Assessment of Periodontal Disease Self-Awareness and Potential Related Factors

Abstract

Objective: The main purpose of this study is to evaluate the periodontal disease self-awareness of the patients. Other aims of the study are i) to determine the patients complains which may indicate periodontal disease and ii) to investigate the relationship between patient self - awareness of periodontal disease and age, gender, education level and periodontal status. Material-Method: The study was conducted on 214 individuals who applied to the periodontology clinic with various complaints. Plaque index (PI), gingival index (GI), bleeding on probing (BOP), clinical attachment loss (CAL), gingival recession (GR) were measured. The diagnosis of periodontal disease was made based on the 2017 World Workshop on the Classification of Periodontal and Peri-implant Diseases and Conditions and the patients were divided into two groups as periodontitis and gingivitis. Periodontitis patients were classified according to stage /grade of periodontitis. Patients' gender, age, education status were recorded and periodontal disease self-awareness status was evaluated through a questionnaire.
Results: 111 women and 103 men with an average age of 41±15.3 were included into the study. While the self-awareness rate of the participants included in the study was 48.1%; this rate was 44.6 % in gingivitis group; it was found to be 53.6% in the periodontitis group (p=0,201). Stage (p=0,834) /grade (0,554) of periodontitis were not related to self-awareness. Patient’s age and education did not affect awareness (p>0.05), whereas the awareness rate was higher in women (p<0.05). It was determined that the most common complaint in patients who are aware of periodontal disease was bleeding gums. Conclusion: The preset study showed that self-awareness of periodontal disease among the participants was low. These results revealed the need to increase self-awareness of periodontal disease.

Keywords

• Gingivitis
• Periodontal Disease
• Periodontitis
• Self-awareness

Periodontal Hastalık Öz Farkındalığının ve Potansiyel İlişkili Faktörlerin Değerlendirilmesi

Abstract

Amaç: Bu çalışmanın temel amacı hastaların periodontal hastalık öz farkındalıklarının değerlendirilmesidir. Çalışmamızın diğer amaçları ise bireylerin periodontal hastalığı işaret edebilecek bulgulardan en çok hangisinden şikayetçi olduklarını belirlemek ve periodontal hastalık öz farkındalığı ile yaş, cinsiyet, öğrenim durumu ve periodontal durum arasındaki ilişkiyi araştırmaktır. Materyal-Metot: Çalışma çeşitli şikayetlerle periodontoloji kliniğine başvuran 214 birey üzerinde yürütülmüştür. Hastaların plak indeksi (Pİ), gingival indeks (Gİ), sondalamada kanama (SK), klinik ataşman kaybı (KAK), dişeti çekilmesi (DÇ) ölçümleri yapılmıştır. Periodontal hastalık statüsü 2017 Dünya Çalıştayı baz alınarak yapılmış ve hastalar periodontitis ve gingivitis olarak 2 gruba ayrılmıştır. Periodontitis hastaları evre ve düzeylerine gore gruplandırılmıştır. Hastaların cinsiyet, yaş, eğitim durumu kaydedilmiştir ve periodontal hastalıklarının öz farkındalık durumları kaydedilmiştir. Bulgular: Çalışmaya yaş ortalaması 41±15,3 olan 111 kadın, 103 erkek dahil edilmiştir. Çalışmaya dahil edilen katılımcıların öz farkındalık oranı %48,1 olarak bulunurken; bu oran gingivitis grubunda %44,6; periodontitis grubunda ise %53,6 olarak bulunmuştur (p=0,201). Peiodontitis hastalarının evre (p=0,834) ve düzeyleri (0,554) ile öz farkındalıkları arasında bir ilişki tespit edilmemiştir. Hastaların yaşı ve öğrenim düzeyleri farkındalığı etkilemezken (p>0,05); kadınlarda öz farkındalık oranı erkeklerden daha yüksek bulunmuştur (p<0,05). Periodontal hastalığın farkında olan hastalardaki en yaygın görülen şikayetin dişeti kanaması olduğu tespit edilmiştir. Sonuç: Bu çalışma sonuçları hastalardaki periodontal hastalık öz farkındalığının düşük olduğunu göstermektedir. Bu sonuçlar periodontal hastalık öz farkındalığını arttırmanın gerekliliğini ortaya koymaktadır.

