Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi
Yıl: 2019 Cilt: 25 Sayı: 1 Sayfa Aralığı: 34 - 42 Metin Dili: Türkçe DOI: 10.5336/dentalsci.2018-61789 İndeks Tarihi: 29-04-2020
Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi
Öz: Amaç: Gebe olan ve olmayan jinjivitli kadınlar arasında ağız sağlığı ile ilgili yaşam kalitesi (OHRQoL) açısından fark olup olmadığı araştırmak ve gruplar arasında cerrahi olmayanperiodontal tedavinin yaşam kalitesi üzerine etkisini değerlendirmektir. Gereç ve Yöntemler: Bu çalışmaya test grubu olarak 50 gebe kadın (ortalama yaş 28,78±3,69 yıl) ve kontrolgrubu olarak 42 gebe olmayan kadın (ortalama yaş 27,59±5,66 yıl) dâhil edildi. Bireyin algılanan OHRQoL’sini belirlemek için Ağız Sağlığı Etki Profili-14 (OHIP-14) anketi kullanıldı.Periodontal durumunu belirlemek için jinjival indeks (Gİ), plak indeksi (Pİ), sondalama cepderinliği (SCD) ve sondalamada kanama indeksi (SKİ) ölçümleri yapılmıştır. Bulgular: Gebelik jinjiviti olan kadınlar (test grubu) için toplam OHIP skoru 18,46±15,82, gebe olmayan jinjivitli kadınların (kontrol grubu) toplam OHIP skoru 14,14±7,94’dür. Test ve kontrol grubuarasında istatistiki anlamlı fark yoktur. 'Fiziksel yetersizlik' alt grubunda gebe olan ve olmayan kadınlar arasında istatistiki anlamlı fark vardı. Test grubu için ortalama SCD ve Gİ kontrol grubundan anlamlı derecede daha yüksek bulundu. Periodontal tedaviden sonra iki gruptada OHRQoL skorlarında düşüş gözlendi. Sonuç: Gebelik jinjiviti olan kadınlarda periodontalsağlık, gebe olmayan jinjivitli kadınlardan daha zayıftı. Jinjivit, ağız sağlığına bağlı yaşam kalitesi üzerine etkilidir. Daha yüksek puanlar, daha düşük bir OHRQoL olduğunu göstermektedir. Ağız sağlığı ile ilişkili yaşam kalitesinin artırılabilmesine yönelik olarak, gebelikdöneminden önce ve gebelik döneminde düzenli yapılan diş hekimi kontrolleri ile atravmatik ve etkili tedavi uygulamalarıyla periodontal durumun, dolayısıyla ağız sağlığının iyileştirilmesi gerekli görülmektedir.
Anahtar Kelime: Konular:
The Relationship Between Periodontal Status and Oral Health-Related Quality of Life in Pregnancy
Öz: Objective: The aim of this study is to assess the differences in oral health-related quality of life (OHRQoL) between pregnant and non-pregnant women with gingivitis and to evaluate the effect of non-surgical periodontal treatment on quality of life in all groups. Material and Methods: This study included 50 pregnant women (mean age 28.78±3.69) and 42 non-pregnant women (mean age 27.59±5.66). The Oral Health Impact Profile-14 (OHIP-14) questionnaire was used to determine the OHRQoL of the individuals. Periodontal status was defined using gingival index (GI), plaque index (PI), probing pocket depth (PPD) and bleeding on probing (BOP) measurements. Results: The total OHIP-14 scores for pregnant women with pregnancy gingivitis (test group) were 18.46±15.82 and non-pregnant women with gingivitis were 14.14±7.94. There was no significant difference between groups. There was a statistically difference between the test and control groups in the 'physical disability' subgroup. The mean PPD and GI scores were significantly higher in the test group than control group. There was a decrease in OHRQoL scores in both groups after periodontal treatment. Conclusion: Periodontal status of women with pregnancy gingivitis was poor than non-pregnant women with gingivitis. Gingivitis effects on the oral health-related quality of life. High OHIP14 scores indicate the low oral health-related quality of life. To increase the OHRQoL, periodontal status and oral health should be improved by regular dental visits, atraumatic treatment applications before and during pregnancy.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Mariotti A. Sex steroid hormones and cell dynamics in the periodontium. Crit Rev Oral Biol Med. 1994;5(1):27-53. [Crossref] [PubMed]
- 2. Usin MM, Tabares SM, Parodi RJ, Sembaj A. Periodontal conditions during the pregnancy associated with periodontal pathogens. J Investig Clin Dent. 2013;4(1):54-9. [Crossref] [PubMed]
- 3. Abraham-Inpijn L, Polsacheva OV, RaberDurlacher JE. [The significance of endocrine factors and microorganisms in the development of gingivitis in pregnant women]. Stomatologiia (Mosk). 1996;75(3):15-8.
