Solomon Olusegun NWHATOR, Eyitope OGUNBODEDE, Michael ADEDIGBA, Dorothy SAGAY

Prognostic İndicators of gingival recession in Nigeria: Preliminary eindings

AMAÇ: Literatürde; sement-mine birleşiminden gingival kenarın apikal kısmına dişeti çekilmesi, üzerine pek çok çalışma mevcuttur. Kronik periodontit ve sık diş fırçalama en sık görülen etiyolojik nedenlerdir. Bu alandaki çalışmaların çoğunluğu prevelans çalışmalarıdır. Bu çalışma, dişeti çekilmesi sayısını belirleyen faktörlerden prognostik göstergeleri belirlemeyi amaçlamaktadır. YÖNTEM: Araştırmanın gerçekleştirildiği Nijerya’da bulunan hastaneyi ziyaret eden 650 yetişkin, diş plağı, diş taşı, Miller sınıflamasına göre diş eti çekilmesi ve diğer parametreler yönünden araştırıldı, 480 kişiye diş eti çekilmesi tanısı konuldu. BULGULAR: Diş eti çekilmesi tespit edilen hastaların yaş ortalamaları 42,3, diş eti çekilmesi yaşanan diş numaralarının ortalaması 4,74’dür. En sık çekilmenin yaşandığı dişler kesici dişlerdir (%35,7). Yaş faktörü hem diş eti çekilme sayısı hem de prognoz ile ilgili iken, aşınma ve plak oluşumu sadece prognoz ile ilgilidir. Benzer şekilde, diş taşı ve sigara gibi bazı faktörlerde tek değişkenli analizde anlamlı fark tespit edilirken, regresyon analizinde bu fark kaybolmuştur. SONUÇ: Diş et çekilmesinde en güçlü üç prognostik faktör (Miller sınıflaması) yaş, diş plağı ve aşınmadır.

Nijerya’da dişeti çekilmesinin prognostik göstergeleri: Ön sonuçlar

AIM: Literature is replete with studies on gingival recession, the apical shift of the gingival margin from the cemento-enamel junction. Chronic periodontitis and frequent toothbrushing are among its aetiological factors. Many of these were however prevalence studies. The current study was therefore aimed at separating prognostic indicators from determinants of the number of recessions. METHOD: 650 consecutive adult patients visiting a Nigerian teaching hospital were examined using a checklist including plaque, calculus, Miller’s class of recession and other parameters.. A total of 408 recession sites were identified. RESULTS: The mean age of the patients with recession was 42.3 years; mean number of recession was 4.74 Incisors had the highest number of recessions (35.7%). While a factor such as age was related both to the number and prognosis of recession sites, abrasion and plaque were only related to prognosis. Again, some of the factors previously significantly related to prognosis on univariate analysis like calculus and smoking, lost their significance on regression analysis. CONCLUSION: The three strongest predictors of prognosis (Miller’s class) of recession were age, plaque and abrasion.