Keywords

• Gingivitis
• Öz Farkındalık
• Periodontitis
• Periodontal Hastalık

References

1. 1. Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim). 2017; 11:72-80.
2. 2. Monsarrat P, Blaizot A, Kemoun P, Ravaud P, Nabet C, Sixou M, Vergnes JN. Clinical research activity in periodontal medicine: a systematic mapping of trial registers. Journal of Clin Periodontol. 2016; 43:390-400.
3. 3. Durham J, Fraser HM, McCracken GI, Stone KM, John MT, Preshaw PM. Impact of periodontitis on oral health-related quality of life. J Dent. 2013; 41:370-376.
4. 4. Eltas A, Uslu MO. Evaluation of oral health-related quality-of-life in patients with generalized aggressive periodontitis. Acta Odontol Scand. 2013; 71:547-552.
5. 5. Luo H, Wu B. Self-awareness of "Gum Disease" Among US Adults. . J Public Health Manag Pract. 2017; 23:1-7.
6. 6. Croxson LJ. Practical periodontics. Awareness of periodontal disease--the patient. Int Dent J. 1998; 48:256-260.
7. 7. Brady WF. Periodontal disease awareness. J Am Dent Assoc. 1984; 109:706-710.
8. 8. Silness J, Loe H. Periodontal Disease in Pregnancy. Ii. Correlation between Oral Hygiene and Periodontal Condtion. Acta Odontol Scand. 1964; 22:121-135.