- 4. Sooriyamoorthy M, Gower DB. Hormonal influences on gingival tissue: relationship to periodontal disease. J Clin Periodontol. 1989; 16(4):201-8. [Crossref] [PubMed]
- 5. Tilakaratne A, Soory M, Ranasinghe AW, Corea SM, Ekanayake SL, de Silva M. Periodontal disease status during pregnancy and 3 months post‐partum, in a rural population of Sri‐Lankan women. J Clin Periodontol. 2000;27(10):787-92. [Crossref] [PubMed]
- 6. Taani DQ, Habashneh R, Hammad MM, Batieha A. The periodontal status of pregnant women and its relationship with socio‐demographic and clinical variables. J Oral Rehabil. 2003;30(4):440-5. [Crossref] [PubMed]
- 7. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health. 1994;11(1):3-11. [PubMed]
- 8. Geevarghese A, Baskaradoss JK, Sarma PS. Oral health-related quality of life and periodontal status of pregnant women. Matern Child Health J. 2017;21(8):1634-42. [Crossref] [PubMed]
- 9. Ozcelik O, Haytac MC, Seydaoglu G. Immediate post‐operative effects of different periodontal treatment modalities on oral healthrelated quality of life: a randomized clinical trial. J Clin Periodontol. 2007;34(9):788-96. [Crossref] [PubMed]
- 10. Satcher D. Oral health in America. A Report of the Surgeon General. Rockville, MD: Office of Public Health and Science United States Department of Health and Human Services; 2000. p.109.
- 11. Ng SK, Leung WK. Oral health‐related quality of life and periodontal status. Community Dent oral Epidemiol. 2006;34(2):114-22. [Crossref] [PubMed]
- 12. Buset SL, Walter C, Friedmann A, Weiger R, Borgnakke WS, Zitzmann NU. Are periodontal diseases really silent? A systematic review of their effect on quality of life. J Clin Periodontol. 2016;43(4):333-44. [Crossref] [PubMed]
- 13. Ferreira MC, Dias‐Pereira AC, Branco‐ de‐Almeida LS, Martins CC, Paiva SM. Impact of periodontal disease on quality of life: a systematic review. J Periodontal Res. 2017;52(4): 651-65. [Crossref] [PubMed]
- 14. Whitehead SP, Watts TL. Short‐term effect of Keyes' approach to periodontal therapy compared withmodified Widman flap surgery. J Clin Periodontol. 1987;14(10):599-604. [Crossref]
- 15. Kalkwarf KL, Kaldahl WB, Patil KD. Patient preference regarding 4 types of periodontal therapy following 3 years of maintenance follow‐up. J Clin Periodontol. 1992;19(10):788- 93. [Crossref] [PubMed]
- 16. Fardal O, Johannessen AC, Linden GJ. Patient perceptions of periodontal therapy completed in a periodontal practice. J Periodontol. 2002;73(9):1060-6. [Crossref] [PubMed]
- 17. Needleman I, McGrath C, Floyd P, Biddle A. Impact of oral health on the life quality of periodontal patients. J Clin Periodontol. 2004;31(6):454-7. [Crossref] [PubMed]
- 18. Eltas A, Uslu MÖ. Evaluation of oral health-related quality-of-life in patients with generalized aggressive periodontitis. Acta Odontol Scand. 2013;71(3-4):547-52. [Crossref] [PubMed]
- 19. BernabéE,MarcenesW.Periodontal disease and quality of life in British adults. J Clin Periodontol. 2010;37(11):968-72. [Crossref] [PubMed]
- 20. Musskopf ML, Milanesi FC, Rocha JMD, Fiorini T, Moreira CHC, Susin C, et al. Oral health related quality of life among pregnant women: a randomized controlled trial. Braz Oral Res. 2018;32:e002. [Crossref] [PubMed]
- 21. El Osta N, Tubert-Jeannin S, Hennequin M, Bou Abboud Naaman N, El Osta L, Geahchan N. Comparison of the OHIP-14 and GOHAI as measures of oral health among elderly in Lebanon. Health Qual Life Outcomes. 2012;10:131. [Crossref] [PubMed] [PMC]
- 22. Slade GD. Derivation and validation of a short‐form oral health impact profile. Community Dent Oral Epidemiol. 1997;25(4):284-90. [Crossref] [PubMed]
- 23. Başol ME, Karaağaçlioğlu L, Yilmaz B. [Developing a Turkish oral health impact profileOHIP-14-TR]. Turkiye Klinikleri J Dental Sci. 2014;20(2):85-92.
