Hareketli protez kullanan hastalarýn oral hijyen alýþkanlýklarý ve oral mukozal lezyonlarla iliþkisi

GÝRÝÞ ve AMAÇ: Bu çalýþmanýn amacý hareketli protez kullanan hastalarda görülen protezle iliþkili oral mukozal lezyonlarýn (POML) sýklýðý ve tiplerini belirlemek; yaþ, cinsiyet, eðitim durumu, sistemik hastalýk varlýðý, sigara kullanýmý, protez tipi, gece protez kullanýmý ve oral hijyen durumu ile POML arasýndaki iliþkiyi saptamaktýr.
YÖNTEM ve GEREÇLER: Araþtýrmamýz anket ve klinik muayene olmak üzere iki aþamadan oluþmaktadýr. Anket formunda hastanýn yaþ, cinsiyet, sistemik hastalýk varlýðý, eðitim düzeyi, sigara kullanýmý, diþ hekimi ziyaret sýklýðý, gece protez kullaným alýþkanlýðý, protez günlük bakým alýþkanlýðý ve protez kullaným süresi kayýt altýna alýnmýþtýr. Klinik muayenede POML varlýðý (epulis fissuratum, protez stomatiti, mesnetsiz kret, travmatik fibrom, psödomembranöz kandidiyazis, angular þelitis, friksiyon keratozu, travmatik ülser) ve lokalizasyonu kaydedilmiþtir. Çalýþmadaki tüm parametreler için tanýmlayýcý istatistikler hesaplanmýþtýr. Kategorik deðiþkenler arasý iliþkilerin saptanmasýnda ki-kare testi kullanýlmýþ olup, p<0,05 seviyesinde anlamlý kabul edilmiþtir.
BULGULAR: Çalýþmaya dahil edilen 133 bireyin yaþ ortalamasý 62,41 (41-88) yýldýr. Deðerlendirilen 227 parça protez bölgesinden 95’inde POML saptanmýþtýr (%41,8). Hastalarda en sýk gözlenen POML protez stomatitidir (%50,5). Protez kullaným süresi, protez temizleme sýklýðý, gece protez kullanýmý ve sigara alýþkanlýðý ile POML arasýnda istatistiksel olarak anlamlý iliþki saptanmýþtýr (p<0,05). Eðitim seviyesi, sistemik hastalýk varlýðý, protezin tipi ve lokalizasyonu, protez temizleme ajaný ile POML arasýnda iliþki bulunmamýþtýr (p>0,05).
TARTIÞMA ve SONUÇ: Protezlerin günlük kullaným süresinin düzenlenmesi ve rutin oral hijyen alýþkanlýklarýyla protezle iliþkili geliþen oral lezyonlarýn azaltýlmasý saðlanabilir.

Oral hygiene habits and relation with oral mucosal lesions of patients using removable dentures

INTRODUCTION: The aim of this study was to determine the frequency and types of prosthetic associated oral mucosal lesions (POML) in patients using removable prostheses; and to establish the relationship between POML and age, sex, educational status, systemic disease, smoking, prosthesis type, usage of prosthesis at night and oral hygiene status.
METHODS: This study consists of two stages: questionnaire and clinical examination. Age, gender, systemic disease, education level, smoking, frequency of dental visit, the habit of using prosthesis at night, daily prosthesis care habits, and duration of prosthesis use were asked in the questionnaire form. The presence of POML (epulis fissuratum, prosthetic stomatitis, unrestrained crest, angular chelitis, traumatic fibroma, pseudomembranous candidiasis, frictional keratosis, traumatic ulcer) and localization were recorded at the time of clinical examination. Descriptive statistics were calculated for all parameters in the study. Chi-square test was used to determine the relationships between categorical variables and significance was considered at p<0.05.
RESULTS: The mean age of 133 individuals was 62.41 (41- 88) years. POML was detected in 95 of 227 prosthetic areas evaluated (41.8%). Among all patients, denture stomatitis was the most common form of POML type (%50.5). The frequency of POML increased significantly with denture age, frequency of prosthesis cleaning, usage of dentures at night, and smoking habit (p<0.05). Educational status, systemic disease, dentures type and localization, prosthesis hygiene regimen and POML were not found to be related (p>0.05).
DISCUSSION AND CONCLUSION: Prosthesis-related oral lesions can be decreased by routine prosthesis hygiene regimen and regulate the duration of prosthesis usage.