Akademik Veri Yönetim Sistemi
International Journal of Oral and Dental Health , cilt.9, sa.1, ss.1-9, 2023 (Hakemli Dergi)
Background: Individuals applying for periodontal treatment
often have systemic diseases that can adversely affect the
periodontal disease course and treatment response.
Objectives: To determine the prevalence and types
of systemic disease in patients referred for periodontal
treatment living in Turkey, and to investigate the association
between systemic disease and periodontal status, according
to the new classification of periodontal disease (2017).
Methods: A total of 800 randomly selected dental files
were evaluated among patients who had attended the
periodontology department of a university hospital between
January 2021 and January 2022. Demographic data (age
and gender), self-reported medical history, smoking habits,
daily tooth-brushing frequency, periodontal status, and
the number of missing teeth were recorded. Full-mouth
periodontal examinations were undertaken, and the patients
were classified according to the American Association of
Periodontology/European Federation of Periodontology
2017 case definitions.
Results: The prevalence of systemic disease was 48%
among the study participants. Hypertension (HT), diabetes,
and cardiovascular diseases (CVD) were the most common
systemic diseases identified. Periodontitis was present in
32% of the study population. When periodontitis patients
were classified according to their stages; 42% had severe
(stageIII\IV) periodontitis, 35% moderate (stage II), and
23% mild (stage I). The prevalence of systemic disease
increased according to the severity of periodontal disease
(p = 0.000). A significant correlation was also present
between the presence of systemic disease and missing
teeth (r = 0.120, p = 0.001). On logistic regression analysis,
self-reported diabetes (OR = 3.12, 95% CI: 1.90-5.12), HT
(OR = 2.49, 95% CI: 1.68-3.68) and CVD (OR = 1.73, 95%
CI: 1.01-2.96), age (OR = 1.05, 95% CI: 1.03-1.06), low
tooth brushing habits (OR = 2.63, 95% CI: 1.81-3.83) and
tobacco use (OR = 1.92, 95% CI: 1.33-2.78) were identified
as significant predictors of periodontitis