- 24. Chapple ILC, Mealey BL, Van Dyke TE, Bartold PM, Dommisch H, Eickholz P, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. J Clin Periodontol. 2018;45 Suppl 20:S68-S77. [Crossref] [PubMed]
- 25. Silness J, Löe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand. 1964;22:121-35. [Crossref] [PubMed]
- 26. Löe H. The gingival index, the plaque index and the retention index systems. J Periodontol. 1967;38(6):610-6. [Crossref] [PubMed]
- 27. Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol. 1999;4(1):1-6. [Crossref] [PubMed]
- 28. Mostafa B, El-Refai I. Prevalence of plaqueinduced gingivitis in a sample of the adult Egyptian population. Open Access Maced J Med Sci. 2018;6(3):554-8. [Crossref] [PubMed] [PMC]
- 29. Sağlam E, Saruhan N, Çanakçı CF. [Pregnancy and periodontal disease]. Clin Exp Health Sci. 2015;4(4):261-7.
- 30. Üstün K, Özdemir EÇ, Sezer U, Şenyurt S, Cebesoy FB, Erciyas K. [Socio-demographic evaluation of dental anxiety and periodontal awareness in pregnant women]. İnönü Üniversitesi Sağlık Bilimleri Dergisi. 2013;2:5-14.
- 31. Mecdi M, Şahin NH. [Oral and dental health in pregnancy]. Journal of Continuing Medical Education. 2015;24:161-6.
- 32. González-Jaranay M, Téllez L, Roa-López A, Gómez-Moreno G, Moreu G. Periodontal status during pregnancy and postpartum. PloS One. 2017;12(5):e0178234. [Crossref] [PubMed] [PMC]
- 33. Harald Löe DDS. Periodontal changes in pregnancy. J Periodontol. 1965;36(3):209-17. [Crossref]
- 34. Cohen DW, Shapiro J, Friedman L, Kyle GC, Franklin S. A longitudinal investigation of the periodontal changes during pregnancy and fifteen months post-partum: Part II. J Periodontol. 1971;42(10):653-7. [Crossref] [PubMed]
- 35. Al Habashneh R, Levy S, Guthmiller JM, Levy S, Johnson GK, Squier C, et al. Factors related to utilization of dental services during pregnancy. J Clin Periodontol. 2005;32(7): 815-21. [Crossref] [PubMed]
- 36. Honkala S, Al-Ansari J. Self-reported oral health, oral hygiene habits, and dental attendance of pregnant women in Kuwait. J Clin Periodontol. 2005;32(7):809-14. [Crossref] [PubMed]
- 37. Rakchanok N, Amporn D, Yoshida Y, HarunOr-Rashid HO, Sakamoto J. Dental caries and gingivitis among pregnant and non-pregnant women in Chiang Mai, Thailand. Nagoya J Med Sci. 2010;72(1-2):43-50. [PubMed]
- 38. Karunachandra NN, Perera IR, Fernando G. Oral health status during pregnancy: ruralurban comparisons of oral disease burden among antenatal women in Sri Lanka. Rural Remote Health. 2012;12:1902. [PubMed]
- 39. HajiKazemi ES, Hossein Mohseni SH, Oskouie F, Haghani H. The association between knowledge, attitude and performance in pregnant women toward dental hygiene during pregnancy. Iran Journal of Nursing. 2012;18(43).
- 40. Hashim R. Self-reported oral health, oral hygiene habits and dental service utilization among pregnant women in United Arab Emirates. Int J Dent Hyg. 2012;10(2):142-6. [Crossref] [PubMed]
- 41. George A, Johnson M, Duff M, Ajwani S, Bhole S, Blinkhorn A, et al. Midwives and oral health care during pregnancy: perceptions of pregnant women in south-western Sydney, Astralia. J Clin Nurs. 2011;21(7-8):1087-96. [Crossref] [PubMed]
- 42. Offenbacher S, Katz V, Fertik G, Collins J, Boyd D, Maynor G, et al. Periodontal infection as a possible risk factor for preterm low birth weight. J Periodontol. 1996;67(10 Suppl): 1103-13. [Crossref]
- 43. Xiong X, Buekens P, Fraser WD, Beck J, Offenbacher S. Periodontal disease and adverse pregnancy outcomes: a systematic review. BJOG. 2006;113(2):135-43. [Crossref] [PubMed]
- 44. Pitiphat W, Joshipura KJ, Gillman MW, Williams PL, Douglass CW, Rich-Edwards JW. Maternal periodontitis and adverse pregnancy outcomes. Community Dent Oral Epidemiol. 2008;36(1):3-11. [PubMed]
- 45. Ruma M, Boggess K, Moss K, Jared H, Murtha A, Beck J, et al. Maternal periodontal disease, systemic inflammation, and risk for preeclampsia. Am J Obstet Gynecol. 2008;198(4):389.e1-5. [Crossref] [PubMed]
- 46. Vergnes JN. Studies suggest an association between maternal periodontal disease and preeclampsia. Evid Based Dent. 2008;9(1):46- 7. [Crossref] [PubMed]
