The Distribution of Systemic Diseases According to Age and Gender in Patients Admitted to an Oral and Dental Health Care Hospital

Abstract

Objectives: Investigation of systemic disorders of adult patients prior to dental interventions is of great importance in order to take relevant precautions and prevent possible complications. The aim of this study is to determine the frequency and distribution of various systemic diseases in adult patients who admitted to the outpatient clinic of an oral and dental health care hospital.

Materials and Methods: Study group included a total of 440 patients, 251 females and 189 males aged between 18 to 80 years who admitted to Oral and Dental Health Care Hospital for dental care. The distribution and frequency of various systemic diseases were determined by questioning the medical history of the patients with standard self-reported anamnestic questionnaires and verbal interviews. Data were analysed by Chi square test using SPSS Statistical Package Program (p<0.05).

Results: In 24.31% (n=107) of the study group only one disease was detected and in 15.68% (n=69) more than one systemic disease were detected, whereas no disease was detected in 60.00% (n=264). The most prevalent disease encountered in the study group was cardio-vascular disorders (13.40%, n=59), and the second one was endocrine diseases (12.27%, n=54).

Conclusions: In conclusion, detailed medical histories of the patients may be helpful in prevention of complications related with systemic diseases and ensure optimal treatment performances.

Keywords

• Oral and dental health care hospital,dentistry,systemic diseases

Ağız ve Diş Sağlığı Hastanesine Başvuran Hastalarda Sistemik Hastalıkların Yaş ve Cinsiyete Göre Dağılımı

Öz

Amaç: Diş hekimliği müdahalelerinden önce erişkin hastaların sistemik rahatsızlıklarının araştırılması, gerekli önlemlerin alınması ve olası komplikasyonların önlenmesi için büyük önem taşımaktadır. Bu çalışmanın amacı bir ağız ve diş sağlığı hastanesi polikliniğine başvuran erişkin hastalarda çeşitli sistemik hastalıkların sıklığını ve dağılımını belirlemektir.

Materyal ve Metot: Çalışma grubuna, Diş Sağlığı Hastanesi'ne başvuran 18-80 yaşları arasında 251 kadın ve 189 erkek toplam 440 hasta dahil edildi. Hastalardan alınan anamnezde tıbbi öykü sorgulanarak çeşitli sistemik hastalıkların dağılımı ve sıklığı belirlendi. Veriler SPSS İstatistiksel Paket Programı kullanılarak Ki-kare testi ile analiz edildi (p<0,05).

Bulgular: Çalışma grubunun %24,31'inde sadece bir, %15,68'inde birden fazla sistemik hastalık saptanırken %60,00'ında hastalık saptanmadı. Çalışma grubunda en sık rastlanan hastalığın kardiyovasküler bozukluklar (%13,40), ikincisinin ise endokrin hastalıklar (%12,27) olduğu tespit edildi.

Sonuç: Sonuç olarak, hastaların ayrıntılı tıbbi öykülerinin alınması, sistemik hastalıklarla ilişkili komplikasyonların önlenmesinde yardımcı olabilir ve optimal tedavi performansını sağlayabilir.

Anahtar Kelimeler

• Ağız ve diş sağlığı hastanesi,diş hekimliği,sistemik hastalıklar

Kaynakça

1. Vural Koç U, Vural CA, Gokalp S. Non-communicable diseases and dental caries. J Dent Fac Ataturk Uni. 2016; (suppl. 15):80-86.
2. Bokhari SA, Khan AA. Growing burden of noncommunicable diseases: the contributory role of oral diseases, Eastern Mediterranean Region perspective. East Mediterr Health Journal. 2009;15(4): 1011-1020.
3. Petersen PE. The World Oral health report 2003: continuous improvement 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.
4. Aydıntug YS, Sencimen M, Bayar GR, Mutlu I, Bayar A. The frequency of various systemic diseases in adult patients admitting to the department of oral and maxillofacial surgery outpatient clinic. Gulhane Medical Journal. 2010; 52:7-10.
5. Bodrumlu E, Aydın U, Özsevik AS. Systemic Health Status of the Cases Applying to the Endodontic Clinic. Turkiye Klinikleri J Dental Sci. 2008;14(1):1-5.
6. Radfar L, Suresh L. Medical profile of a dental school patient population. Journal of Dental Education. 2007; 71(5):682–686.
7. Fenlon MR, McCartan BE. Medical status of patients attending a primary care dental practice in Ireland. J Ir Dent Assoc. 1991;37(3-4):75-77.
8. De Jong KJ, Oosting J, Peters GJ, Abraham-Inpijn L. Detecting medical problems in dentistry: a survey of 4,087 patients in the Netherlands. Eur J Med. 1992;1(1):23-29.

