Üniversite Hastanesine Geriatrik Hasta Başvuruları ve Endodontik Tedavi İnsidanslarının İncelenmesi

Year 2019, , 103 - 108, 30.12.2019

Ayşe Karadayı , Fatıma Baştürk , Dilek Türkaydın , Selin Göker Kamalı , Tülay Bakırcı , Hesna Sazak Öveçoğlu

https://doi.org/10.35333/ERD.2019.108

Abstract

Amaç: Çalışmamızın amacı, bir üniversite hastanesine başvuran geriatrik hastaların popülasyonunu ve kök kanal tedavilerinin insidansını değerlendirmektir.
Gereç ve yöntem: Ocak, Şubat ve Mart 2019'da Marmara Üniversitesi Diş Hekimliği Fakültesi'ne başvuran hasta sayısı elde edilmiştir. Bu hastalar arasından 65 yaş ve üzeri olan hastalar belirlenmiştir. Hastalar cinsiyete ve yaşa göre temelde iki gruba ayrılmıştır. Yaş kategorileri 65-69, 70-74 ve 75-79 olarak belirlenmiştir. Daha sonra bu hastalar içerisinden 65 yaş üstü 50 hasta rastgele seçilmiştir. Yaş kategorisinde genç yaşlılar (65-74), yaşlılar (75- 84), çok yaşlılar (85 ve üstü) bulunmaktadır. Her hastanın panoramik röntgenleri tek bir araştırmacı tarafından incelenmiş ve kök kanal tedavileri tespit edilmiştir.
Bulgular: Toplam 2762 hasta yeni giriş yapmıştır. Bu hastalar içerisinde 185 birey geriatrik hastadır. Gruplar; 65-69, 70-74, 75-79 yaş arası hastalardan oluşmaktadır. 65-69 yaş arası 100 bireyin 36’sını kadın, 64’ünü erkek hastalar oluşturmaktadır. 70-74 yaş arası 61 bireyin 26’sı kadın 35’i erkektir. 75-79 yaş arası 19 hastanın ise 9’u kadın 10’u erkektir. Fakülteye son 3 ayda 80 yaş ve üzeri sadece 5 hasta girişi olduğu görülmüştür. Rastgele seçilen 50 geriatrik hasta içerisinde ise 65 yaşından büyük 50 hastadan 22'si erkek, 28'i kadındı. 65-74 yaş grubuna ait birey sayısı 39, 75-84 yaş grubuna ait birey sayısı 9, 85 yaş ve üzeri birey sayısı 2'dir. Gruplarda kanal tedavisi görmüş hastaların sayısı sırasıyla 18, 5 ve 1’dir.
Sonuç: Hastaların yaşı arttıkça kök kanal tedavilerinin sayısı azalmaktadır. Bu durumun sebebinin, toplumumuzda artan yaşla birlikte ağızdaki diş sayısının azalması olabileceğini düşünmekteyiz.

Keywords

geriatri, endodonti, kök-kanal tedavisi

Evaluation Of Admissions And Incidence Of Endodontic Treatment Of Geriatric Patients İn A University Hospital

Abstract

Aim: The aim of our study was to assess the number of root canal treatments amongst geriatric patients admitted to a university hospital.
Materials and methods: The number of patients admitted to Marmara University Faculty of Dentistry in January, February and March 2019 was obtained. Among these patients, patients aged 65 years and over were identified. Patients were basically divided into two groups according to gender and age. Age categories were 65-69, 70-74 and 75-79.
Then fifty patients over the age of 65 were selected randomized. The patients were subdivided into two categories; according to gender and age. The age category included young olds (65- 74), old olds (75-84), oldest olds (85 and over). The panoramic x-rays of each patient were examined by a single operator and root canal treatments were detected.
Results: A total of 2762 patients have just admitted. Among these patients, 185 were geriatric. Groups; It consists of patients between the ages of 65-69, 70-74, 75-79. Of the 100 patients aged 65-69 years, 36 were female and 64 were male. Of the 61 patients aged 70-74, 26 were female and 35 were male. Of the 19 patients aged 75-79, 9 were female and 10 were male. In the last 3 months, only 5 patients aged 80 and over were admitted to the faculty.
Amongst 50 selected patients who were over the age of 65, 22 were male and 28 were female. The number of young olds were 39, old olds were 9 and the oldest olds were 2. The greatest number of root canal treatments were observed in the young olds category (n=19) followed by old olds (n=5) and only 1 root canal treatment was observed in the oldest old category. Conclusion: The number of root canal treatments decrease as the age of the patients increase, suggesting that incidence of edentulism and becoming toohtlessness is still high amongst geriatric patients.

