Serbest Dişeti Grefti Uygulamalarının Uzun Dönemde Yaşam Kalitesine Etkisinin Değerlendirilmesi

Year 2019, , 129 - 134, 23.08.2019

Yasemin Sezgin , Elif İnönü

https://doi.org/10.30565/medalanya.530329

Abstract

Amaç: Gingival marjinin mine sement birleşiminden apikale doğru yer değiştirmesi olarak tanımlanan dişeti çekilmesi kök çürüklerine, hassasiyete, erozyona, aşınmaya ve estetik kaygılara neden olabilmektedir. Bu nedenle, bu komplikasyonları azaltmak ya da önleyebilmek adına bu hastalarda serbest dişeti grefti dahil çeşitli periodontal plastik cerrahi seçenekleri uygulanabilmektedir. Ağız sağlığı ile ilgili yaşam kalitesi, bireyin sağlık durumunun psikolojik, sosyal, fonksiyonel faktörler ve orofasiyal problemlerden nasıl etkilendiği hakkında bilgi verir. Bu çalışmanın amacı daha önce serbest dişeti grefti uygulanmış hastaların dişeti cerrahisi sonrası uzun dönem memnuniyetlerini ve bu işlemin ağız sağlığı ile ilişkili yaşam kalitesine etkisini değerlendirmektir. 

Yöntemler: Bu çalışma, Başkent Üniversitesi Diş hekimliği Fakültesi’ne dişeti çekilmesi şikayeti ile başvuran ve bu sebeple serbest dişeti grefti uygulanmış hastalar üzerinde yürütülmüştür. Hastalar kliniğimize çağırılmış ve hastaların şu anki dişeti durumlarının yaşam kalitesine olan etkisi ve operasyon sonrası memnuniyetlerini belirlemek amacıyla hastalara memnuniyet anketi ve Ağız sağlığı etki profili-14 [Oral Health Impact Profile-14 (OHIP-14)] anketinin Türkçe formu uygulanmıştır. 

Bulgular: Çalışmaya 28 hasta dahil edilmiştir. Fonksiyonel limitasyon ile fiziksel ağrı (p = 0,031), psikolojik rahatsızlık ve fiziksel yetersizlik arasında pozitif bir korelasyon bulunmuştur (p=0,031). Bununla birlikte toplam OHIP-14 skoru ile fiziksel ağrı arasında güçlü korelasyon tespit edilmiştir. Hastaların yaşları ve operasyon sonrası geçen süre ile OHIP-14 skorları arasında bir ilişki bulunamamıştır (p>0,05). 

Sonuç: Bu araştırmanın sınırları dahilinde serbest dişeti grefti uygulanmış hastaların uzun dönem yaşam kalitelerine etki eden en önemli faktörün fiziksel ağrı olabileceği ve bu durumun yaş veya operasyon sonrası geçen süre ile ilişkili olmadığı sonucuna varılmıştır 

Keywords

Dişeti çekilmesi, serbest dişeti cerrahisi, yaşam kalitesi

Long Term Effects of Free Gingival Graft Surgery on Oral Health Related Quality of Life

Abstract

Objective: Gingival
recession, defined as exposure of the root surface by displacement of the
gingival margin apical to the cemento-enamel junction, can cause root caries, sensitivity, erosion, abrasion and
aesthetic concerns. To overcome these problems, various periodontal plastic
surgeries, including free gingival grafts, can be applied. Oral health-related
quality of life provides information about how the wellness of a person is
affected by psychological, social, functional factors and orofacial problems.
The aim of this study was to evaluate the long-term satisfaction of free
gingival graft surgery and its effect on oral health-related quality of life.

Methods: This study
was conducted on patients who applied to Başkent University Faculty of
Dentistry with the complaint of gingival recession, and therefore applied free
gingival graft surgery. These patients were recalled and asked to complete the
Turkish version of Oral
Health Impact Profile-14 (OHIP-14) questionnaire
and satisfaction scale to assess quality of life and postoperative
satisfaction.

Results: 28 patients
were included in the study. There was a positive correlation between functional
limitation and physical pain (p=0,031), psychological disturbance and physical
disability (p=0,031). In addition, there was a strong correlation between total
OHIP-14 score and physical pain. No relationship was found between the OHIP-14
scores and the patient’s age and the time elapsed after the operation
(p>0,05).

Conclusion: It was
concluded that the most important factor affecting the long-term quality of
life of patients who underwent free gingival graft surgery was physical pain
and this was not related to patient’s age or the amount of time since the surgery.

