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2014-2016 Yılları Arasında Periodontoloji Kliniğine Başvuran Hastaların Periodontal Durum, Sistemik Hastalık ve Kişisel Alışkanlıklarının Değerlendirilmesi

Year 2021, Volume: 8 Issue: 3, 635 - 643, 31.12.2021
https://doi.org/10.15311/selcukdentj.741243

Abstract

Amaç: Bu kesitsel retrospektif çalışmanın amacı, Bolu Abant İzzet Baysal Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Anabilim Dalı öğrenci kliniğinde başlangıç periodontal tedavileri yapılan 1800 hastanın sistemik hastalık, periodontal durum ve kişisel alışkanlıklarının değerlendirilmesidir.
Gereç ve Yöntemler: Çalışmaya dahil edilen bireylerin hasta formlarına kaydedilmiş olan demografik, dental şikayet ve sistemik durum bilgileri, sigara kullanımı, bruksizm ve ağız solunumu varlığı ile periodontal klinik parametreleri değerlendirildi. Bireyler periodontal durumlarına göre gingivitis (G), kronik periodontitis (KP) ve agresif periodontitis (AgP) olmak üzere üç gruba ayrıldı. Oluşturulan gruplar periodontal klinik parametreler (plak indeksi, gingival indeks, sondalamada kanama), sistemik hastalık (tip 2 diyabet, hipertansiyon ve kardiyovasküler hastalıklar gibi) ve kişisel alışkanlıklar açısından karşılaştırıldı. Verilerin istatistiksel analizleri SPSS 23.0 paket programı kullanılarak yapıldı.
Bulgular: Çalışma popülasyonunun (%59.5’i kadın ve %40.5’i erkek) yaş ortalamasının 29.48±11.75 olduğu belirlendi. Hastaların %70.8’ine G, %28.7’sine KP ve %0.5’ine ise AgP teşhisi konulduğu saptandı. Erkek hastalarda sigara kullanımı prevalansının kadın hastalardan daha yüksek olduğu görüldü (p<0.001). Tip 2 diyabet, hipertansiyon ve kardiyovasküler hastalıklar bakımından cinsiyetler arasında anlamlı bir fark görülmezken (p>0.05); tiroid hastalıkları ve alerji durumunun kadınlarda erkeklere göre daha yüksek oranda olduğu tespit edildi (p<0.001). Sigara kullanımı, diyabet, hipertansiyon, kardiyovasküler hastalık (p<0.001) ve tiroid hastalıkları (p<0.05) prevalansının KP grubunda artış gösterdiği belirlendi. Çok kategorili (multinominal) lojistik regresyon analizi sonucunda yaş, sigara kullanımı, sistemik hastalık varlığı ve hipertansiyon değişkenlerinin periodontitis gelişme olasılığını arttırdığı saptandı.
Sonuç: Bu çalışmanın sınırları dahilinde, sistemik durum ve kişisel alışkanlıkların periodontal hastalık gelişiminde önemli bir rol oynayabileceği söylenebilir.

References

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  • Referans35. Grossi SG, Genco RJ. Periodontal disease and diabetes mellitus: a two-way relationship. Ann Periodontol. 1998;3(1):51-61.
  • Referans36. Mealey BL, Oates TW, American Academy of P. Diabetes mellitus and periodontal diseases. J Periodontol. 2006;77(8):1289-303.
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  • Referans53. Vinesh E, Masthan K, Kumar MS, Jeyapriya SM, Babu A, Thinakaran M. A Clinicopathologic Study of Oral Changes in Gastroesophageal Reflux Disease, Gastritis, and Ulcerative Colitis. J Contemp Dent Pract. 2016;17(11):943-7.
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Year 2021, Volume: 8 Issue: 3, 635 - 643, 31.12.2021
https://doi.org/10.15311/selcukdentj.741243