Keywords

geriatrics, endodontics, root-canal treatment

References

• 1. Güler Ç. Yaşlılıkta Tanımlar Ve Yaşlılık Üzerine Söylenenler. Türk Geriatri Dergisi Geriatri. 1998;1(2):105.
• 2. YERTUTAN CAile ve Toplum Yıl: 1 Cilt: 1 Sayı: 2 Haziran 1991 ISSN: 1303- 0256.
• 3. WHO (1972) Psychogeriatric, report of a WHO Scientific Group, Technical Reports Series 507, Geneva. Cited in Davise AM. Epidemiology 185; 14(1):9-21.
• 4. WHO (1984) The uses of epidemiology in the study of the elderly. WHO, Technical Reports Series 706, Geneva:8
• 5. Bilir N, Paksoy N. Değişen dünyada ve Türkiye’de yaşlılık kavramı. In: Kutsal YG (ed).Temel Geriatri. 1. baskı. Ankara: Güneş Tıp Kitabevleri; 2007. 3-9.
• 6. WHO. Active Ageing: A Policy Frame Work 2002.
• 7. Türk istatistik kurumu 2012 verileri. Erişim tarihi: 15.06.2013 http://www.tuik.gov.tr/PreTablo.do?alt_id=37.
• 8. Boss GR, Seegmiller JE. Age-related physiological changes and their clinical significance. West J Med 1981;135:434-40.
• 9. Brooks SV, Faulkner JA. Skeletal muscle weakness in old age: underlying mechanisms. Med Sci Sports Exerc 1993;26:432-9.
• 10. Kinsella K, Wan H. U.S. Census Bureau, International Population Reports, P95/09- 1, An Aging World: 2008, U.S. Government Printing Office, Washington DC 2009.
• 11. Yaman H, Akdeniz M, Howe J. GeroFam kavramı: Önümüzdeki demografik değişime yönelik bir çözüm önerisi. GeroFam 2010; 1(1): 1-14.
• 12. Active Aging A Policy Framework. http://whqlibdoc.who.int/hq/ (2002).
• 13. TÜİK (2014). İstatistiklerle yaşlılar dönemi. http://www.tuik.gov.tr/(15.12.2015).
• 14. Stuck AE, Aronow HU, Steiner A, Alessi CA, Büla CJ, Gold MN, etal. A trial of annual in home comprehensive geriatric assessments for elderly people living in the community. N Engl J Med 1995;333:1184-9.
• 15. Stuck AE, Siu AL, Wieland GD, Adams J, Ru Benste in LZ. Comprehensive geriatric assessment: a meta-analysis of control led trials. Lancet 1993;342:1032- 6.
• 16. Fox PC ( 1998). Acquired salivary dysfunction. Drugs and radiation. Ann NY Acad Sci 842: 132– 137.
• 17. Loesche WJ, Bromberg J, Terpenning MS et al ( 1995). Xerostomia, xerogenic medications and food avoidances in selected geriatric groups. J Am Geriatr Soc 43: 401– 407.
• 18. Narhi TO, Meurman JH, Ainamo A ( 1999). Xerostomia and hyposalivation: causes, consequences and treatment in the elderly. Drugs Aging 15: 103– 116.
• 19. Streckfus CF ( 1995). Salivary function and hypertension: a review of the literature and a case report. J Am Dent Assoc 126: 1012– 1017.
• 20. Vissink A, van Nieuw Amerongen A, Wesseling H, ’s‐Gravenmade EJ ( 1992). Dry mouth; possible cause – pharmaceuticals. Ned Tijdschr Tandheelkd 99: 103– 112.
• 21. Kiyak HA (1986) Explaining patterns of dental service utilization among the elderly. J Dent Educ 50: 679-687.
• 22. Sreebny LM, Schwartz SS (1986) A reference guide to drugs and dry mouth.Gerodontology 5(2): 75-99.
