TY  - JOUR
T1  - Assessment of Oral Disease Burden Using a Cluster Analysis in Dentistry
TT  - Diş Hekimliğinde Kümeleme Analizi Kullanılarak Ağız Hastalıkları Yükünün Değerlendirilmesi
AU  - Aksoy, Burcu
AU  - Çandereli, Zehra Özge
AU  - Beyhan, Tuğba Emine
AU  - Akmansoy, Şükrü Can
AU  - Sırma, Sertaç
AU  - Yay, Meral
AU  - Karaçaylı, Ümit
AU  - Fortune, Farida
AU  - Mumcu, Gonca
PY  - 2025
DA  - October
Y2  - 2024
DO  - 10.17567/currresdentsci.1511785
JF  - Current Research in Dental Sciences
JO  - Curr Res Dent Sci.
PB  - Ataturk University
WT  - DergiPark
SN  - 2822-2555
SP  - 307
EP  - 311
VL  - 35
IS  - 4
LA  - en
AB  - Objective: This study aimed to identify homogeneous groups for Oral Disease Burden (ODB) with age through the K-Means cluster analysis in dentistry.Methods: In this retrospective study, 465 adult patients and 276 elderly patients treated at integrated students’ clinics in a public dental school (F/M:381/360; 18-91 years) were included. The ODB score (0-5 points) was calculated through the presence of periodontal problems, dental caries, pulpitis, need of prosthetic treatment, and need of tooth extraction. Homogeneous groups for ODB severity were identified within the dataset by K-Means cluster analysis.Results: The highest ratios of oral health problems were periodontal problems (94.0%) in young adult patients (cluster-1; n=201; 18-36 years; ODB: 2.92±1.14) and (87.4%) in adult patients (cluster-2; n=199; 37-55 years, ODB: 3.28±1.34) and need for prosthetic treatment (90.7%) in older adult patients (cluster-3; n=193; 56-70 years, ODB: 3.19±1.41) and (87.2%) in elderly patients (cluster-4; n=148; 71-91 years, ODB: 2.33±1.30). The highest ODB score was found in adult patients among four clusters. Older adult patients had elevated ODB score compared to that in elderly patients (P=.000).Conclusion: Needs of different treatment protocols or complex treatments were determined according to ODB with age groups defined by K-Means cluster analysis. These results may provide clues for developing patient empowerment strategies to improve oral health status as well as work force planning in integrated student clinics in dental schools.Keywords: Oral disease burden, treatment needs, cluster analysis, patient empowerment
KW  - Oral disease burden
KW  - treatment needs
KW  - cluster analysis
KW  - patient empowerment
N2  - Amaç: Bu çalışmanın amacı, diş hekimliğinde Ağız Hastalıkları Yükü (AHY) için yaşa bağlı homojen grupları K-Ortalamalar kümeleme analizi ile belirlemektir.Yöntemler: Bu retrospektif çalışmaya, bir kamu diş hekimliği fakültesinin entegre öğrenci kliniklerinde tedavi edilen 465 yetişkin hasta ve 276 yaşlı hasta (K/E: 381/360; 18-91 yaş) dahil edilmiştir. AHY skoru (0-5 puan); periodontal problemler, diş çürüğü, pulpitis, protetik tedavi ihtiyacı ve diş çekim ihtiyacı aracılığıyla hesaplanmıştır. AHY şiddeti için homojen gruplar veri seti içinde K-Ortalamalar kümeleme analizi ile belirlenmiştir.Bulgular: Periodontal problemlerin en yüksek oranda genç yetişkin hastalarda (%94.0) (küme-1; n=201; 18-36 yaş; AHY: 2,92±1,14) ve yetişkin hastalarda (%87,4) (küme-2; n=199; 37-55 yaş, AHY: 3,28±1,34) görüldüğü, ileri yetişkin hastalarda (%90,7) (küme-3; n=193; 56-70 yaş, AHY: 3,19±1,41) ve yaşlı hastalarda (%87,2) (küme-4; n=148; 71-91 yaş, AHY: 2,33±1,30) ise protetik tedavi ihtiyacının ön planda olduğu belirlenmiştir. Dört küme arasında en yüksek AHY puanı yetişkin hastalarda görülmüştür. İleri yetişkin hastaların AHY puanı yaşlı hastalara göre daha yüksek bulunmuştur (P=,000). Sonuç: K-Ortalamalar kümeleme analizi ile tanımlanan yaş gruplarıyla birlikte AHY’ye göre farklı tedavi protokolleri veya kompleks tedavilere ihtiyaçların olduğu belirlenmiştir. Bu sonuçlar, ağız sağlığı düzeyinin iyileştirilmesine yönelik hasta güçlendirme stratejisinin geliştirilmesine ve entegre öğrenci kliniklerindeki iş gücünün planlanmasına yönelik ipuçları sağlayabilmektedir.   Anahtar Kelimeler: Ağız hastalıkları yükü, tedavi ihtiyaçları, kümeleme analizi, hasta güçlendirme
CR  - 1.	de Lucena EHG, da Silva RO, Barbosa ML, de Araujo ECF, Pereira AC, Cavalcanti YW. Influence of socioeconomic status on oral disease burden: A population-based study. BMC Oral Health. 2021;21(1):608-615.
