DETERMINATION OF THE KNOWLEDGE LEVEL OF ADULT PATIENTS ABOUT PERIODONTAL AND DENTAL HEALTH IN SOUTHEAST TURKEY: A CROSS SECTIONAL STUDY AND EPIDEMIOLOGICAL RESEARCH

Year 2020, Volume: 30 Issue: 3, 386 - 399, 15.07.2020

Abdulsamet Tanık

https://doi.org/10.17567/ataunidfd.715212

Abstract

Purpose: The study aims to determine the level of knowledge about periodontal and dental health and the prevalence of periodontal diseases of adult patients in the southeast region of Turkey.
Material and Method: The study included 10 thousand patients aged 18 to 77 years. To gather information about demographic characteristics, oral hygiene, oral care habits, and periodontal status, a questionnaire of 15 questions were applied to the participants. The probing pocket depth (PPD) of all patients participated in the research were measured from 4 surfaces of the teeth. The collected data was analyzed statistically.
Results: In this study, there was a statistically significant difference between gender and age and between those who went to dental doctors when had a toothache and those brushing teeth twice a day (p<0.001). The proportion of the respondents to these two questions was the highest in women and 18-30 age groups. There was a significant difference between halitosis and gum bleeding and between periodontal condition and education of level (p<0.001). The proportion of those who answered these two questions was found to be higher in those with periodontitis and high school-level education. In terms of periodontitis, men are at risk of 1.33 times more (95% CI: 1.23-1.45) compared to women, and age group of 44-56 years is at risk of 1.73 times more (95% CI: 1.41-2.53) compared to the age group of 18-30 years.
Conclusion: According to the survey results, the majority of participants have knowledge about periodontal and dental health, but we think that individuals do not perform oral care to maintain oral and dental health due to the high prevalence of periodontal disease. The validity of this questionnaire can be investigated in larger population field studies.
Keywords: Oral and Dental Health, Awareness, Adult, Periodontal Status
Türkiye’nin Güneydoğu Bölgesindeki Yetişkin Hastaların Periodontal ve Diş Sağlığı Hakkındaki Bilgi Düzeyinin Belirlenmesi
Özet
Amaç: Türkiye’nin Güneydoğu bölgesindeki yetişkin hastaların periodontal ve diş sağlığı hakkındaki bilgi düzeyi ve periodontal hastalıkların prevalansı belirlenmesi amaçlanmıştır.
Materyal ve Metod: Çalışmaya 18-77 yaş arasındaki 10000 hasta dahil edilmiştir. Katılımcılara demografik özellikleri, oral hijyen ve ağız bakımı alışkanlıkları ve periodontal durum ile ilgili bilgi toplamak amacıyla, soru-cevap şeklinde yapılandırılmış 15 soruluk anket uygulanmıştır. Araştırmaya alınan bütün hastaların dişlerin 4 yüzeyinden sondalamada cep derinliği (SCD) ölçümü yapılmıştır. Toplanan veriler istatistiksel olarak analiz edilmiştir.
Bulgular: Bu çalışmada; cinsiyet ve yaş ile diş ağrısı olunca diş hekimine gidenler ve günde iki kez diş fırçalayanlar arasında istatistiksel olarak anlamlı bir fark olduğu (p<0.001) ve en yüksek oranın kadınlar ve 18-30 yaş grubunda olduğu bulunmuştur. Ağız kokusu ve diş eti kanaması ile periodontal durum ve eğitim düzeyi arasında anlamlı fark olduğu(p<0.001) ve bu iki soruyu cevaplayanların oranının periodontitis ve lise düzeyinde eğitim alanlarda yüksek olduğu bulunmuştur. Periodontitis açısından, erkekler kadınlara göre 1.33 kat daha fazla (% 95 CI: 1.23-1.45), 44-56 yaş grubu ise 18-30 yaş grubuna kıyasla 1.73 kat daha fazla (% 95 CI: 1.41-2.53) risk altında bulunmuştur.
Sonuç: Anket sonuçlarına göre, ankete katılanların büyük çoğunluğu periodontal ve diş sağlığının hakkında bilgili olduğunun farkındadır, fakat periodontal hastalık prevalansının yüksek çıkmasından dolayı bireylerin ağız ve diş sağlığını korumak için yapmaları gereken ağız bakımını yapmadıkları düşünmekteyiz. Daha büyük popülasyonlu saha çalışmalarında bu anketin geçerliliği araştırılabilir.
Anahtar kelimeler: Ağız ve diş sağlığı, Farkındalık, Yetişkin, Periodontal durum