9. Peacock ME, Carson RE. Frequency of self-reported medical conditions in periodontal patients. J Periodontol. 1995; 66(11):1004-1007.
10. Hatipoglu MG, Hatipoglu H. Evaluation of medical consultations forms of a patient group admitted to the dental clinic of a university hospital. Ankara Med J. 2015; 15(1):10- 15.
11. Van Laer SD, Snijder MB, Agyemang C, Peters RJ, Van den Born B-JH. Ethnic differences in hypertension prevalence and contributing determinants - the HELIUS study. European Journal of Preventive Cardiology. 2018;0(00):1-9.
12. Onat A, Keleş İ, Sansoy V, Ceyhan K, Uysal Ö, Çetinkaya A. at el. Rising Obesity Indices in 10-year Follow-up of Turkish Men and Women: Body Mass Index Independent Predictor of Coronary Events Among Men. Turk Kardiyol Dern Ars. 2001; 29(7): 430-436
13. Onat A, Yıldırım B, Erer B, Başar Ö, Çetinkaya A, Ceyhan K. at el Total Cholesterol/HDL-cholesterol Ratio Best Lipid Predictor of Coronary Disease in Turkish Adults: Mean Triglyceride Levels Rise by 1 mg/dl Per Year. Turk Kardiyol Dern Ars. 2001; 29(6): 334-343
14. Onat A, Başar Ö, Erer B, Ceyhan K, Yıldırım B, Keleş İ. at el. Prevalence, Relationship to HDL and Impact on Coronary Events of Smoking in Turkish Adults. Turk Kardiyol Dern Ars. 2001; 29(8): 493-498
15. Hupp JR. Ischemic heart disease: dental management considerations. Dent Clin North Am. 2006;50(4):483-491.
16. Andreotti F, Davies GJ, Hackett DR, et al. Major Circadian Fluctuations in Fibrinolytic Factors and Possible Relevance to Time of Onset of Myocardial Infarction, Sudden Cardiac Death and Stroke. The American Journal of Cardiology. 1988;62(9):635-637.
17. Panza JA, Epstein SE, Quyyumi AA. Circadian variation in vascular tone and its relation to alpha-sympathetic vasoconstrictor activity. New England Journal of Medicine. 1991;325(14): 986-990.
18. Uzun H, Nazlıel H. Medıcal, Dental Hıstory And Extraoral, İntraoral And Dental Fındıngs In The Elderly. Turkish Journal of Geriatrics. 2000;3(1):15-21.
19. Cadeddu C, Capizzi S, Colombo D, Nica M, De AB. Literature review of gender differences in respiratory conditions: a focus on asthma and chronic obstructive pulmonary disease (COPD). Igiene e Sanita Pubblica. 2016; 72(5): 481-504.
20. Chung JH, Hwang HJ, Kim SH, Kim TH. Associations between periodontitis and chronic obstructive pulmonary disease; the 2010 to 2012 Korean National Health and Nutrition Examination Survey. Journal of Periodontology. 2016; 87(8): 864-871.
21. Gomes-Filho IS, Passos JS, Seixas da Cruz S. Respiratory disease and the role of oral bacteria. Journal of Oral Microbiology. 2010; 2(1): 5811.
22. Karaoglanoglu S. Dental Approach for Respiratory System Diseases. Turkiye Klinikleri Journal of Oral and Maxillofacial Surgery-Special Topics. 2017; 3(2):72-76.
23. Muslu L, Ardahan M. Motivational ınterview technique for life style change in diabetes mellitus. Current Approaches in Psychiatry. 2018;10(3):336-347.
24. Elrick H, Stimmler L, Hlad CJ Jr, Arai Y. Plasma insülin response to oral and intravenous glucose administration. The Journal of Clinical Endocrinology & Metabolism. 1964; 24(10): 1076-1082.
25. Tekin-Koruk S, Koruk İ, Şahin M, Duygu F. Evaluation of HBsAg, Anti-HBs and Anti-HCV Positivity and Risk Factors Among Oral and Dental Health Workers in Şanlıurfa. Klinik Journal. 2009; 22(2): 55-61.
26. Chen CJ, Wang LY, Yu MW. Epidemiology of hepatitis B viruse infection in the Asiapasific region. J Gastroenterol Hepatol. 2000; 15(2):3-6.
27. Tandon BN, Acharya SK, Tandon A. Epidemiology of hepatitis B virus infection in India. Gut. 1996; 38(2):56-59.
28. Levi LE, Lalla RV. Dental Treatment Planning for the Patient with Oral Cancer. Dental Clinics of North America, 2018;62(1);121–130.
29. Rolski D, Kostrzewa-Janicka J, Zawadzki P, Życińska K, Mierzwińska-Nastalska E. The Management of Patients after Surgical Treatment of Maxillofacial Tumors. BioMed Research International. 2016; 1–7.
30. Heyden G. Health profile of the ageing population: the Swedish experience. International Dental Journal. 1998; 48(3):167-172.