Department of Periodontics, College of Dentistry, University of Baghdad, Baghdad, Iraq.
Basic Science Department, College of Dentistry, University of Sulaimani, Sulaymaniyah, Iraq.
Clin Exp Dent Res. 2021 Aug;7(4):443-449. doi: 10.1002/cre2.385. Epub 2020 Dec 22.
To investigate the prevalence of true periodontal chief complaints (CC) and the factors affecting their reporting by patients with periodontal diseases (PD).
This cross-sectional study was based on retrospective analysis of available periodontal records. Different personal and demographic variables were obtained from these records including CC, age, gender, working status, past medical/dental history, smoking status and diagnosis. In addition, clinical parameters of plaque index, gingival index, probing pocket depth (PPD), and number of missing teeth. Periodontal CC were retrieved and divided either into true periodontal (bleeding, tooth mobility, and alteration in gingival color/shape) or others (emergency and esthetic-related) CC.
A total of 1161 records were included in the final analysis. Results showed that only 287 (24.7%) of patients reported true periodontal CC whereas the remaining 874 (75.3%) patients were not aware about symptoms of PD. Regression modeling indicated that reporting of true CC was positively associated with smoking and PPD but negatively associated with number of missing teeth and gender (male).
Results suggested that recognition of true periodontal CC by the patients was low. Reporting of true periodontal CC was significantly associated with smoking, PPD, female and lower number of missing teeth. These results shed light on the importance of increasing public knowledge about PD which is essential to aid people in recognizing these diseases at early stages.
调查牙周病患者真实牙周主诉（CC）的流行情况及影响其报告的因素。
本横断面研究基于对现有牙周记录的回顾性分析。从这些记录中获得了不同的个人和人口统计学变量，包括 CC、年龄、性别、工作状态、既往医疗/牙科史、吸烟状况和诊断。此外，还记录了菌斑指数、牙龈指数、探诊袋深度（PPD）和失牙数等临床参数。提取牙周 CC，并分为真实牙周（出血、牙齿松动和牙龈颜色/形状改变）或其他 CC（急症和美观相关）。
共有 1161 份记录纳入最终分析。结果表明，只有 287（24.7%）名患者报告了真实牙周 CC，而其余 874（75.3%）名患者对 PD 的症状并不了解。回归模型表明，报告真实 CC 与吸烟和 PPD 呈正相关，与失牙数和性别（男性）呈负相关。
结果表明，患者对真实牙周 CC 的认识较低。报告真实牙周 CC 与吸烟、PPD、女性和较少的失牙数显著相关。这些结果表明，提高公众对 PD 的认识非常重要，这对于帮助人们在早期识别这些疾病至关重要。
