Peri-implant durum, dental anksiyete ve ağız sağlığıyla ilişkili yaşam kalitesi arasındaki ilişkinin değerlendirilmesi

Year 2021, Volume: 8 Issue: 2, 508 - 515, 31.08.2021

Çağrı Esen , Ömer Ülker , Zekeriya Taşdemir

https://doi.org/10.15311/selcukdentj.794417

Abstract

Amaç: Bu çalışmanın amacı, peri-implant hastalıklar ile dental anksiyete ve ağız sağlığı ile ilişkili yaşam kalitesi arasındaki ilişkiyi değerlendirmektir.
Gereç ve Yöntemler: Toplam 101 katılımcıdaki (44 kadın, 57 erkek, ortalama yaş 56.9 ± 12.1) 325 implantta modifiye plak indeksi, modifiye sulkus kanama indeksi, sondalama derinliği, sondalamada kanama, klinik ataşman seviyesi, süpürasyon ve keratinize mukoza genişliği ölçümleri yapıldı. Ağız sağlığı ile ilişkili yaşam kalitesinin etkisini ölçmek için Ağız Sağlığı Etki Profili-14 (ASEP-14) kullanıldı. Dental anksiyete düzeyini değerlendirmek amacıyla Corah'ın Dental Anksiyete Skalası (DAS) uygulandı. Dental implant ölçümlerine ek olarak, katılımcıların doğal dişlerinin periodontal durumu, Dünya Sağlık Örgütü’nün Toplum Periodontal İndeksi (TPİ) ile değerlendirildi.
Bulgular: Peri-implantit, peri-mukozit ve peri-implant sağlıklı olarak oluşturulan tüm gruplar, cinsiyet, yaş, gelir düzeyi, sigara içme durumu ve ağız hijyeni uygulamaları açısından birbirleriyle uyumluydu. Bununla birlikte, eğitim durumu kötüleştikçe peri-implant durumunun kötüleştiğini gösteren istatistiksel olarak anlamlı bir korelasyon tespit edildi (p = 0,033). DAS, ASEP-14 ve TPİ açısından çalışma grupları arasında istatistiksel olarak anlamlı bir fark yoktu. DAS ve ASEP-14 skorları arasında anlamlı bir korelasyon bulundu (p <0.001).
Sonuç: Peri-implant hastalıkları ile dental anksiyete ve yaşam kalitesi arasında bir ilişki bulunmadı. Katılımcıların kaygı düzeyleri arttıkça yaşam kalitelerinin düştüğü belirlendi.

Keywords

dental anksiyete, dental implantlar, peri-implantit, yaşam kalitesi

An assessment of the relationship between peri-implant status and dental anxiety and oral health-related quality of life

Abstract

Background: The purpose of this study is to evaluate the relationship between peri-implant diseases and dental anxiety and oral health-related quality of life.
Methods: In a total of 101 subjects (44 females, 57 males, mean age 56.9 ± 12.1), 325 implants were examined using modified plaque index, modified sulcus bleeding index, probing depth, bleeding on probing, clinical attachment level, suppuration, and keratinized mucosa width. The Oral Health Impact Profile (OHIP-14) was used to measure the impact of oral health-related quality of life. For the purpose of assessing the dental anxiety level, Corah’s Dental Anxiety Scale (DAS) was performed. In addition to dental implant measurements, the periodontal status of the participants' natural teeth was assessed by the Community Periodontal Index (CPI) of the World Health Organization.
Results: All created groups as peri-implantitis, peri-implant mucositis, and peri-implant healthy were compatible with each other in terms of gender, age, income level, smoking status, and oral hygiene practices. However, a statistically significant correlation was found indicating that the peri-implant condition worsened as the educational status worsened (p=0.033). There was no statistically significant difference between study groups in terms of DAS, OHIP-14, and CPI. There was a significant correlation between the scores of DAS and OHIP-14 (p<0.001).
Conclusion: No relationship was found between peri-implant diseases and dental anxiety and quality of life. It was determined that as the anxiety levels of the participants increased, their quality of life decreased.

