Awareness on the Effects of Periodontal Diseases on the General Health of Individuals with Systemic Diseases and Determination of Influential Factors

Objective: This study aimed to investigate the level of awareness regarding the effect of systemic diseases on periodontal diseases among individuals with systemic diseases.Materials and Methods: This descriptive study was carried out on 200 patients with systemic diseases (100 men, 100 women; age, 18-65 years) who presented to the internal medicine, rheumatology, and cardiology departments and oral health polyclinics. A questionnaire including 15 questions about personal information, socio-demographic characteristics and level of awareness about periodontal diseases was administered to the participants. They were asked to select among the three responses, “Agree”, “Disagree” or “Undecided”, for each statement.Results: This study found that the level of knowledge of approximately 68% of the participants regarding the relationship between systemic diseases and periodontal diseases was not sufficient, and their level of awareness was significantly low. The level of knowledge was significantly affected by educational level, frequency of tooth brushing and previous oral hygiene education (p

Sistemik Hastalığı Bulunan Bireylerin Genel Sağlıkta Periodontal Hastalıkların Etkisi Konusunda Farkındalık ve Etkileyen Faktörlerin Belirlenmesi

Amaç: Bu çalışma, sistemik hastalığı bulunan bireylerin periodontal hastalıkların sistemik hastalıklar üzerine etkileri konusunda bilinç düzeylerini ve etkileyen faktörleri incelemek amacıyla planlanmıştır. Gereç ve Yöntemler: Tanımlayıcı tipte planlanan çalışma, dahiliye, romatoloji ve kardiyoloji ve ağız diş sağlığı polikliniklerine başvuran, sistemik hastalığı bulunan, yaş aralığı 18-65 olan, 100 erkek 100 kadın olmak üzere toplam 200 hasta üzerinde yürütülmüştür. Hastalara kişisel bilgi ve sosyo-demografik özellik içeren sorular ve diş eti hastalıkları hakkında bilinç düzeylerini değerlendirmeyi amaçlayan 15 ifade içeren anket uygulanmıştır ve bu ifadelere “Katılıyorum”, “Katılmıyorum” veya “Kararsızım” şeklinde yanıtlamaları istenmiştir. Bulgular: Yapılan çalışmada katılımcıların sistemik hastalık diş eti hastalıkları arasındaki ilişki konusunda %68’inin bilgi düzeylerinin yeterli olmadığı, farkındalığın anlımlı derecede düşük olduğu, periodontal hastalık konusunda bilgi düzeyinin ise eğitim düzeyi, diş fırçalama sıklığı ve daha önce alınmış oral hijyen eğitiminden anlamlı düzeyde etkilendiği saptanmıştır (p

PDF

___

1. Pischon N, Pischon T, Kröger J, Gülmez E, Kleber B-M, Bernimoulin J-P, et al. Association among rheumatoidarthritis, oral hygiene, and periodontitis. J Periodontol 2008; 79: 979-86.

2. White SC, Pharoah MJ. Systemic Diseases Manifested in the Jaws. In: Rudolph P, Alvis K, editors. Oral Radiology: Principles and Interpretation. 5th Ed. St Louis: C.V. Mosby Co., 2009. p.597- 614.

3. Dumitrescu AL. Occurence of self-reported systemic medical conditions in patients with periodontal disease. Rom J Intern Med 2006; 44: 35-48.

4. Bahekar AA, Singh S, Saha S, Molnar J, Arora R. The prevalence and incidence of coronary heart disease is significantly increased in periodontitis: a meta-analysis. Am Heart J 2007; 154: 830-7.

5. Mealey BL, Ocampo GL. Diabetes mellitus and periodontal disease. Periodontol 2000 2007; 44: 127-53.

6. Rutger Persson G. Rheumatoid arthritis and periodontitis- -inflammatory and infectious connections. Review of the literature. J Oral Microbiol 2012; 4.

7. Kaur S, White S, Bartold PM. Periodontal disease and rheumatoid arthritis: a systematic review. J Dent Res 2013; 92: 399-408.

8. Soory M. Chronic periodontitis as a risk marker for systemic diseases with reference to cardiometabolic disorders: common pathways in their progression. Immunology and Immunogenetics Insights 2010; 2: 7-21.

9. Lloyd DR, Marples J. Serum Fructosamine Does Reflect Levels of Glycated Serum Albumin in Insulin- Dependent Diabetics. Ann Clin Biochem 1988; 25: 432-4.

10. Karande AM, Khandeparkar R, Vergeese CS. Inter-relationship between diabetes mellitus and periodontal disease based on their molecular mechanisms. J Adv Med Dent Scie Res 2017; 5: 24-32.

11. Jindal A, Agarwal N, Sakalle D, Dushyant P. Diabetes mellitus and periodontitis-a two way relationship. PJSR 2017; 10: 91-4.

12. Preshaw PM, Alba AL, Herrera D, Jepsen S, Konstantinidis A, Makrilakis K, et al. Periodontitis and diabetes: a two-way relationship. Diabetologia 2012; 55: 21-31.

13. Singh R, Barden A, Mori T, Beilin L. Advanced glycation endproducts: A review. Diabetologia 2001; 44: 129-46.

14. Aydıntuğ YS, Şençimen M, Bayar GR, Mutlu İ, Gülses A. The frequency of various systemic diseases in adult patients admitting to the department of oral and maxillofacial surgery outpatient clinic. Gülhane Medical Journal 2010; 52: 7-10.

15. Li X, Kolltveit KM, Tronstad L, Olsen I. Systemic diseases caused by oral infection. Clin Microbiol Rev 2000; 13: 547-58.

16. İlhan B, Çal E, Dündar N, Güneri P, Dağhan Ş. Oral health-related quality of life among institutionalized patients after dental rehabilitation. Geriatr Gerontol Int 2014; 15: 1151-7.

17. Külekçi G, Gökbuget A. The Effect of Oral Microbiota on General Health. Ankem Derg 2009; 23: 137145.

18. Granados-Principal S, El-Azem N, Quiles JL, Perez-Lopez P, Gonzalez A, Ramirez-Tortosa M, et al. Relationship between cardiovascular risk factors and periodontal disease: current knowledge. Cardiovascular Risk Factors 2012; 1: 193-216.

19. Kinane DF, Lowe GD. How periodontal disease may contribute to cardiovascular disease. Periodontology 2000, 2000; 23: 121-6.

20. Özkan Y, Alpaycı M, Özkan M, Hız Ö, Bozan N. Romatoid artritli hastalarda periodontal hastalık şiddeti: karşılatırmalı çalışma. Nobel Med 2015; 11: 54-8.

21. Potempa J, Mydel P, Kozie J. The case for periodontitis in the pathogenesis of rheumatoid arthritis. Nature Reviews Rheumatology, 2017; 13: 606.

22. Poyrazoğlu Ş, Saka N, Yeşil S, Kafaoğlu M, Fıratlı E. Periodontal disease in children with type 1 diabetes mellitus. The Journal of the Child 2009; 9: 25-8.

23. Acıpınar Ş, Karşıyaka Hendek M, Olgun Erdemir E. Periodontitis ve Diabetes Mellitus: Çift Yönlü İlişki. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 2017; 19: 103-13.