PERİODONTOLOJİ KLİNİĞİNE BAŞVURAN HASTALARIN PERİODONTAL DURUMLARININ VE SİSTEMİK HASTALIKLARININ DEĞERLENDİRİLMESİ

Yıl 2019, Cilt: 29 Sayı: 3, 432 - 439, 16.07.2019

Yasemin Sezgin , Mediha Nur Nişancı Yılmaz

https://doi.org/10.17567/ataunidfd.554308

Cited By: 1

Öz

Amaç: Periodontal durumun ve risk faktörlerinin belirlenmesi
kişiye özgü tedavi planlaması ve prognoz tayini yapılabilmesi için önemlidir. Bu
retrospektif çalışmada Başkent Üniversitesi Diş Hekimliği Fakültesi
Periodontoloji Anabilim Dalı’na tedavi için başvuran hastaların demografik
verilerini, periodontal hastalık durumlarını, mevcut sistemik hastalıklarını ve
sigara alışkanlıklarını belirlemek ve mevcut periodontal durumun risk
faktörleri ile ilişkilerinin değerlendirilmesi amaçlanmıştır.

Gereç ve
Yöntem: 728 kadın, 722 erkek olmak üzere
toplam 1500 hasta çalışmaya dahil edilmiştir.
Hastaların yaş, cinsiyet, sigara kullanımı, sistemik hastalık durumları
kaydedilmiştir. Aynı zamanda klinik periodontal parametreler ve radyografik
değerlendirmelere dayanarak periodontal durumları tespit edilmiştir. Veriler
istatistiksel olarak analiz edilmiştir.

Bulgular: Klinik
ve radyografik parametreler birlikte değerlendirildiğinde hastaların %50,3’ü gingivitis, %39,8’i peridontitis, %9,9’u
azalmış periodonsiyumda gözlenen gingivitis grubuna dahil edilmiştir. Erkek
bireylerin %47’sine periodontitis teşhisi konmuştur ve periodonititis teşhisi
açısından kadın bireylerle aralarında istatistiksel anlamlı fark gözlenmiştir
(p<0,001). Hipertansiyon,
diyabet ve kardiyovasküler hastalığı olan bireylerde istatistiksel anlamlı
olarak daha fazla periodontitis teşhis edilmiştir (p<0,001).

Sonuç: Hastadan alınan ayrıntılı anamnez ile
klinik ve radyografik bulguların birlikte değerlendirilmesi, periodontal
hastalıklardaki lokal ve sistemik risk faktörlerinin tedavi planlamasına dahil edilmesi
tedavi başarısındaki önemli faktörlerdir. Hastanın düzenli olarak görülmesi ve risk
faktörleri konusunda bilgilendirilmesi sağlığın idamesi açısından gereklidir. Çalışmaya
dahil edilen hastaların farklı derecelerde periodontal hastalığa sahip olduğu
tespit edilmiştir. Periodontitis tanısı hipertansiyon, diyabet ve
kardiyovasküler hastalığı olanlarda daha yüksek olarak bulunmuştur. Periodontitisin
çeşitli sistemik hastalıklarla birlikte teşhis edildiği durumlar  tedavi planmasında dikkate alınmalıdır.

Anahtar Kelimeler: Oral sağlık, periodontal
hastalık

Evaluation of the Periodontal
Status and Systemic Diseases of the Patients Referring to the Faculty of
Dentistry

Abstract

Aim: Determination of peridontal
conditions and risk factors are critical for individual treatment planning and assessment
of prognosis. The aim of this retrospective study was to determine the demographic
data, periodontal status, smoking habits, systemic diseases and
also to detect the association between periodontal status and risk factors of patients referred
to Başkent University Faculty of Dentistry, Periodontology Department.

Material
and methods: 1500 patients 728 of whom were
female, and 722 of whom were male were included in this study. Age, gender,
smoking habits, systemic diseases were recorded. Periodontal status was
evaluated based on the clinical periodontal parameters and radiographic
evaluation.

Results: 50,3% patients were diagnosed with gingivitis, 39,8%
patients were diagnosed with periodontitis and 9,9% patients were diagnosed
with reduced periodontium with
gingivitis according to clinical and radiographic parameters. 47% of male
subjects were diagnosed with periodontitis and diagnosis of periodontitis was
significantly higher in male subjects compared to female subjects (p<0,001).
Significantly more periodontitis was diagnosed in patients with hypertension,
diabetes and cardiovascular disease (p<0,001).

Conclusion: Evaluation of clinical and radiological
findings together with detailed history and inclusion of local and systemic
risk factors in treatment planning in periodontal diseases are important
factors in treatment success. Regular dental visits and informing the patientsv
about risk factors are necessary for the maintenance of periodontal health. The
patients included in the study had different degrees of periodontal disease.
Patients with hypertension, diabetes and cardiovascular disease were diagnosed commonly
with periodontitis. Conditions in which periodontitis has been diagnosed with
various systemic diseases should be considered in treatment planning.

Keywords: Oral health; periodontal disease

Anahtar Kelimeler

Oral sağlık

Kaynakça

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