Keywords

dental anxiety, dental implants, peri-implantitis, quality of life

References

• 1. Mombelli A, Lang NP. The diagnosis and treatment of peri-implantitis. Periodontol 2000 1998;17:63‐76.
• 2. Acipinar S, Karsiyaka Hendek M, Olgun E, Kisa U. Evaluation of FGF-23 and 25(OH)D3 levels in peri-implant sulcus fluid in peri-implant health and diseases. Clin Implant Dent Relat Res 2019;21:1106‐1112.
• 3. Heitz-Mayfield LJ. Peri-implant diseases: diagnosis and risk indicators. J Clin Periodontol 2008;35:292‐304.
• 4. Lindhe J, Meyle J; Group D of European Workshop on Periodontology. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol 2008;35:282‐285.
• 5. Mills MP. Periodontal implications: anxiety. Ann Periodontol. 1996; 1: 358‐389.
• 6. Levin L, Zini A, Levine J, Weiss M, Lev RA, Hai A, et al. Dental anxiety and oral health-related quality of life in aggressive periodontitis patients. Clin Oral Investig 2018;22:1411‐1422.
• 7. Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc 1984;109:247‐251.
• 8. Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res 2011;90:1264‐1270.
• 9. Needleman I, McGrath C, Floyd P, Biddle A. Impact of oral health on the life quality of periodontal patients. J Clin Periodontol 2004;31:454‐457.
• 10. Ng SK, Leung WK. Oral health-related quality of life and periodontal status. Community Dent Oral Epidemiol 2006;34:114‐122.
• 11. Cunha-Cruz J, Hujoel PP, Kressin NR. Oral health-related quality of life of periodontal patients. J Periodontal Res 2007;42:169‐176.
• 12. Bernabé E, Marcenes W. Periodontal disease and quality of life in British adults. J Clin Periodontol 2010;37:968‐972.
• 13. Jansson H, Wahlin Å, Johansson V, Åkerman S, Lundegren N, Isberg PE, et al. Impact of periodontal disease experience on oral health-related quality of life. J Periodontol 2014;85:438‐445.
• 14. Levin L, Zini A, Levine J, Weiss M, Lev R, Chebath Taub D, et al. Demographic profile, Oral Health Impact Profile and Dental Anxiety Scale in patients with chronic periodontitis: a case-control study. Int Dent J 2018;68:269‐278.
• 15. Guentsch A, Stier C, Raschke GF, Peisker A, Fahmy MD, Kuepper H, Schueler I. Oral health and dental anxiety in a German practice-based sample. Clin Oral Investig 2017;21:1675‐1680.
• 16. Karaaslan F, Dikilitaş A. The association between stage-grade of periodontitis and sleep quality and oral health-related quality of life. J Periodontol 2019;90:1133‐1141.
• 17. Araújo AC, Gusmão ES, Batista JE, Cimões R. Impact of periodontal disease on quality of life. Quintessence Int 2010;41:e111‐e118.
• 18. Mombelli A, van Oosten MA, Schurch E Jr, Land NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol 1987;2:145‐151.
• 19. Renvert S, Persson GR, Pirih FQ, Camargo PM. Peri-implant health, peri-implant mucositis, and peri-implantitis: Case definitions and diagnostic considerations. J Periodontol 2018;89:S304‐S312.
• 20. Ainamo J, Barmes D, Beagrie G, Cutress T, Martin J, Sardo-Infirri J. Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). Int Dent J 1982;32:281‐291.
• 21. Locker D, Matear D, Stephens M, Lawrence H, Payne B. Comparison of the GOHAI and OHIP-14 as measures of the oral health-related quality of life of the elderly. Community Dent Oral Epidemiol 2001;29:373‐381.
• 22. Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health 1994;11:3‐11.
• 23. Alzarea BK. Assessment and Evaluation of Quality of Life (OHRQoL) of Patients with Dental Implants Using the Oral Health Impact Profile (OHIP-14) - A Clinical Study. J Clin Diagn Res 2016;10:ZC57‐ZC60.
• 24. Allen F, Locker D. A modified short version of the oral health impact profile for assessing health-related quality of life in edentulous adults. Int J Prosthodont 2002;15:446‐450.
• 25. Offord D, Mathieson G, Kingsford N, Matthys C, Glibert M, De Bruyn H. Peri-implant health, clinical outcome and patient-centred outcomes of implant-supported overdentures in the mandible and the maxilla. BDJ Open 2017;3:17017.
• 26. Basol ME, Karaagaçlioglu L, Yilmaz B. Developing a Turkish Oral Health Impact Profile OHIP-14-TR. Turkiye Klinikleri Dishekimligi Bilimleri Dergisi 2014;20:85.
• 27. Corah NL, Gale EN, Illig SJ. Assessment of a dental anxiety scale. J Am Dent Assoc 1978;97:816‐819.
• 28. Sharma A, Pant R, Priyadarshi S, Agarwal N, Tripathi S, Chaudhary M. Cardiovascular Changes Due to Dental Anxiety During Local Anesthesia Injection for Extraction. J Maxillofac Oral Surg 2019;18:80-87.
• 29. Ilgüy D, Ilgüy M, Dinçer S, Bayirli G. Reliability and validity of the Modified Dental Anxiety Scale in Turkish patients. J Int Med Res 2005;33:252‐259.
• 30. McGrath C, Bedi R. The association between dental anxiety and oral health-related quality of life in Britain. Community Dent Oral Epidemiol 2004;32:67‐72.
• 31. Schierz O, John MT, Reissmann DR, Mehrstedt M, Szentpétery A. Comparison of perceived oral health in patients with temporomandibular disorders and dental anxiety using oral health-related quality of life profiles. Qual Life Res 2008;17:857‐866.
• 32. Reisine ST, Fertig J, Weber J, Leder S. Impact of dental conditions on patients' quality of life. Community Dent Oral Epidemiol 1989;17:7‐10.
• 33. Kesim S, Unalan D, Esen C, Ozturk A. The relationship between periodontal disease severity and state-trait anxiety level. J Pak Med Assoc 2012;62:1304‐1308.
• 34. Insua A, Monje A, Wang HL, Inglehart M. Patient-Centered Perspectives and Understanding of Peri-Implantitis. J Periodontol 2017;88:1153‐1162.
• 35. Sánchez-Siles M, Muñoz-Cámara D, Salazar-Sánchez N, Ballester-Ferrandis JF, Camacho-Alonso F. Incidence of peri-implantitis and oral quality of life in patients rehabilitated with implants with different neck designs: A 10-year retrospective study. J Craniomaxillofac Surg 2015;43:2168‐2174.
• 36. Haas R, Haimböck W, Mailath G, Watzek G. The relationship of smoking on peri-implant tissue: a retrospective study. J Prosthet Dent 1996;76:592-596.