Amaç: Gebe olan ve olmayan jinjivitli kadınlar arasında ağız sağlığı ile ilgili yaşam kalitesi (OHRQoL) açısından fark olup olmadığı araştırmak ve gruplar arasında cerrahi olmayan periodontal 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 kontrol grubu 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 cep derinliği (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 grubu arasında 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 grupta da OHRQoL skorlarında düşüş gözlendi. Sonuç: Gebelik jinjiviti olan kadınlarda periodontal sağlık, 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, gebelik döneminden önce ve gebelik döneminde düzenli yapılan diş hekimi kontrolleri ile atravmatik ve etkili tedavi uygulamalarıyla periodontal durumun, dolayısıyla ağız sağlığının iyileştirilmesi gerekli görülmektedir.
Anahtar Kelimeler: Gebelik; periodontal hastalıklar; yaşam kalitesi
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 ingivitis (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 OHIP-14 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.
Keywords: Pregnancy; periodontal diseases; quality of life
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