CR  - 2.	Pekiner F, Gumru B, Borahan MO, Aytugar E. Evaluation of demands and needs for dental care in a sample of the Turkish population. Eur J Dent. 2010;4(2):143-149.
CR  - 3.	Chiappelli F. Evidence-based dentistry: Two decades and beyond. J Evid Based Dent Pract. 2019;19(1):7-16.
CR  - 4.	Oancea R, Amariei C, Eaton KA, Widstrom E. The healthcare system and the provision of oral healthcare in European Union member states: Part 5: Romania. Br Dent J. 2016;220(7):361-366.
CR  - 5.	Chae S, Lee Y, Kim J, Chun KH, Lee JK. Factors associated with perceived unmet dental care needs of older adults. Geriatr Gerontol Int. 2017;17(11):1936-1942.
CR  - 6.	Montal S, Tramini P, Triay JA, Valcarcel J. Oral hygiene and the need for treatment of the dependent institutionalised elderly. Gerodontology. 2006;23(2):67-72.
CR  - 7.	Chhabra KG, Mulla SH, Deolia SG, Chhabra C, Singh J, Marwaha BS. Dental Informatics in India: Time to embrace the change. J Clin Diagn Res. 2016;10(3):12-15.
CR  - 8.	Damaskinos P, Koletsi-Kounari H, Economou C, Eaton KA, Widstrom E. The healthcare system and provision of oral healthcare in European Union member states. Part 4: Greece. Br Dent J. 2016;220(5):253-260.
CR  - 9.	Benning NH, Knaup P. Hospital information systems. Stud Health Technol Inform. 2020;274:159-173.
CR  - 10.	Schleyer T, Mattsson U, Ní Ríordáin R, et al. Advancing oral medicine through informatics and information technology: A proposed framework and strategy. Oral Dis. 2011;17(1):85-94.
CR  - 11.	Acuna Mora M, Sparud-Lundin C, Moons P, Bratt EL. Definitions, instruments and correlates of patient empowerment: A descriptive review. Patient Educ Couns. 2022;105(2):346-355.
CR  - 12.	Bakhshaei A, Ramachandran S, Brondani M. Teledentistry within oral health care providers' training: A scoping review. Eur J Dent Educ. 2024;28(2):631-44.
CR  - 13.	Zubiene J, Milciuviene S, Klumbiene J. Evaluation of dental care and the prevalence of tooth decay among middle-aged and elderly population of Kaunas city. Stomatologija. 2009;11(2):42-47.
CR  - 14.	Haraty RA, Dimishkieh M, Masud M. An enhanced k-means clustering algorithm for pattern discovery in healthcare data. International J Distributed Sensor Networks. 2015;11(6):615740.
CR  - 15.	Arora N, Singh A, Al-Dabagh MZN, Maitra SK. A novel architecture for diabetes patients’ prediction using k-means clustering and svm. Mathematical Problems in Engineering. 2022;2022:1-9.
