bascones-Ilundain J, Meurman JH. Periodontal disease and diabetes-review of the literature. Med Oral Patol Oral Cir Bucal. 2011;16(6):e722-e729. doi:10.4317/medoral.17032
• Dommisch H, Kuzmanova D, Jönsson D, Grant M, Chapple I. Effect of micronutrient malnutrition on periodontal disease and periodontal therapy. Periodontology 2000. 2018;78(1):129-153. doi:10.1111/prd.12233
• Micha R, Shulkin ML, Penalvo JL, et al. Etiologic effects and optimal intakes of foods and nutrients for risk of cardiovascular diseases and diabetes: systematic reviews and meta-analyses from the Nutrition and Chronic Diseases Expert Group (NutriCoDE). PloS one. 2017;12(4): e0175149. doi:10.1371/journal.pone.0175149
• Rizzoli R. Nutritional aspects of bone health. Best Pract Res Clin Endocrinol Metab. 2014;28(6):795-808. doi:10.1016/j.beem.2014.08.003
• Najeeb S, Zafar MS, Khurshid Z, Zohaib S, Almas K. The role of nutrition in periodontal health: an update. Nutrients. 2016;8(9):530. doi: 10.3390/nu8090530
• Başçıl S, Bozkuş Y, Kipalev AŞ, Tütüncü NB. The link between body-mass index and periodontitis: unhealthy eating habits and poor oral hygiene according to a compelling survey study. Akd Med J. 2025;11(1): 124-130. doi:10.53394/akd.1572204
• Küçükeşmen Ç, Kırzıoğlu Z, Erdoğan Y, Güngör Ö. Karma ve daimi dişlenme dönemlerinde bulunan okul çocuklarının sosyoekonomik seviyeleri ve periodontal tedavi ihtiyaçları arasındaki ilişkinin değerlendirilmesi. EADS. 2014;41(1):21-28.
• Değirmenci K. Diş Hekimliği fakültesi eğitim sürecinin öğrencilerin sağlıklı beslenme ve ağız hijyeni alışkanlıkları üzerine etkisi. Selcuk Dent J. 2021;8(1):148-155. doi:10.15311/selcukdentj.745747
• Nuttall FQ. Body-mass ındex: obesity, BMI, and health: a critical review. Nutrition Today. 2015;50(3):117-128. doi:10.1097/nt.0000000000000092
• Löe H. The gingival index, the plaque index and the retention index systems. The J Periodontol. 1967;38(6):610-616. doi:10.1902/jop.1967.38. 6.610
• Borrell LN, Beck JD, Heiss G. Socioeconomic disadvantage and periodontal disease: the dental atherosclerosis risk in communities study. Am J Public Health. 2006;96(2):332-339. doi:10.2105/AJPH.2004.055277
• Şen DÖ, Yarkaç FU, Öncü E. Necmettin Erbakan Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Kliniği'ne başvuran hastalarda periodontal hastalık farkındalığı. Selcuk Dent J. 2021;8(2):280-287. doi: 10.15311/selcukdentj.737340
• Wamala S, Merlo J, Boström G. Inequity in access to dental care services explains current socioeconomic disparities in oral health: the Swedish National Surveys of Public Health 2004–2005. J Epidemiol Community Health. 2006;60(12):1027-1033. doi:10.1136/jech.2006.046896
• Petersen PE, Ogawa H. The global burden of periodontal disease: towards integration with chronic disease prevention and control. Periodontology 2000. 2012;60(1):15-39. doi:10.1111/j.1600-0757.2011.00425.x
• Boillot A, El Halabi B, Batty GD, Rangé H, Czernichow S, Bouchard P. Education as a predictor of chronic periodontitis: a systematic review with meta-analysis population-based studies. PloS one. 2011;6(7):e21508. doi:10.1371/journal.pone.0021508
• Kumari M, Kumar M, Shankar B, Niraj LK, Rajeev A, Khan A. Relationship between socioeconomic factors and periodontal disease–a cross-sectional study. Practice. 2021;1:6.
• Alves-Costa S, de Souza BF, Rodrigues FA, et al. High free sugars, insulin resistance, and low socioeconomic indicators: the hubs in the complex network of non-communicable diseases in adolescents. Diabetol Metab Syndr. 2024;16(1):235. doi:10.1186/s13098-024-01469-8
• Thompson FE, McNeel TS, Dowling EC, Midthune D, Morrissette M, Zeruto CA. Interrelationships of added sugars intake, socioeconomic status, and race/ethnicity in adults in the United States: National Health Interview Survey, 2005. J Am Diet Assoc. 2009;109(8):1376-1383. doi:10. 1016/j.jada.2009.05.002
• Kusama T, Nakazawa N, Takeuchi K, Kiuchi S, Osaka K. Free sugar intake and periodontal diseases: a systematic review. Nutrients. 2022; 14(21):4444. doi:10.3390/nu14214444
• Benahmed AG, Gasmi A, Dadar M, Arshad M, Bjørklund G. The role of sugar-rich diet and salivary proteins in dental plaque formation and oral health. J Oral Biosci. 2021;63(2):134-141. doi:10.1016/j.job.2021.01.007
• Nobre dos Santos M, Melo dos Santos L, Francisco S, Cury J. Relationship among dental plaque composition, daily sugar exposure and caries in the primary dentition. Caries Res. 2002;36(5):347-352. doi:10.1159/ 000065959
• Yuca SA, Yılmaz C, Cemek M, Cesur Y, Çaksen H. Skorbüt Doğu Anadolu Bölgesinde Halen Önemli Bir Problemdir. Turkiye Klinikleri Journal of Pediatrics. 2010;19(3):259-264.
• Karabayır N, Gökçay G. C vitamini. Turkiye Klinikleri Pediatric Sciences-Special Topics. 2006;2(11):37-41.
• Akçakoca DA, Meşeli ÖÜSE, Yıldırım ÖÜHS, Mungan DNC, Akyüz S, Kuru L. Çocuklarda beslenme ve ağız bakım alışkanlıkları ile etkileyen faktörlerin değerlendirilmesi. 7tepe Klinik Dergisi. 2021;17(1):54-61. doi: 10.5505/yeditepe.2021.48403