Abstract

References

  • Referans1. Bratthall D, Petersen PE, Stjernsward JR, Brown LJ. Oral and Craniofacial Diseases and Disorders (Chapter 38). In: Jamison DT, Breman JG, Measham AR, Alleyne G, Claeson M, et al., editors. Disease Control Priorities in Developing Countries. New York: World Bank Health and Oxford University Press, 2006: 723-736.
  • Referans2. Loe H, Theilade E, Jensen SB. Experimental Gingivitis in Man. J Periodontol. 1965;36:177-87.
  • Referans3. Loesche WJ, Grossman NS. Periodontal disease as a specific, albeit chronic, infection: diagnosis and treatment. Clin Microbiol Rev. 2001;14(4):727-52.
  • Referans4. Socransky SS, Haffajee AD. The Bacterial Etiology of Destructive Periodontal Disease: Current Concepts. J Periodontol. 1992;63 Suppl 4S:322-31.
  • Referans5. Scannapieco FA. Systemic effects of periodontal diseases. Dent Clin North Am. 2005;49(3):533-50.
  • Referans6. Cullinan MP, Ford PJ, Seymour GJ. Periodontal disease and systemic health: current status. Aust Dent J. 2009;54 Suppl 1:S62-9.
  • Referans7. Scannapieco FA, Dasanayake AP, Chhun N. "Does periodontal therapy reduce the risk for systemic diseases?". Dent Clin North Am. 2010;54(1):163-81.
  • Referans8. Manjunath BC, Praveen K, Chandrashekar BR, Rani RM, Bhalla A. Periodontal infections: a risk factor for various systemic diseases. Natl Med J India. 2011;24(4):214-9.
  • Referans9. Cullinan MP, Seymour GJ. Periodontal disease and systemic illness: will the evidence ever be enough? Periodontol 2000. 2013;62(1):271-86.
  • Referans10. Akpınar A, Toker H, Çalışır M. Periodontoloji kliniğine başvuran hastalarda periodontal durum ve sistemik hastalıkların değerlendirilmesi. Cumhuriyet Dent J. 2012;15(2):93-100.
  • Referans11. Demir Kodalak S, Öztürk Özener H, Ağralı ÖB, Yıldırım HS, Kuru L. Periodontoloji anabilim dalı öğrenci kliniğinde 2012-2014 yıllarında tedavi edilen hastaların periodontal ve sistemik durumları. Yeditepe J Dent. 2018;14(1):55-62.
  • Referans12. Çalışır M, Talmaç AC. Dişhekimliği fakültesine başvuran hastalarda periodontal durum ve sistemik hastalıkların değerlendirilmesi. AU Sağlık Bil Derg. 2018;4(2):738-49.
  • Referans13. Sezgin Y, Nişancı Yılmaz MN. Periodontoloji kliniğine başvuran hastaların periodontal durumlarının ve sistemik hastalıklarının değerlendirilmesi. J Dent Fac Atatürk Uni. 2019;29(3):432-9.
  • Referans14. Silness J, Loe H. Periodontal Disease in Pregnancy. Ii. Correlation between Oral Hygiene and Periodontal Condtion. Acta Odontol Scand. 1964;22:121-35.
  • Referans15. Loe H. The Gingival Index, the Plaque Index and the Retention Index Systems. J Periodontol. 1967;38(6):Suppl:610-6.
  • Referans16. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999;4(1):1-6.
  • Referans17. Eren G, Becerik S. Evaluating the periodontal status and oral hygiene habits among dental patients. İstanbul Med J. 2016(17):93-8.
  • Referans18. Madden IM, Stock CA, Holt RD, Bidinger PD, Newman HN. Oral health status and access to care in a rural area of India. J Int Acad Periodontol. 2000;2(4):110-4.
  • Referans19. Brown LF, Beck JD, Rozier RG. Incidence of attachment loss in community-dwelling older adults. J Periodontol. 1994;65(4):316-23.
  • Referans20. Baelum V, Luan WM, Chen X, Fejerskov O. A 10-year study of the progression of destructive periodontal disease in adult and elderly Chinese. J Periodontol. 1997;68(11):1033-42.