• 23. Nazlıel H, Hersek N, Özbek M. Ağız Dokuları ve Sık Görülen Ağız ve Diş Sorunları. İçinde: Temel Geriatri Gökçe-Kutsal Y, Aslan D, Editörler, 1. Baskı Ankara: Öncü Basımevi, 2007: s.329-348.
• 24. Murray P.E. Stanley H.R. Matthews J.B. Sloan A.J. Smith A.J. Age-related odontometric changes of human teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;93:474-482.
• 25. Russel SL, Ship JA. Normal Oral Mucosal, Dental, Periodontal and Alveolar Bone Changes Associated with Aging. In: Improving Oral Health for the Elderly An Interdisciplinary Approach. Lamster IB, Northridge ME, Editors, 1th Edition, New York: Springer, 2008: p.233-246.
• 26. Katsoulis, J., Schimmel, M., Avrampou, M., Stuck, A. E., & Mericske-Stern, R. (2012). Oral and general health status in patients treated in a dental consultation clinic of a geriatric ward in Bern, Switzerland. Gerodontology, 29(2).
• 27. Hamedy, R., Shakiba, B., Pak, J. G., Barbizam, J. V., Ogawa, R. S., & White, S. N. (2016). Prevalence of root canal treatment and periapical radiolucency in elders: a systematic review. Gerodontology, 33(1), 116-127.
• 28. Nalçacı, R., Erdemir, E. O., & Baran, I. (2007). Evaluation of the oral health status of the people aged 65 years and over living in near rural district of Middle Anatolia, Turkey. Archives of gerontology and geriatrics, 45(1), 55-64.
• 29. Sarıyılmaz, E., Keskin, C., & Özcan, Ö. (2016). Retrospective analysis of post-treatment apical periodontitis and quality of endodontic treatment and coronal restorations in an elderly Turkish population. Journal of Clinical Gerontology and Geriatrics, 7(1), 17-20.
• 30. Rutz da Silva, F., Padilha, E. Z., Cândido, V. S., Cavassim, R., Pereira, A. C., & Hebling, E. (2016). Relationship between quality of root canal obturation and periapical lesion in elderly patients: a systematic review. Gerodontology, 33(3), 290-298.
• 31. Archana, D., Gopikrishna, V., Gutmann, J. L., Savadamoorthi, K. S., Kumar, A. R. P., & Narayanan, L. L. (2015). Prevalence of periradicular radiolucencies and its association with the quality of root canal procedures and coronal restorations in an adult urban Indian population. Journal of conservative dentistry: JCD, 18(1), 34.
• 32. Hebling, E., Coutinho, L. A., Ferraz, C. C. R., Cunha, F. L., & Queluz, D. D. P. (2014). Periapical status and prevalence of endodontic treatment in institutionalized elderly. Brazilian dental journal, 25(2), 123-128.
• 33. Kaya, B. U., Kececi, A. D., Guldas, H. E., & Orhan, H. (2013). A retrospective radiographic study of coronal-periapical status and root canal filling quality in a selected adult Turkish population. Medical Principles and Practice, 22(4), 334-339.
• 34. Jersa, I., & Kundzina, R. (2013). Periapical status and quality of root fillings in a selected adult Riga population. Stomatologija, 15 (3), 73-77.
• 35. Soikkonen, K. T. (1995). Endodontically treated teeth and periapical findings in the elderly. International Endodontic Journal, 28(4), 200-203.