İLERİ SİSTEMİK RİSK ALTINDA BULUNAN HASTALARDA AĞIZ VE DİŞ HASTALIKLARININ İNSİDANSININ İNCELENMESİ
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Tarih
2021
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info:eu-repo/semantics/openAccess
Özet
Öz:Bu çalışmanın amacı Trakya Üniversitesi, Diş Hekimliği Fakültesine başvuran hastalarda bulunan ağız ve diş hastalıklarının ileri sistemik sorunlara ve/veya hasara sebep olma ihtimali bulunan sistemik hastalıklara sahip hasta grupları içindeki sayılarının ve oranlarının değerlendirilmesidir. Trakya Üniversitesi, Diş Hekimliği Fakültesine başvuran rastgele 2000 hasta incelenmiştir. Tedaviye engel olmayan/tıbbi konsültasyon gerekliliği bulunmayan sistemik hastalıklar basit sistemik hastalıklar (SH) olarak, tedavi yapılması uygun olmayan veya tıbbi konsültasyona veya proflaksiye ihtiyaç duyulan sistemik hastalık varlığı ise riskli sistemik hastalık (RSH) olarak değerlendirilmiştir. Hastaların hastaların panaromik ve periapikal radyografları, anamnez formları ve tedavi planları incelenmiş, belirlenen dental problemlerin sayısı ve oranı tespit edilmiştir. Hastaların %39.5’inde SH, SH olan hastaların %31,2’inde ise RSH mevcuttur. RSH en sık ≥ 65 (%28.3) ve 41–62 (%17.5) yaş aralıklarında görülmüştür (P<0.05). En sık görülen RSH ileri kardiyak problemler (%12), geçirilmiş kanser, radyoterapi ve/veya kemoterapi hikayesi (%10.3), gebelik (%9.5) ve aktif kanser, radyoterapi ve/veya kemoterapi hikayesidir (%8, P<0.05). RSH sahip hastalarda en sık görülen dental problemler eksik diş/protetik tedavi gereksinimi (%26.9) ve lokalize periodontal hastalıklardır (%22.7, P<0.05). Detaylı sistemik anamnez ve konsültasyon dental tedaviler esnasında özellikle RSH’a sahip bireylerde yaşanacak sistemik komplikasyonlarda önemli ölçüde azalma sağlayacaktır. Ayrıca diş hekimlerinin olası sistemik komplikasyonlara karşı tıbbi eğitim alması önemlidir.
Öz:The aim of this study is to evaluate the incidence and rate of dental diseases in patients who applied to the Faculty of Dentistry, Trakya University among the patient groups with advanced systemic problems and/or systemic diseases. 2000 random patients were examined. Systemic diseases that do not prevent treatment or do not require consultation were evaluated as simple systemic diseases (SD), and the presence of systemic diseases that prevent treatment or require medical consultation or prophylaxis were evaluated as high risk systemic diseases (HRSD). Radiographs, anamnesis forms and treatment plans were examined, and the number and rate of dental problems were determined. 39.5% of the patients have SH, and 31.2% of the patients HRSH. HRSH was most frequent in the age ≥65 (28.3%) and 41 - 62 (17.5%, P<0.05). Most common HRSH are advanced cardiac problems (12%), history of cancer, radiotherapy, and/or chemotherapy (10.3%), pregnancy (9.5%), and cancer, radiotherapy, and/or chemotherapy (8%, P<0.05). The most common dental problems in patients with HRSH are missing teeth/prosthetic treatment (26.9%) and localized periodontal diseases (22.7%, P<0.05). Detailed systemic anamnesis will provide a significant reduction in systemic complications, especially in individuals with HRSH. Also, it is important for dentists to receive medical education to prevent possible systemic complications.
Öz:The aim of this study is to evaluate the incidence and rate of dental diseases in patients who applied to the Faculty of Dentistry, Trakya University among the patient groups with advanced systemic problems and/or systemic diseases. 2000 random patients were examined. Systemic diseases that do not prevent treatment or do not require consultation were evaluated as simple systemic diseases (SD), and the presence of systemic diseases that prevent treatment or require medical consultation or prophylaxis were evaluated as high risk systemic diseases (HRSD). Radiographs, anamnesis forms and treatment plans were examined, and the number and rate of dental problems were determined. 39.5% of the patients have SH, and 31.2% of the patients HRSH. HRSH was most frequent in the age ≥65 (28.3%) and 41 - 62 (17.5%, P<0.05). Most common HRSH are advanced cardiac problems (12%), history of cancer, radiotherapy, and/or chemotherapy (10.3%), pregnancy (9.5%), and cancer, radiotherapy, and/or chemotherapy (8%, P<0.05). The most common dental problems in patients with HRSH are missing teeth/prosthetic treatment (26.9%) and localized periodontal diseases (22.7%, P<0.05). Detailed systemic anamnesis will provide a significant reduction in systemic complications, especially in individuals with HRSH. Also, it is important for dentists to receive medical education to prevent possible systemic complications.
Açıklama
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İnönü üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi
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Künye
ÇANAKÇI F. G. Y,ÇANAKÇI B. C (2021). İLERİ SİSTEMİK RİSK ALTINDA BULUNAN HASTALARDA AĞIZ VE DİŞ
HASTALIKLARININ İNSİDANSININ İNCELENMESİ. İnönü üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 9(3), 914 - 927. Doi: 10.33715/inonusaglik.833687
