Periodontal Hastalığı Olan Bireylerde Ortodontik Tedavi İhtiyacının ve Diş Estetik Görünümünün DAI, ICON, IOTN İndekslerine Göre Değerlendirilmesi

Yıl 2025, Cilt: 14 Sayı: 2, 352 - 356, 30.08.2025

Gizem Yazdan Özen , Ali Kağan Özen , Gökhan Özgenç , Yerda Özkan Karasu , Kamber Kaşali

Öz

Amaç: Maloklüzyon, bireylerin yaşam kalitesini olumsuz etkileyen ve dişlerin ideal dizilimden sapmasıyla karakterize edilen bir durumdur. Ortodontik anomaliler ve periodontal hastalıklar karşılıklı etkileşim gösterebilir. Bu çalışmada, periodontal hastalığı olan bireylerde ortodontik tedavi ihtiyacının değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışmaya, Atatürk Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Anabilim Dalı’na periodontal hastalık şikayetiyle başvuran 150 hasta dahil edildi. Katılımcıların periodontal durumu; kanama indeksi, cep derinliği ve DMFT indeksi ile değerlendirildi. Ortodontik tedavi ihtiyacı ise ICON (Index of Complexity, Outcome and Need), DAI (Dental Aesthetic Index) ve IOTN (Index of Orthodontic Treatment Need) indeksleri kullanılarak belirlendi.
Bulgular: Hastaların %36,7’si ICON, %60,7’si DAI ve %38,6’sı IOTN indeksine göre şiddetli maloklüzyon grubunda yer aldı. Ayrıca, %82,7’sinde gingivitis saptandı. Yaş ile kanama indeksi, DMFT, DAI ve IOTN indeksleri arasında ve DMFT ile ICON arasında istatistiksel olarak anlamlı korelasyon bulundu (p<0.05).
Sonuç: Periodontal tedaviye başvuran hastalarda ortodontik problemlerin yaygın olduğu tespit edilmiştir. Bu bulgu, ortodontik değerlendirme ve periodontal sağlığın birlikte ele alınmasının önemini vurgulamakta, toplumun bu konuda bilinçlendirilmesi gerektiğini göstermektedir.

Anahtar Kelimeler

Ortodontik tedavi ihtiyacı indeksi , Malokluzyon , Periodontal hastalıklar

Evaluation of Orthodontic Treatment Needs and Dental Aesthetic Appearance of Individuals with Periodontal Disease According to DAI, ICON, IOTN Indices

Öz

Objective: Malocclusion is a condition that negatively affects individuals' quality of life and is characterized by deviations in the ideal alignment of the teeth. Orthodontic anomalies and periodontal diseases can interact with each other. This study aims to evaluate the need for orthodontic treatment in individuals with periodontal disease.
Materials and Methods: The study included 150 patients who presented with periodontal disease complaints at the Department of Periodontology, Faculty of Dentistry, Atatürk University. Participants' periodontal status was assessed using the bleeding index, pocket depth, and DMFT index. Orthodontic treatment need was determined using the ICON (Index of Complexity, Outcome and Need), DAI (Dental Aesthetic Index), and IOTN (Index of Orthodontic Treatment Need) indices.
Results: Among the patients, 36.7% were classified as having severe malocclusion according to the ICON index, 60.7% according to the DAI index, and 38.6% according to the IOTN index. Additionally, gingivitis was detected in 82.7% of the participants. A statistically significant correlation was found between age and bleeding index, DMFT, DAI, and IOTN indices, as well as between DMFT and ICON indices (p<0.05).
Conclusion: Orthodontic problems were found to be prevalent among patients seeking periodontal treatment. This finding highlights the importance of considering orthodontic evaluation alongside periodontal health and underscores the need to raise awareness in society regarding this relationship.

Anahtar Kelimeler

İndex of orthodontic treatment need , Malocclusion , Periodental diseases

Kaynakça

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