Dental/Periodontal Durum ve Hasta Tarafından Beyan Edilmiş Reflü Semptom İndeksi Skorları Arasındaki Olası İlişkinin Değerlendirilmesi. Bir Pilot Çalışma

Amaç: Oral kaviteyi etkilediği bilinen gastroözofageal reflü hastalığı ve larengofarengeal reflü genel toplum sağlığı problemidir. Gastroözofageal reflü ve larengofaringeal reflü hastalarında semptom şiddetinin subjektif olarak değerlendirilmesi hasta tarafından beyan edilen "Reflü Semptom İndeksi" ile yapılabilir. Bu çalışmada, dental ve periodontal durumların Reflü Semptom İndeksi skorları ile olası ilişkisi değerlendirildi.Gereç ve Yöntemler: Bu çalışma, ayakta tedavi gören 135 hasta (52 kadın 83 erkek, yaşları 18-63 yıl) ile gerçekleştirildi. Demografik ve klinik değişkenler alındı ve Reflü Semptom İndeksi (dokuz madde ve 45 puanlı anket) skorları değerlendirildi. Dental ve periodontal durumlar DMFT (çürükkayıp-dolgulu diş) indeksi ve Toplum Periodontal İndeks skorları ile değerlendirildi. Hastalar Reflü Semptom İndeksi değerlerine göre (Reflü Semptom İndeksi ≤ 13, normal ve Reflü Semptom İndeksi >13; anormal) iki alt gruba ayrıldı ve istatistiksel farklılıklar araştırıldı.Bulgular: Reflü Semptom İndeksi alt grupları çürük diş sayısı hariç tüm intraoral parametrelerde anlamlı farklılık gösterdi (p0.05). Sonuç: Gastroözofageal reflü ve larengofaringeal reflülü hastaların dental ve periodontal durum sonuçları bildirilmeden önce hasta tarafından beyan edilmiş Reflü Semptom İndeksi hakkında daha fazla araştırma yapılması gerekir.

ASSESSMENT OF THE POSSIBLE RELATIONSHIP BETWEEN DENTAL/ PERIODONTAL CONDITIONS AND SELF-REPORTED REFLUX SYMPTOM INDEX SCORES. A PRELIMINARY STUDY

Objective: Gastroesophageal reflux disease and laryngopharyngeal reflux are common public health problems, which are known to effect oral cavity. Subjective assessment of symptom severity in patients with gastroesophageal reflux and laryngopharyngeal reflux can be made with self-reported “Reflux Symptom Index”. In this study, possible relation of dental and periodontal conditions with Reflux Symptom Index scores was evaluated. Material and Methods: This study was performed with 135 dental outpatients (52 female and 83 male; aged between 18-63 years). Demographic and clinical variables were procured and Reflux Symptom Index (a nine item and 45-point scale questionnaire) scores were evaluated. Dental and periodontal conditions were assessed with DMFT (decayed, missing, filled teeth) index and Community Periodontal Index scores. Patients were divided into two subgroups according to their RSI values (Reflux Symptom Index ≤13; normal and Reflux Symptom Index >13; abnormal) and differences were statistically investigated. Results: Reflux Symptom Index subgroups showed significant difference in all intraoral parameters except decayed teeth number (p0.05).Conclusion: Self-reported Reflux Symptom Index merits further investigation before declaring dental and periodontal conclusions in patients with gastroesophageal reflux disease and laryngopharyngeal reflux.

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