Postmenopozal Kadınlarda 10 Yıllık Süreçte Diş Kaybının Değerlendirilmesi

Öz

Bu çalışmanın amacı, kadınlarda menopozda geçen on yılda oluşan diş kaybı ile bununla ilişkili olarak periodontal durum ve ağız- diş sağlığındaki değişimleri değerlendirmektir. Bu araştırmada, Menopoz, Sağlık ve Yaşam Biçimi Çalışması’ na katılan 1039 kadın 10 yıl sonra tekrar muayene edilmek üzere davet edildi. Bu daveti kabul eden 58 postmenopozal kadın, diş kaybı ve oral sağlık açısından tekrar değerlendirildi. Bireylerin sistemik sağlık durumları sorgulandı. Klinik muayenede, kalan diş sayısı, tükürük akış hızı, periodontal durumu değerlendirmek için plak indeksi (PI), gingival indeks (GI), diştaşı indeksi (CI), periodontal cep derinliği (CD), klinik ataçman kaybı (KAK), sondlamada kanama (SK) ve diş sağlığını değerlendirmek için çürük, dolgulu, kayıp diş indeksi (decay, missing, filled teeth - DMFT) kaydedildi. Bu parametrelerde on yıl içinde oluşan değişimler istatistiksel olarak karşılaştırıldı ve parametreler arasındaki korelasyonlar araştırıldı. Araştırmaya katılan bireylerde, on yıllık süreçte ortalama 2 diş daha eksilirken, tükürük miktarlarının azaldığı ve PI ve CI değerleri düşerken, GI, SK, CD, KAK ve DMFT değerlerinin arttığı saptandı. Başlangıç ve 10. Yıl GI değerleri ile eksik diş sayıları arasında anlamlı korelasyonlar belirlendi. Sonuç, Menopozda geçen her on yılda kadınlar ortalama 2 diş kaybedebilir. Bu kayıpların önüne geçmek için post menopozal kadınlara düzenli diş hekimliği kontrolü ve destekleyici periodontal tedavi önerilmelidir.

Anahtar Kelimeler

• menopoz
• diş kaybı
• oral hijyen

Evaluation of Tooth Loss in Post-Menopausal Women over a Ten-Year Period

Öz

Aim: The aim of this study was to evaluate the tooth loss and the changes in the periodontal and dental health status in the women who participated to Isparta Menopause and Health Study at ten years period. Material and Methods: In this study, 1039 women who are participated Isparta Menopause and Health Study at 2006 were invited for re-evaluation in 2016. Fifty-eight post-menopausal women were recruited the study. Systemic health status, the number of remaining teeth, plaque index (PI), gingival index (GI), calculus index (CI), periodontal probing depth (PPD), clinical attachment loss (CAL), bleeding on probing (BOP), decay, missing, filled teeth index (DMFT), salivary flow rate and oral hygiene habits were recorded. The baseline and ten years follow-up data were statistically compared and the correlations between parameters were explored. Results: There were statistically significant changes in the number of teeth, periodontal and dental health. Participants lost 2 teeth in average at ten years period. Salivary flow rate, PI and CI decreased and GI, BOP, PPD, CAL increased. There were significant correlations between baseline and ten years GI values and the number of missing teeth. Conclusion: Women can lose an average of 2 teeth per decade of menopause. To prevent these losses, regular dental check-ups and supportive periodontal treatment should be offered to postmenopausal women..

Anahtar Kelimeler

• menopause
• tooth loss
• oral hygiene

Kaynakça

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