CR  - 16.	Ghassib IH, Batarseh FA, Wang HL, Borgnakke WS. Clustering by periodontitis-associated factors: A novel application to NHANES data. J Periodontol. 2021;92(8):1136-50.
CR  - 17.	Marquezin MCS, Chaves-Júnior SC, Rasera I, Jr., et al. Oral health and nutritional characteristics of adults with morbid obesity: A multivariate analysis. Front Nutr. 2020;7:589510.
CR  - 18.	National Institutes of Health. Oral Health in America: Advances and Challenges. Bethesda, MD: US Department of Health and Human Services, National Institutes of Health, National Institute of Dental and Craniofacial Research; 2021.
CR  - 19.	Petersen PE, Yamamoto T. Improving the oral health of older people: The approach of the WHO global oral health programme. Community Dent Oral Epidemiol. 2005;33(2):81-92.
CR  - 20.	World Health Organization. Global Recommendations on Physical Activity for Health. Geneva: World Health Organization; 2010.
CR  - 21.	World Health Organization. Population Ageing-A Public Health Challenge, Information Fact Sheet. Number 135. Geneva: World Health Organization; 1998.
CR  - 22.	Kojima Y, Sendo R. Maintaining tooth vitality with super minimally invasive pulp therapy. Cureus. 2022;14(9):e29712
CR  - 23.	Yoder Clark A, Blumenfeld N, Lal E, Darbari S, Northwood S, Wadpey A. Using k-means cluster analysis and decision trees to highlight significant factors leading to homelessness. Mathematics. 2021;9(17):2045-2058.
CR  - 24.	Institute of Medicine, National Research Council. ROC analysis: Key statistical tool for evaluating detection technologies. In: Joy JE, Penhoet EE, Petitti DB, eds. Saving Women's Lives: Strategies for Improving Breast Cancer Detection and Diagnosis. Washington, DC.: The National Academies Press; 2005:314-321.
CR  - 25.	Zhang Q, van Palenstein Helderman WH. Caries experience variables as indicators in caries risk assessment in 6-7-year-old Chinese children. J Dent. 2006;34(9):676-681.
CR  - 26.	Gaszynska E, Szatko F, Godala M, Gaszynski T. Oral health status, dental treatment needs, and barriers to dental care of elderly care home residents in Lodz, Poland. Clin Int Aging. 2014; 9:1637-1644.
CR  - 27.	Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661-669.
CR  - 28.	Ramraj C, Quinonez CR. Self-reported cost-prohibitive dental care needs among Canadians. Int J Dent Hyg. 2013;11(2):115-120.
CR  - 29.	Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, et al. Oral diseases: A global public health challenge. Lancet. 2019;394(10194):249-260.
CR  - 30.	Al-Harbi F. El Tantawi M. Normative prosthodontic care need: does it impact the daily life of young Saudis with high level of oral diseases? A cross sectional study. BMC Oral Health. 2017;17(1):1-9.
CR  - 31.	Gerritsen P, Cune M, vand der Bilt A, Abbink J, de Putter C. Effects of integrated dental care on oral treatment needs in residents of nursing homes older than 70 years. Spec Care Dentist; 2015. 35(3):132-137.
CR  - 32.	Aida J, Takeuchi K, Furuta M, Ito K, Kabasawa Y, Tsakos G. Burden of oral diseases and access to oral care in an ageing society. Int Dent J. 2022;72(4):5-11.
CR  - 33.	Oliver D, Foot C, Humphries R. Making our health and care systems fit for an ageing population. London: The King’s Fund; 2014.
CR  - 34.	Gil-Montoya JA, de Mello AL, Barrios R, Gonzalez-Moles MA, Bravo M. Oral health in the elderly patient and its impact on general well-being: A nonsystematic review. Clin Interv Aging. 2015;10:461-467.
CR  - 35.	Walji MF, Karimbux NY, Spielman AI. Person-centered care: Opportunities and challenges for academic dental institutions and programs. J Dent Educ. 2017;81(11):1265-1272.
UR  - https://doi.org/10.17567/currresdentsci.1511785
L1  - https://dergipark.org.tr/en/download/article-file/4051037
ER  -