Keywords

Oral and Dental Health, Awareness, Adult

References

• 1. Ramirez JH, Arce R, Contreras A. Why must physicians know about oral diseases? Teaching and Learning in Medicine 2010;22:148-155.
• 2. Peterson EP. The World Oral Health Report 2003: Continuous İmprovement of Oral Health in The 21st Century-The Approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003; 31 (Suppl.1):3-24.
• 3. Cortes FJ, Nevot C, Ramon JM, et.al. The Evolution of Dental Health in Dental Students at University of Barcelona. J Dent Educ 2002; 66(10): 1203-8.
• 4. Kulak-Özkan Y., Özkan Y., Kazazo_lu E., Ar_kan A. Dental caries prevalence, tooth brushing and periodontal status in 150 young people in Istanbul: A pilot study. Int Dent J 2001; 51: 451- 456,
• 5. Sogaard AJ, Tuominen R, Holst D, Gjermo P. The effect of 2 teaching programmes on the gingival health of 15 – year old school children. J Clin Periodontol 14: 165-170, 1987.
• 6. Gokalp, S., et al. "The oral health profile of adults and elderly, Turkey-2004." J Hacettepe Faculty Dentistry, 2007; 31.1: 11-8.
• 7. Villalobos-Rodelo JJ, Medina-Solis CE, Maupome G, Vallejos- Sanchez AA, Lau-Rojo L, Leon-Viedas PL. Socioeconomic and sociodemographic variables associated with oral hygiene status in Mexican schoolchildren aged 6 to 12 years. J Periodontol 2007;78: 816- 822.
• 8. Mengel R, Koch H, Pfeifer C, Flores de Jacoby L. Periodontal health of the population in eastern Germany. J Clin Periodontol 1993;20: 752-755.
• 9. Löe H: Oral hygiene in the prevention of caries and periodontal disease. Int Dent J 2000; 50:129-139.
• 10. Renz A, Ide M, Newton T, Robinson PG, Smith D: Psychological interventions to improve adherence to oral hygiene instructions in adults with periodontal diseases. Cochrane Database Syst Rev 2007; 18(2):CD005097.
• 11. Saito, A., Kikuchi, M., Ueshima, F., Matsumoto, S., Hayakawa, H., Masuda, H., & Makiishi, T. Assessment of oral self-care in patients with periodontitis: a pilot study in a dental school clinic in Japan. BMC Oral Health, 2009:9(1), 27.
• 12. Petersen PE, Bourgeois D, Bratthall D, Ogawa H. Oral health information systems-towards measuring progress in oral health promotion and disease prevention. Bulletin of the World Health Organization 2005; 83: 686-93.
• 13. Palmqvist S, Soderfeldt B, Arnbjerg D. Dental conditions in a Swedish population aged 45–69 years. A questionnaire study. Acta Odontol Scand 1991a; 49: 377–84.
• 14. Bormann C. Are self-reported diseases reliable and plausible? Problems in the estimation of the prevalence of heart infarct using the questionnaires data from the National Health Survey. Soz Praventivmed 1994; 39: 67–74.
• 15. Kallio P. Self-assessed bleeding in monitoring gingival health among adolescents. Community Dent Oral Epidemiol 1996; 24: 128-32.
• 16. Eren, Gülnihal, and Sema Becerik. "Evaluating the Periodontal Status and Oral Hygiene Habits Among Dental Patients." Istanbul Medical Journal, 2016;17(3):93-98
• 17. Ertümer, Ezgi, Fatma Karacaoğlu, and Murat Akkaya. " Evaluation of periodontal disease self-report validty of patients attended to Ankara University Dentistry Faculty" Selcuk Dental Journal 2018;5(1): 39-49.
• 18. Ramsay DS: Patient compliance with oral hygiene regimens: a behavioral self-regulation analysis with implications for technology. Int Dent J 2000;Suppl:304-311.
• 19. Kressin NR, Boehmer U, Nunn ME, Spiro A 3rd: Increased preventive practices lead to greater tooth retention. J Dent Res 2003;82(3):223-227.
