Dişeti Çekilmesi: Yetişkin Bir Alt Popülasyonda Prevalans ve İlişkili Faktörler

Yıl 2021, Cilt: 14 Sayı: 2, 216 - 227, 30.08.2021

Nazlı Zeynep Alpaslan Yaylı , Elif Töre Sari

https://doi.org/10.52976/vansaglik.942756

Cited By: 1

Öz

Amaç: Bu çalışmanın amacı yetişkin bir alt popülasyonda diş eti çekilmesi prevalansı ile pe-riodontal ve epidemiyolojik değişkenleri içeren olası risk faktörleri arasındaki ilişkiyi araştır-maktır.
Gereç ve Yöntem: Bu çalışma 18-53 yaş arasında bulunan 140 gönüllü hasta üzerinde yürü-tülmüştür. Tüm katılımcıların demografik bilgileri, oral hijyen alışkanlıkları, diş hekimi ziya-ret sıklığı, anormal alışkanlık varlığı, sigara kullanımı ve sistemik durumu kayıt altına alın-mıştır. Klinik muayenede dişeti çekilmesi tespit edilen 211 alanda, ark dışı diş varlığı, dişler-de malpozisyon, aşınma, fırça izi, mobilite, dentin hipersensitivitesi, oklüzal travma, primer kontakt varlığı, anormal restorasyon kenarları, anormal frenulum varlığı, yapışık dişeti geniş-liği ve periodontal sağlık durumunu içeren çeşitli değişkenler incelenmiştir.
Bulgular: Katılımcıların %89,3’ ü sistemik olarak sağlıklı olup, %77,9’ u sigara kullanma-maktadır. %31,4 oranında katılımcı yılda 2 kez diş hekimi ziyareti yapmaktadır. Bireylerin %47,9’ u günde iki kez diş fırçaladığını belirtmiş, ancak tüm katılımcıların yalnızca %16,4’ ünün doğru teknikle fırçaladığı gözlenmiştir. Diş eti çekilmesi bulunan hastalar toplam birey-lerin %52,1’ ini oluşturmaktadır. Bu bireylerin ise %58,9’ unda dentin hipersensitivitesi, %35,6’ sında frenulum faktörü ve %32,9’ unda yetersiz yapışık dişeti tespit edilmiştir. Dişe-ti çekilmesi yaşla birlikte anlamlı şekilde artmıştır (p<0,05). Periodontitis teşhis edilen birey-lerdeki diş eti çekilmesi oranı ise gingivitis teşhis edilenlerden anlamlı şekilde daha fazladır (p<0,05).

Sonuç: Bu çalışmanın sınırları dahilinde, periodontal sağlık durumu, fırçalama tekniği, yeter-siz yapışık dişeti ve dentin hipersensitivitesi dişeti çekilmesi ile ilişkili faktörler olarak öne çıkmaktadır.

Anahtar Kelimeler

Dişeti çekilmesi, Etiyoloji, Prevalans

Destekleyen Kurum

Yoktur

Proje Numarası

Yoktur

Teşekkür

Yazarlar araştırmada verileri kullanılarak bilime katkı sağlayan hastalara teşekkür etmektedir.

Gingival Recession: Incidence and Associated Factors in an Adult Subpopulation

Öz

Objective: The aim of this study is investigating the relationship between the incidence of gingival recession and possible risk factors including periodontal and epidemiological variables in an adult sub-population.
Material and Method: 140 volunteer patients between the ages of 18-53 were conducted to the study. Demog-raphic information, oral hygiene habits, frequency of dental visits, bad habits, smoking and systemic conditions of all participants were recorded. In clinical examination, 211 gingival recession detected are as were inspected and various variables including the presence of non-archteeth, malposition, abrasion, brush marks, mobility, dentin hypersensitivity, occlusal trauma, presence of primary contact, poorly contoured dental restorations, presence of abnormal frenum, attached gingival width and periodontal health status were examined.
Results: 89.3% of the participants were systemically healthy and 77.9% did not smoke. 31.4% of the participants visited the dentist twice a year. 47.9% of the individuals stated that they brushed their teeth twice a day, but only 16.4% of all participants were observed to brush with the correct technique. Patients with gingival recession constitute 52.1% of the total individuals. 58.9% of these individuals had dentin hypersensitivity, 35.6 % had frenum factor and 32.9% had inadequate attached gingiva. The risk of gingival recession has increased signifi-cantly with age (p<0.05). The rate of gingival recession in individuals diagnosed with periodontitis is signifi-cantly higher than those with gingivitis (p<0.05).
Conclusion: Within the limitations of this study, periodontal health status, tooth brushing technique, inadequate attached gingiva and dentin hypersensitivity stand out as factors associated with gingival recession.

Anahtar Kelimeler

Gingivalrecession, Etiology, Incidence.

Proje Numarası

Yoktur

Kaynakça

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