  • Referans21. Baelum V, Luan WM, Chen X, Fejerskov O. Predictors of destructive periodontal disease incidence and progression in adult and elderly Chinese. Community Dent Oral Epidemiol. 1997;25(4):265-72.
  • Referans22. Beck JD, Sharp T, Koch GG, Offenbacher S. A 5-year study of attachment loss and tooth loss in community-dwelling older adults. J Periodontal Res. 1997;32(6):516-23.
  • Referans23. Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe periodontitis in 1990-2010: a systematic review and meta-regression. J Dent Res. 2014;93(11):1045-53.
  • Referans24. Hajishengallis G. Too old to fight? Aging and its toll on innate immunity. Mol Oral Microbiol. 2010;25(1):25-37.
  • Referans25. Molloy J, Wolff LF, Lopez-Guzman A, Hodges JS. The association of periodontal disease parameters with systemic medical conditions and tobacco use. J Clin Periodontol. 2004;31(8):625-32.
  • Referans26. Nociti FH, Jr., Casati MZ, Duarte PM. Current perspective of the impact of smoking on the progression and treatment of periodontitis. Periodontol 2000. 2015;67(1):187-210.
  • Referans27. Salvi GE, Lawrence HP, Offenbacher S, Beck JD. Influence of risk factors on the pathogenesis of periodontitis. Periodontol 2000. 1997;14:173-201.
  • Referans28. Bergstrom J. Smoking rate and periodontal disease prevalence: 40-year trends in Sweden 1970-2010. J Clin Periodontol. 2014;41(10):952-7.
  • Referans29. Nociti FH, Jr., Nogueira-Filho GR, Tramontina VA, Machado MA, Barros SP, Sallum EA, et al. Histometric evaluation of the effect of nicotine administration on periodontal breakdown: an in vivo study. J Periodontal Res. 2001;36(6):361-6.
  • Referans30. Haffajee AD, Socransky SS. Relationship of cigarette smoking to attachment level profiles. J Clin Periodontol. 2001;28(4):283-95.
  • Referans31. Bergstrom J. Influence of tobacco smoking on periodontal bone height. Long-term observations and a hypothesis. J Clin Periodontol. 2004;31(4):260-6.
  • Referans32. Grossi SG, Skrepcinski FB, DeCaro T, Zambon JJ, Cummins D, Genco RJ. Response to Periodontal Therapy in Diabetics and Smokers. J Periodontol. 1996;67 Suppl 10S:1094-102.
  • Referans33. Tomar SL, Asma S. Smoking-attributable periodontitis in the United States: findings from NHANES III. National Health and Nutrition Examination Survey. J Periodontol. 2000;71(5):743-51.
  • Referans34. Leite FRM, Nascimento GG, Scheutz F, Lopez R. Effect of Smoking on Periodontitis: A Systematic Review and Meta-regression. Am J Prev Med. 2018;54(6):831-41.
  • Referans35. Grossi SG, Genco RJ. Periodontal disease and diabetes mellitus: a two-way relationship. Ann Periodontol. 1998;3(1):51-61.
  • Referans36. Mealey BL, Oates TW, American Academy of P. Diabetes mellitus and periodontal diseases. J Periodontol. 2006;77(8):1289-303.
  • Referans37. Soskolne WA, Klinger A. The relationship between periodontal diseases and diabetes: an overview. Ann Periodontol. 2001;6(1):91-8.
  • Referans38. Taylor GW. Bidirectional interrelationships between diabetes and periodontal diseases: an epidemiologic perspective. Ann Periodontol. 2001;6(1):99-112.
  • Referans39. Iacopino AM. Periodontitis and diabetes interrelationships: role of inflammation. Ann Periodontol. 2001;6(1):125-37.