• 20. Dental Health Division of Health Policy Bureau, Ministry of Health and Welfare, Japan: Report on the survey of dental diseases Dental Health Division of Health Policy Bureau, Ministry of Health and Welfare, Japan; 2005.
• 21. Behram Ö, Lofça G, Güray Efes B. Correlation Between DMFT- DMFS Indices, Salivary and Microbiological Tests of The Patients Who Applied Department of Operative Dentistry. Journal of Istanbul University Faculty of Dentistry 2011; 45(2): 29-36.
• 22. Ashley P. Toothbrushing: Why, when and how? Dental Update 2001; 28(1): 36–40.
• 23. Zhu, L., Petersen, P. E., Wang, H. Y., Bian, J. Y., & Zhang, B. X. Oral health knowledge, attitudes and behaviour of adults in China. International dental journal, 2005;55(4), 231-241.
• 24. Teker, B., Ağadayı, E., Küçükceran, H., Karaca, S. N., & Aydın, S. Knowledge and behaviors about oral health of adults admitted to family medicine clinic in a rural area. Turkish Journal of Family Practice, 2018; 22(4), 193-201.
• 25. Güngör K, Tüter G, Bal B: The evalucation of the relationship between educational status/ Eğitim düzeyi ile ağız sağlığı arasındaki ilişkinin değerlendirilmesi, G.Ü. Diş Hekimliği Fakültesi Dergisi, 1999; 16 (1): 21- 25.
• 26. Rong WS, Wang WJ, Yip HK. Attitudes of dental and medical students in their first and final years of undergraduate study to oral health behaviour. Eur. J. Dent. Educ. 2006;10:178-184.
• 27. Özbek CD, Eser D, Bektaş Kayhan K, Ünür M. Comparison of the tooth brushing habits of primary school age children and their parents. Journal of Istanbul University Faculty of Dentistry 2015; 49(1): 33-40.
• 28. Baig QA, Muzaffar D, Afaq A, Bilal S, Iqbal N. Prevalence of self medication among dental patients. PODJ 2012;32: 292-5.
• 29. Agbor MA, Azodo CC. Self medication for oral health problems in Cameroon. Int Dent J 2011;61: 204-9.
• 30. Pınar, N., Karataş, Y., Bozdemir, N., & Ünal, İ. Medicine Use Behaviors of People in the City of Adana, TAF Prev Med Bull 2013; 12(6):639-650.
• 31. Özçelikay G. A Pilot Study On Rational Drug Use. J. Fac. Pharm, Ankara, 2001;30(2) 9-18.
• 32. Koyuncuoğlu, C. Z., Kırmızı, N. İ., Ceylan, İ., & Akıcı, A. Investigation of Patients’ Attitudes Regarding Drug Use Before Application to Dental Clinics. Marmara Pharmaceutical Journal, 2017; 21: 165-176. DOI: 10.12991/marupj.259894.
• 33. Karabay O, Hosoglu S. Increased antimicrobial consumption following reimbursement reform in Turkey. J Antimicrob Chemother 2008;61(5):1169-71.
• 34. Nunes de Melo M, Madureira B, Nunes Ferreira AP, Mendes Z, Miranda Ada C, Martins AP. Prevalence of selfmedication in rural areas of Portugal. Pharm World Sci 2006;28: 19-25
• 35. Shankar PR, Partha P, Shenoy N. Self-medication and nondoctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study. BMC FamPract 2002;3: 17.
• 36. Ozaslan M, Ozaslan E, Barsgan A, Koruk M. Mutations in the S gene region of hepatitis B virus genotype D in Turkish patients. J Genet 2007; 86(3): 195-201.
• 37. Bulut, Nermin, Gülgün Yenisehirli, and Yunus Bulut. "Seroprevalence of hepatitis B, hepatitis C, HIV and syphilis in blood donors in Tokat." Viral Hepatit Dergisis, 2012;18(1):11-4
• 38. Steptoe, A., Wardle, J., Cui, W., Baban, A., Glass, K., Karl Pelzer, ... & Vinck, J. An international comparison of tobacco smoking, beliefs and risk awareness in university students from 23 countries. Addiction, 2002;97(12):1561-1571.
• 39. Bergström J, Eliasson S, Dock J. A 10-Year prospective study of tobacco smoking and periodontal health. J Periodontol. 2000a; 71:1338-1347.
