Malatya Bölgesinde Dişeti Çekilmesinin Yaygınlığının, Şiddetinin ve Etkenlerinin Araştırılması

Bu çalışma Malatya bölgesinde yaşayan 20-65 yaş arasındaki bireylerde dişeti çekilmesi DÇ ’ninnedenlerini, şiddetini ve yaygınlığınıdeğerlendirmeyi amaçladı. Bu kesitsel çalışma 2012 Mayıs ve Temmuz ayları arasında İnönü Üniversitesi Diş Hekimliği Fakültesinebaşvuran 20 - 65 yaş arasındaki 309 erkek ve 378 kadından oluşan toplam 687 hastada gerçekleştirildi. Katılımcıların periodontal durumuplak indeksi Pİ , sondalamada kanama SK , sondalama derinliği SD ve klinik ataçman seviyesi KAS kullanılarak değerlendirildi.Dişeti çekilmeleri Miller sınıflamasına göre değerlendirildi. Elde edilen verilerin analizi Ki-kare test ile gerçekleştirildi. Bu çalışmaya dahiledilen bireylerin %78’inde dişeti çekilmesi olduğu görüldü. Yaş artışı özellikle 40 yaşın üzerindeki bireylerde dişeti çekilmesi görülen dişsayısında artışa sebep oldu. Yaş artışı ile birlikte Sınıf III ve IV çekilmelerde artış görüldü. 20-29 yaş arası bireylerde görülen vakaların %40.8’ini Sınıf III ve IV oluştururken, 30 – 39 yaş arasında %62.3’ünü, 40-49 arasında %76.3’ünü, 50 yaş üzerindeki bireylerde ise%71.9’unu oluşturduğu görüldü. En çok DÇ görülen bölgenin alt keser dişler olduğu görüldü. DÇ için birincil nedensel faktörünperiodontal hastalıklar ve yetersiz ağız bakımı olduğu görüldü. DÇ ağız bakım uygulamaları ve ağız sağlığı bilincinin arttırılmasıylaönlenebilir

Anahtar Kelimeler:

Dişeti çekilmesi, periodontal hastalık, etyoloji, görülme sıklığı, yaşlanma

Evaluation of the Prevalence, Severity and Etiology of Gingival Recession in Malatya Region

The aim of this study was to evaulate the etiology, severity and prevalence of gingival recession among people aged between 20 and 65living in Malatya region. This cross-sectional study was performed on 687 patients including 309 males and 378 females, 20-65 years oldwho applied for treatment at Inönü University Faculty of Dentistry from May to July 2012. The periodontal status of the subjects wereassessed by using the plaque index PI , bleeding of probing BOP , probing depth PD and clinical attachment level CAL . Therecessions were further scored according to the Miller classification. Statistical analysis of the results was accomplished using chi-squaretest. Gingival recession was observed in 78% of the subjects examined during the study. The increase in age led to an increase in thenumber of teeth with gingival recession especially among the subjects aged more than 40 years. Class III and IV recessions displayed anincreasing occurrence with the increase in age. Forty point eight percent of the recessions seen among subjects aged between 20 and 29were Class III and IV recessions, while 62.3% between 30 and 39, 76.3% between 40 and 49, 71.9% more than 49, respectively. Themandibular central incisors were the most frequently affected area by gingival recession. Periodontal disease and poor oral hygieneappeared to be the primary etiological factors for gingival recession. Gingival recession can be prevented by improving oral hygieneprocedures and developing awareness of oral health

Keywords:

Gingival recession, periodontal disease, etiology, prevalence, aging,

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