Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Diş Eksikliği Şiddetinin Ağız Sağlığı ile İlişkili Yaşam Kalitesi Üzerine Etkisi: Kesitsel Bir Çalışma
The Effect of Tooth Loss Severity on Oral Health-Related Quality of Life: A Cross-Sectional Study
Ayşe Tuğçe TUNAÇa , Şevki ÇINARb , Celalettin TOPBAŞc , Bike ALTANb , Mehmet Ali FİLDİŞİd
aSağlık Bilimleri Üniversitesi Hamidiye Diş Hekimliği Fakültesi, Restoratif Diş Tedavisi ABD, İstanbul, Türkiye
bSağlık Bilimleri Üniversitesi Hamidiye Diş Hekimliği Fakültesi, Protetik Diş Tedavisi ABD, İstanbul, Türkiye
cSağlık Bilimleri Üniversitesi Hamidiye Diş Hekimliği Fakültesi, Endodonti ABD, İstanbul, Türkiye
dMedipol Üniversitesi Diş Hekimliği Fakültesi, Restoratif Diş Tedavisi ABD, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(2):338-44
doi: 10.5336/dentalsci.2022-93773
Article Language: TR
Full Text
ÖZET
 Amaç: Bu kesitsel çalışmanın amacı; diş eksikliği olan erişkin hastaların diş eksikliği şiddetinin ağız sağlığı ile ilişkili yaşam kalitesi [oral health-related quality of life (OHRQoL)] üzerine etkisinin değerlendirilmesidir. Gereç ve Yöntemler: Bu çalışmaya hastaneye başvuran 255 hastadan, 18 yaşından büyük ve en az 1 diş eksikliği bulunan 158 gönüllü hasta dâhil edildi. Hastaların yaş, cinsiyet, eğitim durumu gibi sosyodemografik verileri, ağız sağlığı alışkanlıkları, eksik diş sayıları ve kendi değerlendirdikleri yaşam kalitesi verileri kaydedildi ve sınıflandırıldı. Diş kaybının OHRQoL üzerindeki etkisi, Likert tipi bir ölçek ile hasta tarafından skorlanan 14 maddelik ağız sağlığı etki profili [oral health impact profile (OHIP-14-TR)] anketinin Türkçe versiyonu kullanılarak değerlendirildi. Bulgular: Eksik diş sayısına göre OHIP-14 toplam puanları arasında istatistiksel olarak anlamlı bir farklılık bulunmuştur (p=0,001). Burada farklılık 1-3 eksiği olanlar ile 10 ve 10'dan fazla eksiği olanlar arasında görülmüştür. 1-3 diş eksiği olanlarda OHIP-14 genel puanı ortanca değeri 16, 4-6 eksiği olanlarda 18, 7-9 eksiği olanlarda 17 ve 10 ve 10+ diş eksiği olanlarda bu değer 29 olarak elde edilmiştir. Hastaların, yaş, medeni durum, çalışma durumu, diş fırçalama sıklığı ve diş hekimi ziyareti sıklığı değişkenleri arasında istatistiksel olarak anlamlı farklar elde edilmiştir (p=0,001). Sonuç: Çalışmanın sınırlamaları dâhilinde diş kaybının hastaların OHRQoL'si üzerinde olumsuz bir etkisi olduğu gösterilmiştir. Diş kaybının şiddeti arttıkça, OHIP-14 puanı artmaktadır. Diş kaybı olan hastalarda, fiziksel, psikolojik ve sosyal kısıtlılıklar görülmektedir.

Anahtar Kelimeler: Diş kaybı; ağız sağlığı; yaşam kalitesi
ABSTRACT
 Objective: The aim of this cross-sectional study was to evaluate the effect of tooth loss severity on oral health-related quality of life (OHRQoL) in adult patients with missing teeth. Material and Methods: Among 255 patients admitted to the hospital, 158 volunteer patients over 18 years of age and with at least one missing tooth were included in this study. Sociodemographic data such as age, sex, education status, also oral health habits, number of missing teeth and selfevaluated quality of life data of the patients were recorded and classified. The effect of tooth loss on OHRQoL was evaluated using the Turkish version of the 14-item oral health impact profile (OHIP14-TR) questionnaire scored by the patient with a Likert-type scale. Results: A statistically significant difference was found between the OHIP-14 total scores according to the number of missing teeth (p=0.001). The difference was seen between those with 1-3 deficiencies and those with 10 and more than 10 deficiencies. The median OHIP-14 overall score was 16 in those with 1-3 missing teeth, 18 in those with 4-6 missing, 17 and 10 in those with 7-9 missing, and 29 in those with 10+ teeth. Statistically significant differences were obtained between the variables of age, marital status, employment status, frequency of tooth brushing and frequency of dental visits (p=0.001). Conclusion: Within the limitations of the study, tooth loss has been shown to have a negative impact on patients' OHRQoL. As the severity of tooth loss increases, the OHIP-14 score increases. Physical, psychological and social limitations are seen in patients with tooth loss.

Keywords: Tooth loss; oral health; life quality
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