• 40. Lin HC, Wong MC, Wang ZJ, Lo EC. Oral health knowledge, attitudes, and practices of Chinese adults. J Dent Res 2001; 80: 1466-1470.
• 41. Taani DQ. Periodontal awareness and knowledge, and pattern of dental attendance among adults in Jordan. Int Dent J 2002; 52: 94-98.
• 42. El-Qaderi SS.,Ta’ani DQ. Assessment of periodontal knowledge and periodontal status of an adult population in Jordan. Int J Dent Hygiene 2004; 2: 132-136.
• 43. Pekiner, F., Gumru, B., Borahan, M. O., & Aytugar, E. Evaluation of demands and needs for dental care in a sample of the Turkish population. European journal of dentistry, 2010;4(2): 143.
• 44. Yılmaz, D. B., Aykol-Şahin, G., Başer, Ü., Yalçın, F., & Onan, U. Awareness of periodontal disease among the patients applied to Istanbul University Faculty of Dentistry DOI: 10.5505/yeditepe.2016.20591.
• 45. Seemann R1, Conceicao MD, Filippi A, Greenman J, Lenton P, Nachnani S, Quirynen M, Roldan S, Schulze H, Sterer N, Tangerman A, Winkel EG, Yaegaki K, Rosenberg M. Halitosis management by the general dental practitioner-results of an international consensus workshop. J. Breath Res. 2014;8(1): 017101.
• 46. Hughes FJ, McNab R. Oral malodour-a review. Arch Oral Biol 2008; 53: 1-7.
• 47. Hammad, M. M., Darwazeh, A. M., Al-Waeli, H., Tarakji, B., & Alhadithy, T. T. Prevalence and awareness of halitosis in a sample of Jordanian population. Journal of International Society of Preventive & Community Dentistry, 2014; 4(Suppl 3): S178.
• 48. Vano, M., Gennai, S., Karapetsa, D., Miceli, M., Giuca, M. R., Gabriele, M., & Graziani, F. The influence of educational level and oral hygiene behaviours on DMFT index and CPITN index in an adult Italian population: an epidemiological study. International journal of dental hygiene, 2015; 13(2): 151-157.
• 49. Lee MY, Chung WG, Kim CB, Kim NH. Analysis on the difference between needs and recipients for scaling and its trend in Korea (2000–2009). J Korean Acad Oral Health 2012; 36: 137–143.
• 50. Sezgin Y, Yılmaz Nişancı, MN. Evaluation of The Periodontal Status and Systemic Diseases of the Patients Referring to The Department of Periodontology. J Dent Fac Atatürk Uni, 2019;29(3): 432-439.
• 51. Tanık, A. Evaluation of the relationship of CPITN and DMFT index of adult patients in Turkey with their demographic characteristics: an epidemiological study. Biotechnology & Biotechnological Equipment, 2019;33(1), 1626-1634.
• 52. Lee, M. Y., Chang, S. J., Kim, C. B., Chung, W. G., Choi, E. M., & Kim, N. H. Community periodontal treatment needs in South Korea. International journal of dental hygiene, 2015; 13(4): 254-260.
• 53. Genco RJ. Current view of risk factors for periodontal diseases. J Periodontol 1996; 67: 1041–49.
• 54. Genco RJ, Falkner KL, Grossi S, Dunford R, Trevisan M. Validity of self-reported measures for surveillance of periodontal disease in two western New York population-based studies. J Periodontol 2007; 78: 1439-54.
• 55.Borrell LN, Crawford ND. Social disparities in periodontitis among United States adults 1999–2004. Community Dent Oral Epidemiol 2008; 36: 383–391.
• 56. Haas AN, Gaio EJ, Oppermann RV, Rosing CK, Albandar JM, Susin C. Pattern and rate of progression of periodontal attachment loss in an urban population of South Brazil: a 5-years population-based prospective study. J Clin Periodontol 2012; 39: 1–9
• 57. Richard P GT, Chava V. Influence of lifestyle, gender and socioecomonic status determinants of dental health behaviour, periodontal status awareness. JPFA 2000; 14: 21-5.