  • Referans40. Oliver RC, Tervonen T. Diabetes-A Risk Factor for Periodontitis in Adults? J Periodontol. 1994;65 Suppl 5S:530-8.
  • Referans41. Taylor GW, Borgnakke WS. Periodontal disease: associations with diabetes, glycemic control and complications. Oral Dis. 2008;14(3):191-203.
  • Referans42. Borges-Yanez SA, Irigoyen-Camacho ME, Maupome G. Risk factors and prevalence of periodontitis in community-dwelling elders in Mexico. J Clin Periodontol. 2006;33(3):184-94.
  • Referans43. Emrich LJ, Shlossman M, Genco RJ. Periodontal disease in non-insulin-dependent diabetes mellitus. J Periodontol. 1991;62(2):123-31.
  • Referans44. Khader YS, Dauod AS, El-Qaderi SS, Alkafajei A, Batayha WQ. Periodontal status of diabetics compared with nondiabetics: a meta-analysis. J Diabetes Complications. 2006;20(1):59-68.
  • Referans45. Soskolne WA. Epidemiological and clinical aspects of periodontal diseases in diabetics. Ann Periodontol. 1998;3(1):3-12.
  • Referans46. Desvarieux M, Demmer RT, Jacobs DR, Jr., Rundek T, Boden-Albala B, Sacco RL, et al. Periodontal bacteria and hypertension: the oral infections and vascular disease epidemiology study (INVEST). J Hypertens. 2010;28(7):1413-21.
  • Referans47. Tsakos G, Sabbah W, Hingorani AD, Netuveli G, Donos N, Watt RG, et al. Is periodontal inflammation associated with raised blood pressure? Evidence from a National US survey. J Hypertens. 2010;28(12):2386-93.
  • Referans48. Macedo Paizan ML, Vilela-Martin JF. Is there an association between periodontitis and hypertension? Curr Cardiol Rev. 2014;10(4):355-61.
  • Referans49. Emingil G. Periodontoloji Kliniğine Başvuran Hastalarda Sistemik Hastalıkların Görülme Sıklıkları. EÜ Dişhek Fak Derg. 2001;22:59-62.
  • Referans50. Larsen PR, Davies TF, Hay ID. The Thyroid. In: Williams RH, Wilson JD, Foster DW, Kronenberg HM, editors. Williams Textbook of Endocrinology. 9th ed. Philadelphia: Saunders, 1998: 389-416.
  • Referans51. Pinto A, Glick M. Management of patients with thyroid disease: oral health considerations. J Am Dent Assoc. 2002;133(7):849-58.
  • Referans52. Feitosa DS, Marques MR, Casati MZ, Sallum EA, Nociti FH, Jr., de Toledo S. The influence of thyroid hormones on periodontitis-related bone loss and tooth-supporting alveolar bone: a histological study in rats. J Periodontal Res. 2009;44(4):472-8.
  • Referans53. Vinesh E, Masthan K, Kumar MS, Jeyapriya SM, Babu A, Thinakaran M. A Clinicopathologic Study of Oral Changes in Gastroesophageal Reflux Disease, Gastritis, and Ulcerative Colitis. J Contemp Dent Pract. 2016;17(11):943-7.
  • Referans54. Boylan MR, Khalili H, Huang ES, Michaud DS, Izard J, Joshipura KJ, et al. A prospective study of periodontal disease and risk of gastric and duodenal ulcer in male health professionals. Clin Transl Gastroenterol. 2014;5:e49.
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There are 63 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

Bilge Meracı

Şadiye Günpınar

Publication Date December 31, 2021
Submission Date May 22, 2020
Published in Issue Year 2021 Volume: 8 Issue: 3

Cite

Vancouver Meracı B, Günpınar Ş. 2014-2016 Yılları Arasında Periodontoloji Kliniğine Başvuran Hastaların Periodontal Durum, Sistemik Hastalık ve Kişisel Alışkanlıklarının Değerlendirilmesi. Selcuk Dent J. 2021;8(3):635-43.