- 47. Shetty M, Shetty PK, Ramesh A, Thomas B, Prabhu S, Rao A. Periodontal disease in pregnancy is a risk factor for preeclampsia. Acta Obstet Gynecol Scand. 2010;89(5):718-21. [Crossref] [PubMed]
- 48. Kısa S, Zeynepoğlu S. [Inpatient postpartum women’s status of oral hygiene habits and visit to the dentist during their most recent pregnancy]. TAF Prev Med Bull. 2013;12(1):65-74. [Crossref]
- 49. Åslund M, Suvan J, Moles DR, D'aiuto F, Tonetti MS. Effects of two different methods of non‐surgical periodontal therapy on patient perception of pain and quality of life: a randomized controlled clinical trial. J Periodontol. 2008;79(6):1031-40. [Crossref] [PubMed]
- 50. Grover V, Malhotra R, Dhawan S, Kaur G. Comparative assessment of oral health related quality of life in chronic periodontitis patients of rural and urban populations in punjab. Oral Health Prev Dent. 2016;14(3):235-40. [PubMed]
- 51. Tomazoni F, Zanatta FB, Tuchtenhagen S, da Rosa GN, Del Fabro JP, Ardenghi TM. Association of gingivitis with child oral health-related quality of life. J Periodontol. 2014;85(11): 1557-65. [Crossref] [PubMed]
- 52. Ediani Machado M, Tomazoni F, Ruffo Ortiz F, Ardenghi TM, Zanatta FB. Impact of partialmouth periodontal examination protocols on the association between gingival bleeding and oral health-related quality of life in adolescents. J Periodontol. 2017;88(7):693-701. [Crossref] [PubMed]
- 53. Jiang P, Bargman EP, Garrett NA, Devries A, Springman S, Riggs S. A comparison of dental service use among commercially insured women in Minnesota before, during and after pregnancy. J Am Dent Assoc. 20
| APA | GÖKTÜRK Ö, UÇAN YARKAÇ F (2019). Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi. , 34 - 42. 10.5336/dentalsci.2018-61789 |
| Chicago | GÖKTÜRK ÖZGE,UÇAN YARKAÇ Fatma Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi. (2019): 34 - 42. 10.5336/dentalsci.2018-61789 |
| MLA | GÖKTÜRK ÖZGE,UÇAN YARKAÇ Fatma Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi. , 2019, ss.34 - 42. 10.5336/dentalsci.2018-61789 |
| AMA | GÖKTÜRK Ö,UÇAN YARKAÇ F Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi. . 2019; 34 - 42. 10.5336/dentalsci.2018-61789 |
| Vancouver | GÖKTÜRK Ö,UÇAN YARKAÇ F Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi. . 2019; 34 - 42. 10.5336/dentalsci.2018-61789 |
| IEEE | GÖKTÜRK Ö,UÇAN YARKAÇ F "Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi." , ss.34 - 42, 2019. 10.5336/dentalsci.2018-61789 |
| ISNAD | GÖKTÜRK, ÖZGE - UÇAN YARKAÇ, Fatma. "Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi". (2019), 34-42. https://doi.org/10.5336/dentalsci.2018-61789 |
| APA | GÖKTÜRK Ö, UÇAN YARKAÇ F (2019). Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi. Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi, 25(1), 34 - 42. 10.5336/dentalsci.2018-61789 |
| Chicago | GÖKTÜRK ÖZGE,UÇAN YARKAÇ Fatma Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi. Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi 25, no.1 (2019): 34 - 42. 10.5336/dentalsci.2018-61789 |
| MLA | GÖKTÜRK ÖZGE,UÇAN YARKAÇ Fatma Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi. Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi, vol.25, no.1, 2019, ss.34 - 42. 10.5336/dentalsci.2018-61789 |
| AMA | GÖKTÜRK Ö,UÇAN YARKAÇ F Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi. Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi. 2019; 25(1): 34 - 42. 10.5336/dentalsci.2018-61789 |
| Vancouver | GÖKTÜRK Ö,UÇAN YARKAÇ F Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi. Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi. 2019; 25(1): 34 - 42. 10.5336/dentalsci.2018-61789 |
| IEEE | GÖKTÜRK Ö,UÇAN YARKAÇ F "Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi." Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi, 25, ss.34 - 42, 2019. 10.5336/dentalsci.2018-61789 |
| ISNAD | GÖKTÜRK, ÖZGE - UÇAN YARKAÇ, Fatma. "Gebelikte Ağız Sağlığıyla İlişkili Yaşam Kalitesinin Periodontal Durumla İlişkisi". Türkiye Klinikleri Diş Hekimliği Bilimleri Dergisi 25/1 (2019), 34-42. https://doi.org/10.5336/dentalsci.2018-61789 |