Keywords

Gingival recession, free gingival graft surgery, quality of life

References

• 1. The American Academy of Periodontology Glossary of Periodontal Terms. 4th ed. Chicago, IL, USA: The American Academy of Periodontology; 2001:44.
• 2. Roman A, Soancă A, Kasaj A, Stratul SI. Subepithelial Connective Tissue Graft with or without Enamel Matrix Derivative for the Treatment of Miller Class I and II Gingival Recessions: A Controlled Randomized Clinical Trial. J Periodontal Res. 2013 ;48(5):563–72. PMID: 23317049.
• 3. Çoban B, Kansu L, Dolgun A. Timing and sequence of eruption of primary teeth in southern Turkish children. Acta Med. Alanya 2018;2(3):199-205.
• 4. Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. J Periodontol. 2018;89 Suppl 1:S204-S213. PMID: 29926504.
• 5. Camargo PM, Melnick PR, Kenney EB. The use of free gingival grafts for aesthetic purposes. Periodontol 2000 2001;27(1):72-96. PMID: 11551301.
• 6. Cairo F, Rotundo R, Miller PD, Pini Prato GP. Root coverage esthetic score: a system to evaluate the esthetic outcome of the treatment of gingival recession through evaluation of clinical cases. J Periodontol. 2009;80(4):705-10. PMID: 19335093.
• 7. Cairo F, Pagliaro U, Nieri M. Treatment of gingival recession with coronally advanced flap procedures: A systematic review. J Clin Periodontol 2008;35(Suppl.8):136-162. PMID: 18724847.
• 8. Petrungaro PS. Using platelet‐rich plasma to accelerate soft tissue maturation in esthetic periodontal surgery. Compend Contin Educ Dent. 2001;22:729–745. PMID: 11692397.
• 9. Keceli HG, Aylikci BU, Koseoglu S, Dolgun A. Evaluation of palatal donor site haemostasis and wound healing after freegingival graft surgery. J Clin Periodontol. 2015;42:582–589. PMID: 25892528.
• 10. Inglehart MR. Enhancing Periodontal Health Through Regenerative Approaches: A Commentary on the need for Patient-Reported Outcomes. Journal of Periodontology. 2015;86:S4-S7. PMID: 25644299.
• 11. Naito M, Yuasa H, Nomura Y, Nakayama T et al. Oral health status and health related quality of life: a systematic review. J of Oral Science. 2006;48(1):1-7. PMID: 16617194.
• 12. Rocha Dos Santos M, Sangiorgio JPM, Neves FLDS, França-Grohmann IL, Nociti FH Jr, Silverio Ruiz KG et al. Xenogenous Collagen Matrix and/or Enamel Matrix Derivative for Treatment of Localized Gingival Recessions: A Randomized Clinical Trial. Part II: Patient-Reported Outcomes Periodontol. 2017;88(12):1319-1328. PMID: 28753098.
• 13. Montero-Martín J, Bravo-Pérez M, Albaladejo-Martínez A, Hernández-Martín LA, Rosel-Gallardo EM. Validation the Oral Health Impact Profile (OHIP-14sp) for adults in Spain. Med Oral Patol Oral Cir Bucal. 2009 Jan 1;14(1):E44-50. PMID: 19114956.
• 14. Naito M, Yuasa H, Nomura Y, Nakayama T et al. Oral health status and health related quality of life: a systematic review. J of Oral Science 2006;48(1):1-7. PMID: 16617194.
• 15. Mumcu G, Inanc N, Ergun T. Oral health related quality of life is affected by disease activity in Behçet’s disease. Oral Dis, Mar;12(2):145–51, 2006. J Periodontol. 2017;88(11):1153-1162. PMID: 16476035.
• 16. Insua A, Monje A, Wang HL, Inglehart M. Patient-Centered Perspectives and Understanding of Peri-Implantitis. J Periodontol. 2017 Nov;88(11):1153-1162. PMID: 28548884.
• 17. Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: A systematic review from the AAP regeneration workshop. J Periodontol. 2015;86 (Suppl. 2):S8-S51. PMID: 25644302.
• 18. Buti Baccini M, Nieri M, La Marca M, Pini-Prato GP. Bayesian network meta-analysis of root coverage procedures: Ranking efficacy and identification of best treatment. J Clin Periodontol. 2013;40:372-386. PMID: 23346965.
• 19. Bouchard P, Malet J, Borghetti A. Decision-making in aesthetics: root coverage revisited. Periodontol 2000. 2001;27:97–120. PMID: 11551302.
• 20. Douglas de Oliveira DW, Marques DP, Aguiar-Cantuária IC, Flecha OD, Gonçalves PF.Effect of surgical defect coverage on cervical dentin hypersensitivity and quality of life. J Periodontol. 2013 Jun;84(6):768-75. PMID: 22897654.
• 21. Cairo F. Periodontal plastic surgery of gingival recessions at single and multiple teeth Periodontol 2000. 2017 Oct;75(1):296-316. PMID: 28758301.
• 22. Kutsal D, Kronik Periodontitis Hastalarının Ağız Sağlığı ile İlişkili Yaşam kalitesinin ve hastalık semptomlarının öz algısının değerlendirilmesi. Doktora tezi. Başkent Ünv. Diş Hek. Fak. Periodontoloji AD, Ankara (2014).
• 23. Shet RGK, Gaurvi Jain, Sohani Maroli. Association of oral health related quality of life and depression along with general health among people pf Bhopal district, Madhya Pradesh. J Int Oral Health. 2013;5(6):1-8. PMID: 24453438.
• 24. Walter MH, Schuette U, Raedel M. Oral health related quality of life and oral status in a German working population. Eur J Oral Sci 2011;119(6):481-8. PMID: 22112035.
• 25. Pini-Prato G, Magnani C, Zaheer F, Buti J, Rotundo R.Critical Evaluation of Complete Root Coverage as a Successful Endpoint of Treatment for Gingival Recessions. Int J Periodontics Restorative Dent. 2015;35(5):655-63. PMID: 26357695.