Farklı Periodontal Hastalıklar Karşısında Hastaların Başlıca Şikayetleri: Kesitsel Bir Çalışma

Year 2025, Volume: 7 Issue: 2, 245 - 256, 29.08.2025

Osman Babayigit , Muhammet Demir , Zeynep Taştan Eroğlu , Fatma Ucan Yarkac

Abstract

Amaç: Bu çalışma, periodontitis evreleri ve dereceleri arasındaki farklılıklar da dahil olmak üzere, periodontal başlıca şikayetler ile farklı periodontal hastalıklar arasındaki ilişkiyi değerlendirmektedir.
Yöntem: Toplam 309 hasta çalışmaya dahil edildi. Demografik veriler, sigara içme durumu, diş fırçalama sıklığı, diyabet, periodontal şikayetler ve klinik parametreler kaydedildi. Periodontal hastalıklar Gingivitis, Azalmış Periodonsiyumda Gingival İnflamasyon ve Periodontitis olarak kategorize edildi. Periodontitis ayrıca klinik ve radyografik bulgulara göre evrelerine ve derecelerine göre sınıflandırılmıştır. Periodontal hastalık grupları, periodontitis evreleri/dereceleri ve başlıca şikayetler arasındaki ilişkiler analiz edilmiştir.
Bulgular: Periodontal hastalık grupları arasında yaş, plak indeksi, sondalama derinliği, sondalamada kanama ve gingival indeks açısından anlamlı farklılıklar gözlendi. Ağız kokusu en sık Azalmış Periodonsiyumda Gingival Enflamasyon (%12.8) ve Gingivitis (%9.6) gruplarında görülürken, Periodontitis grubunda anlamlı olarak daha az görülmüştür (%3.4, p<0.001). Dişeti çekilmesi Azalmış Periodonsiyumda Gingival Enflamasyon (%23,4) ve Periodontitis (%15,1) gruplarında anlamlı olarak daha fazla bildirilmiştir. Evre I, II ve III' teki hastaların önemli bir kısmı diş taşı temizliğini başlıca şikayetleri olarak bildirirken, diş eti kanaması ve mobilite şikayetleri Evre IV hastaları arasında önemli ölçüde daha yaygındı. Periodontal başlıca şikayetler ile periodontitis dereceleri arasında anlamlı bir fark bulunmamıştır.
Sonuçlar: Hastaların periodontal şikayetleri hastalık tipleri ve periodontitis evreleri arasında farklılık göstermiş ancak dereceler arasında farklılık göstermemiştir. Bu şikayetlerin anlaşılması, hasta işbirliğini ve tedaviye uyumu artırabilir ve nihayetinde tedavi sonuçlarını iyileştirebilir.

Keywords

Gingivitis , Periodontal chief complaints , Periodontitis , Reduced Periodontium

Patients’ Chief Complaints Across Different Periodontal Diseases: A Cross-Sectional Study

Abstract

Aim: This study assesses the relationship between periodontal chief complaints and different periodontal diseases, including variations across periodontitis stages and grades.
Methods: A total of 309 patients were enrolled. Demographic data, smoking status, brushing frequency, diabetes, periodontal complaints, and clinical parameters were recorded. Periodontal diseases were categorized as Gingivitis, Gingival Inflammation on a Reduced Periodontium, and Periodontitis. Periodontitis was further classified based on its stages and grades according to clinical and radiographic findings. Associations between periodontal disease groups, periodontitis stages/grades, and chief complaints were analyzed.
Results: Significant differences in age, plaque index, probing depth, bleeding on probing, and gingival index were observed among the periodontal disease groups. Halitosis was most the common complaint in the Gingival Inflammation on a Reduced Periodontium (12.8%) and Gingivitis (9.6%) groups, while it was significantly less frequent in the Periodontitis group (3.4%, p<0.001). Gingival recession was significantly more reported in the Gingival Inflammation on a Reduced Periodontium (23.4%) and Periodontitis (15.1%) groups. A significant proportion of patients in Stage I, II, and III primarily reported dental calculus removal as their chief complaint, whereas gingival bleeding and mobility were significantly more common among Stage IV patients. No significant differences were found between periodontal chief complaints and the grades of periodontitis.
Conclusion: Patients' periodontal complaints varied across disease types and periodontitis stages but not grades. Understanding these complaints can improve patient cooperation and treatment adherence, ultimately enhancing outcomes.

Keywords

Gingivitis , Periodontal chief complaints , Periodontitis , Reduced Periodontium

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