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Caracterização da doença periodontal em paciente da clínica universitária da Faculdade de Medicina Dentária da Universidade de Lisboa
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Objetivo: O presente estudo tem como finalidade caracterizar a doença periodontal nos pacientes de Periodontologia II da Faculdade de Medicina Dentária da Universidade de Lisboa. Pretende também apurar a compliance da população em estudo, perante as indicações de tratamento.
Materiais e Métodos: Foi realizado um estudo retrospetivo através de processos clínicos. A análise detalhada dos históricos de cada paciente permitiu selecionar no total 150 processos. A idade, o género, a história médica, os hábitos tabágicos e de higiene oral, a ausência dentária, o diagnóstico periodontal e os valores dos índices na consulta de diagnóstico e na consulta de reavaliação, foram recolhidos. A análise estatística envolveu medidas de estatística descritiva e estatística inferencial.
Resultados: A amostra foi constituída por 82 pacientes do género feminino e 68 do género masculino com idade média de 52 anos. Periodontite foi diagnosticada em 147 pessoas e gengivite em 3. Com base nas classificações publicadas em 1999 e 2017, a periodontite crónica severa e a periodontite estadio III foram as mais prevalentes, representando 64% e 50,8% da amostra. Houve uma predominância para a generalizada em ambas as classificações, 66% e 63,9%, respetivamente. A progressão foi classificada em grau B em 30 pacientes e grau C em
27. Na análise das variáveis estudadas, verificou-se que a faixa etária 40-49 apresentava maior proporção de periodontite crónica leve, pacientes com 60 anos eram mais propensos à presença de hipertensão arterial e ausência dentária, que por sua vez encontra-se relacionada à periodontite estadio IV, e que o género masculino se relacionava com a frequência de escovagem. Observou-se uma diminuição geral dos índices, 73,5% no IPP e 75,5% no IPH.
Conclusão: Os pacientes compareceram à consulta de periodontologia, na clínica universitária, já em fases avançadas da doença. No entanto, durante o decorrer do tratamento, mostraram-se constantes nos hábitos de higiene oral.
Aim: The aim of this study is to characterize periodontal disease in patients of Periodontology II in the Dental Medicine Faculty, University of Lisbon. It is also intended to determine the compliance of the study population with the treatment indications. Materials and Methods: A retrospective study was carried out through clinical files. The detailed analysis of each patient’s history made it possible to select a total of 150 files. Age, gender, medical history, smoking and oral hygiene habits, tooth absence, periodontal diagnosis and index values at the diagnostic visit and at the reassessment visit were collected. The statistical analysis involved measures of descriptive statistics and inferential statistics. Results: 82 female patients and 68 male patients, with a mean age of 52 years were diagnosed with periodontitis (147 of them) and with gingivitis (3 of them). Based on the classifications published in 1999 and 2017, severe chronic periodontitis and stage III periodontitis were the most prevalent, representing 64% and 50,8% of the sample. There was a predominance for generalized periodontitis in both classifications, 66% and 63.9%, respectively. Disease progression was classified as grade B in 30 patients and grade C in 27 patients. In the analysis of the variables studied, it was found that the age group 40-49 had a higher percentage of mild chronic periodontitis, patients aged 60 years were more prone to the presence of arterial hypertension and tooth absence, which is related to stage IV periodontitis, and that male gender was related to brushing frequency. There was a general decrease in the indices, 73.5% in the IPP and 75.5% in the IPH. Conclusion: The patients attended the periodontology consultation at the university clinic, already in advanced stages of the disease. However, during the course of treatment, they were constant in oral hygiene habits.
Aim: The aim of this study is to characterize periodontal disease in patients of Periodontology II in the Dental Medicine Faculty, University of Lisbon. It is also intended to determine the compliance of the study population with the treatment indications. Materials and Methods: A retrospective study was carried out through clinical files. The detailed analysis of each patient’s history made it possible to select a total of 150 files. Age, gender, medical history, smoking and oral hygiene habits, tooth absence, periodontal diagnosis and index values at the diagnostic visit and at the reassessment visit were collected. The statistical analysis involved measures of descriptive statistics and inferential statistics. Results: 82 female patients and 68 male patients, with a mean age of 52 years were diagnosed with periodontitis (147 of them) and with gingivitis (3 of them). Based on the classifications published in 1999 and 2017, severe chronic periodontitis and stage III periodontitis were the most prevalent, representing 64% and 50,8% of the sample. There was a predominance for generalized periodontitis in both classifications, 66% and 63.9%, respectively. Disease progression was classified as grade B in 30 patients and grade C in 27 patients. In the analysis of the variables studied, it was found that the age group 40-49 had a higher percentage of mild chronic periodontitis, patients aged 60 years were more prone to the presence of arterial hypertension and tooth absence, which is related to stage IV periodontitis, and that male gender was related to brushing frequency. There was a general decrease in the indices, 73.5% in the IPP and 75.5% in the IPH. Conclusion: The patients attended the periodontology consultation at the university clinic, already in advanced stages of the disease. However, during the course of treatment, they were constant in oral hygiene habits.
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