9. 9. Loe H, Silness J. Periodontal Disease in Pregnancy. I. Prevalence and Severity. Acta Odontol Scand. 1963; 21:533-551.
10. 10. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. . J Clin Periodontol. 2018; 45:149-161.
11. 11. 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. J Periodontol. 2018; 89:173-182.
12. 12. 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; 89:74-84.
13. 13. Yılmaz B ASG, Baser Ü, Yalçın F, Onan U. İstanbul Üniversitesi Diş Hekimliği Fakültesi'ne başvuran hastalarda periodontal hastalık farkındalığı. Yeditepe klinik. 2016; 29-34.
14. 14. Gholami M, Pakdaman A, Jafari A, Virtanen JI. Knowledge of and attitudes towards periodontal health among adults in Tehran. East Mediterr Health J. 2014; 20:196-202.
15. 15. Deinzer R, Micheelis W, Granrath N, Hoffmann T. More to learn about: periodontitis-related knowledge and its relationship with periodontal health behaviour. Journal Clin Periodontol. 2009; 36:756-764.
16. 16. Varela-Centelles P, Diz-Iglesias P, Estany-Gestal A, Seoane-Romero JM, Bugarin-Gonzalez R, Seoane J. Periodontitis Awareness Amongst the General Public: A Critical Systematic Review to Identify Gaps of Knowledge. J Periodontol. 2016; 87:403-415.
17. 17. Needleman I, McGrath C, Floyd P, Biddle A. Impact of oral health on the life quality of periodontal patients. Journal Clin Periodontol. 2004; 31:454-457.
18. 18. Eltas A, Uslu MO. Evaluation of oral health-related quality-of-life in patients with generalized aggressive periodontitis. Acta Odontol Scand. 2013; 71:547-552.
19. 19. Ilhan D, Oktay I, Nur B, Fisekcioglu E, Lim S, Lepkowski JM, Ismail AI. Percentage and severity of periodontal diseases in Turkish adults aged 35+ years, 2009-10. J Public Health Dent. 2017; 77:325-333.
20. 20. Orbak R TA. Periodontal hastalıkların önlenmesinde koruyucu diş hekimliği. Atatürk Univ. Diş Hek. Fak. Derg. 1996; 6:4-8.
21. 21. Murray H, Locker D, Kay EJ. Patterns of and reasons for tooth extractions in general dental practice in Ontario, Canada. Community Dent Oral Epidemiol. 1996; 24:196-200.
22. 22. Tassoker M MD, Basturk F, Karabekiroglu S, Sener S. Investigation of tooth extraction reasons in patients who applied to a dental faculty. Meandros Medical and Dental Journal. 2018; 19:219-225.
23. 23. Tonetti MS, Van Dyke TE, working group 1 of the joint EFPAAPw. Periodontitis and atherosclerotic cardiovascular disease: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. J Periodontol. 2013; 84:S24-29.
24. 24. Nguyen CM, Kim JW, Quan VH, Nguyen BH, Tran SD. Periodontal associations in cardiovascular diseases: The latest evidence and understanding. J Oral Biol Craniofac Res. 2015; 5:203-206.
25. 25. Ayed MS, Alsharif AF, Divakar DD, Jhugroo C, Alosaimi B, Mustafa M. Evaluating the possible association between systemic osteoporosis and periodontal disease progression in postmenopausal women. Dis Mon. 2018; 65:193-215.
26. 26. Sanz M, Ceriello A, Buysschaert M, Chapple I, Demmer RT, Graziani F, et al. Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the International Diabetes Federation and the European Federation of Periodontology. J Clin Periodontol. 2018; 45:138-149.
27. 27. Kim J, Amar S. Periodontal disease and systemic conditions: a bidirectional relationship. Odontology. 2006; 94:10-21.
28. 28. Buset SL, Walter C, Friedmann A, Weiger R, Borgnakke WS, Zitzmann NU. Are periodontal diseases really silent? A systematic review of their effect on quality of life. J Clin Periodontol. 2016; 43:333-344.
29. 29. Jin LJ, Armitage GC, Klinge B, Lang NP, Tonetti M, Williams RC. Global oral health inequalities: task group--periodontal disease. Adv Dent Res. 2011; 23:221-226.
30. 30. Lin HC, Wong MC, Wang ZJ, Lo EC. Oral health knowledge, attitudes, and practices of Chinese adults. J Dent Res. 2001; 80:1466-1470.
31. 31. De Marchi RJ, Leal AF, Padilha DM, Brondani MA. Vulnerability and the psychosocial aspects of tooth loss in old age: a Southern Brazilian study. J Cross Cult Gerontol. 2012; 27:239-258.
32. 32. Karlsson E, Lymer UB, Hakeberg M. Periodontitis from the patient's perspective, a qualitative study. Int J Dent Hyg. 2009; 7:23-30.
33. 33. Omar R, Tashkandi E, Abduljabbar T, Abdullah MA, Akeel RF: Sentiments expressed in relation to tooth loss: a qualitative study among edentulous Saudis. Int J Prosthodont. 2003; 16:515-520.
34. 34. Taani DQ. Periodontal awareness and knowledge, and pattern of dental attendance among adults in Jordan. Int Dent J. 2002; 52:94-98.
35. 35. Schneider C, Zemp E, Zitzmann NU. Dental care behaviour in Switzerland. Swiss Dent J. 2019; 129:466-478.
36. 36. Sakki TK, Knuuttila ML, Anttila SS. Lifestyle, gender and occupational status as determinants of dental health behavior. J Clin Periodontol. 1998; 25:566-570.
37. 37. Fukai K, Takaesu Y, Maki Y. Gender differences in oral health behavior and general health habits in an adult population. Bull Tokyo Dent Coll. 1999; 40:187-193.
38. 38. Mamai-Homata E, Koletsi-Kounari H, Margaritis V. Gender differences in oral health status and behavior of Greek dental students: A meta-analysis of 1981, 2000, and 2010 data. . J Int Soc Prev Community Dent. 2016; 6:60-68.
39. 39. Stadelmann P, Zemp E, Weiss C, Weiger R, Menghini G, Zitzmann NU. Dental visits, oral hygiene behaviour, and orthodontic treatment in Switzerland. Schweiz Monatsschr Zahnmed. 2012; 122:104-126.