Yetişkin bireylerde yaş ve cinsiyet ile ilişkili diş kaybi ve parsiyel dişsizlik

Amaç: Koruyucu önlemler ve restoratif tekniklerdeki gelişmelere rağmen, diş kaybı günümüzde hala önemli bir sorun olarak karşımıza çıkmaktadır. Bir toplumdaki dişsizlik oranının belirlenmesi hastalara özgü tedavi alternatiflerinin ortaya konulmasında yeni bir bakış açısı sağlayabilir. Bu bakımdan, çalışmamızda cinsiyet ve yaş faktörlerinin diş kaybı ve dişsizlik üzerine etkisini değerlendirmek amaçlanmıştır.Gereç ve Yöntemler: Ankara Üniversitesi, Dişhekimliği Fakültesi, Protetik Diş Tedavisi Anabilim Dalı’ na 2015-2016 yılları arasında dişsizlik tedavisi için başvuran hastalardan (188 kadın, 173 erkek hasta; yaş aralığı 28-79) 722 adet maksiller ve mandibular teşhis modeli elde edilmiştir. Tüm modeler tam dişli, Kennedy Sınıf I-IV ve tam dişsiz olmak üzere 6 grup altında incelenmiştir. Her bir model hastanın yaş ve cinsiyetine göre sınıflandırılmıştır. Ki-kare testi ve log-lineer model analizi ile istatistiksel değerlendirmeler yapılmıştır (p˂0,05). Ayrıca odds oranları da hesaplanmıştır.Bulgular: Yaş, diş kaybı ve dişsizlik üzerinde etkili bir faktör olarak bulunurken (p<0,05), cinsiyet ile diş kaybı ve dişsizlik arasında önemli bir ilişki bulunmamıştır.(p>0,05). Cinsiyet esas alındığında, 34, 36 ve 37 numaralı dişlerin kaybı bayanlarda daha yaygın görülürken (p<0,05), 24 numaralı diş kayıp oranı erkeklerde daha yüksek tespit edilmiştir (p<0,05). Sonuç: Yaş ile birlikte diş kaybı ve dişsizlik önemli oranda artması ancak cinsiyet ile diş kaybı ve dişsizlik arasında önemli bir ilişki bulunmaması, ağız sağlığını koruyucu önlemlerin ileri yaşlardaki bireylerde arttırılması gereğini ortaya koymuştur.

Anahtar Kelimeler:

diş kaybı, parsiyel dişsizlik, yaş, cinsiyet

Age and gender related tooth loss and partial edentulism among the adulthoods

Aim: Despite the improvements in preventive measures and restorative techniques in dentistry, tooth loss still remains as a significant problem. The determination of the edentulism prevelance may provide a new perspective for the patient-oriented treatment alternatives. The aim of the study was to evaluate the influence of gender and age on the prevelance of tooth loss.Material and Methods: The data were gathered from the randomly selected 722 diagnostic models obtained from the patients consulting to the Ankara University, Faculty of Dentistry, between 2015 and 2016. Models were evaluated under 6 groups as followings; full dentition, Kennedy Class I-IV and total edentulism. Each model was classified according to the gender and age. Statistical analysis were performed by using Chi-Square test and log-linear model analysis and odds ratios also calculated (p˂0.05).Results: Gender has no effect on the edentulism whereas age significantly affects the number of tooth loss and the prevelance of edentulism. The loss prevelance of teeth 34, 36 and 37 was higher in females, while the tooth 24 loss was more common in male patients (p≤0.05). Conclusion: The number of tooth loss and edentulism significantly increase with the age. However, there was no relation between gender and prevelance of tooth loss and edentulism. prevention measures for oral health should be increased in elderly people.

Keywords:

tooth loss, partial edentulism, age, gender,

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