Prevalencia de enfermedad periodontal en historias clínicas de pacientes con tratamientos de prótesis parcial fija atendidos en la clínica integral del adulto IV desde febrero de 2013 a diciembre 2017
Fecha
2019-11-28Registro en:
Pinto Luna, M. D., Rincón Morales, A. J., Dávila Arévalo, I. C. y Rueda Ruiz, D. C. (2019). Prevalencia de enfermedad periodontal en historias clínicas de pacientes con tratamientos de prótesis parcial fija atendidos en la clínica integral del adulto IV desde febrero de 2013 a diciembre 2017 [Tesis de Pregrado]. Universidad Santo Tomás, Bucaramanga, Colombia
reponame:Repositorio Institucional Universidad Santo Tomás
instname:Universidad Santo Tomás
Autor
Pinto Luna, Mónica Daniela
Rincón Morales, Angie Julieth
Dávila Arévalo, Isabel Cristina
Rueda Ruiz, Diana Carolina
Institución
Resumen
Introduction: This study analyzed the prevalence of periodontal disease in clinical histories of patients treated with fixed partial dentures and prosthetic crowns treated in the Integral Adult Clinic IV from February 2013 to December 2017 at the University of Santo Tomás. Objective: to estimate the prevalence of periodontal disease in clinical histories of patients with fixed partial denture treatments treated at the Integral Adult Clinic IV from February 2013 to December 2017 at the Santo Tomás University. Methodology: a cross-sectional descriptive observational study was carried out that allowed to observe and estimate the prevalence of periodontal disease. In the inclusion criteria, clinical histories of patients with a history of previously treated periodontal disease rehabilitated with fixed prostheses or unit crowns were taken into account. For the statistical analysis, frequencies and proportions were calculated for the qualitative variables and measures of central tendency and dispersion for the quantitative ones. In the bivariate, the Shapiro Wilk test was used to evaluate the distribution of quantitative variables, Chi square or Fischer exact test for qualitative variables. Results: Of the 761 medical records reviewed, 578 met the inclusion criteria. There was a higher prevalence of patients in the female gender, 399 (69.1%) with an average age of the participants of 44.5 ± 12.0 years with a median of 45 years and a range between 18 to 85 years. In the univariate analysis of the data, a greater prevalence of bleeding was observed when probing located on abutment teeth 336 (58.2%), 96 (16.6%) abutment teeth had localized periodontal pockets, 129 (37.8%) deformity mucogingival localized type recession, 159 (27.5%) gingivitis associated with bacterial plaque located in abutment teeth and 27 (4.6%) localized severe chronic periodontitis. In the bivariate analysis it was found that in periodontal disease localized with respect to age, the highest prevalence was gingivitis associated with bacterial plaque in the age group less than or equal to 45 years of 97 (61.0%) and the lowest value was chronic severe periodontitis 8 (29.6%). In the group older than 45 years, it was gingivitis associated with bacterial plaque in a decreased periodontium 66 (61.6) and mild chronic periodontitis 5 (33.3) with the lowest result. It was shown that the most prevalent disease with respect to localized and generalized periodontal disease was gingivitis associated with localized bacterial plaque and moderate chronic periodontitis. Conclusions: the highest prevalence of periodontal disease in rehabilitated abutment teeth with fixed partial prosthesis and unit crown and in relation to the absence of 24.2% in abutment tooth, corresponds 27.5% to gingivitis associated with bacterial plaque, 18.5% in a decreased periodontium and 13.5% to mucogingival deformity type recession. It was also observed that 16.2% of teeth presented periodontal pockets, corresponding 9%, 4.6% and 2.6% to moderate chronic periodontitis with insertion level of 3.4 mm, severe chronic periodontitis with higher insertion level of 5 mm and mild chronic periodontitis with insertion level of 1-2 mm respectively.