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1 Newnan MG, Yakei HH, Carranza FA. Carranza’s clinical Periodontology. 9th ed Philadelphia. Saunders, 2002, p. 275, 446.
2 Sognnaes RF. Periodontal significance of intraoral frictional ablation. Journal of Western Society of Periodontology. 1977; 25: 112–5.
3 Tazel A, Canakci V, Cicez Y, Demir T. Evaluation of Gingival recession in left and right handed adults. International Journal of Neuroscience. 2001; 110(3-4): 135–46.
4 Baelum B, Fejerkov O, Karring T. Oral Hygiene, Gingivitis and Periodontal breakdown in Adult Tanzanians. Journal of Periodontal Research. 1986; 211: 221–26.
5 Arowojolu MO. Gingival recession at the University College Hospital, Ibadan-Prevalence and effect of some aetiological factors. African Journal of Medicine and Medical Sciences. 2000; 29(3–4): 259–63.
6 Steiner GG, Pearson JK, Ainamo J. Changes of the marginal periodontium as a result of labial tooth movement in monkeys. Journal of Periodontology. 1981; 52: 314–9.
7. Litonjua LA, Andreana S, Bush PJ, Cohen RE. Tooth brushing and gingival recession. International Dental Journal. 2003; 53(2): 67– 72.
8. Joshipura KJ, Kent RL, Defaola RF. Gingival recession: intra-oral distribution and associated factors. Journal of Periodontology. 1995; 66(4): 310–11.
9. Ashril NY, AL-Sulamani A. The effect of different types of smoking habits on periodontal attachment. Journal of the International Academy of Periodontolology. 2003; 5(2): 41– 46.
10. Gunsolley JC, Quinn SM, Goos CM, et al. The effect of smoking on individuals with minimal periodontal destruction. Journal of Periodontology. 1998; 69: 165–68.
11. Prebor H, Bergstrom J. Occurrence of Gingival bleeding in smokers and non-smoker patients. Acta Odontologica Scandinavia. 1985; 43: 315–18.
12. Sangnes G, Gjermo P. Prevalence of oral soft and hard tissue lesions related to mechanical tooth cleaning procedures. Community Dentistry and Oral Epidemiology. 1976; 4: 77– 82.
13. Arain AH, Kumar V. Gingival recession in Urban and rural area of Lagos. Nigerian Dental Journal. 1981; 2(1): 16–20.
14. Lohse W, Carter H, Brunelle J. The Prevalence of root surface caries in a military population. Military Medicine. 1977; 149(9): 700–706.
15. Banting D, Ellen R, Fillery E. Prevalence of root surface caries among institutionalized older persons. Community Dentistry and Oral Epidemiology. 1980; 8: 84–89.
16. Vehkalahti M. Occurrence of gingival recession in adults Journal of Periodontology.1989; 60(11): 599–603.
17. Manson J D, Eley B M. Outline of periodontics. 3rd Ed. Butterworth-Heinemann. 1999, p. 116.
18. Loe H, Anerud A, Boysen H, Smith M. The natural history of periodontal disease in man. The rate of periodontal destruction before 40years of age. Journal of Periodontology. 1978; 49: 607–13.
19. Henshaw NE, Adenubi JO. Periodontal disease in Northern Zone of Nigeria. Nigerian Medical Journal. 1995; 5: 152–57.
20. Savage KO. Assessment of Periodontal status of Nigerian Factory workers in relation to cigarette smoking in Lagos. Nigerian Quarterly Journal of Hospital Medicine. 1999; 9(3): 198– 201.
21. Nwhator SO. Periodontal disease in smokers: a study of factory workers in Lagos state. Dissertation submitted to the National Postgraduate Medical College of Nigeria. 2005.
22. Palmer RM. Tobacco smoking and oral Health. Education Authority Occasional paper. No 6.
23. Mavropoulos A, Aars H, Brodin P. Hyperaemic response to cigarette smoking in healthy gingiva. Journal of Clinical Periodontology. 2003; 30(3): 214–21.
24. Nath RG, Ocando JE, Guttenplan JB, Chung FL. 1, N2–propanodeoxyguanosine adducts: potential new biomarkers for smoking-induced DNA damage in human oral tissue. Cancer Research. 1998; 58(4): 581–84.
25. Palmer RM, Scoh DA, Meekin TN, Poston RN, Odell EW, Wilson RF. Potential Mechanisms of Susceptibility to periodontitis in tobacco smokers. Journal of Periodontal Research. 1999; 34(7): 363–69.
26. Gormal WJ. Prevalence and aetiology of gingival recession. Journal of Periodontology. 1967; 38: 316–19
27. O’ Leary TJ, Drake RV, Crump P et al. The incidence of recession in young males: A further study. Journal of Periodontology. 1971; 42: 264–69.
28. O’Leary TJ, Drake RV, Jividen GJ, et al. The incidence of recession in young males: relationship to gingival and plaque scores. USAF School of Aerospace Medicine. 1967; SAM–TR. 1: 67–97.
29. 1999 International workshop for a classification of Periodontal diseases and conditions. Papers. Oak Brook, Illinois, October 30– November 2, 1999, 4(1): 1, 1-112.
30. Serio FG, Hawley CE. Manual of Clinical Periodontics. Ohio. Lexi-Comp Inc, 2002, p. 27-29.