ABSTRACT
About 85-94% of the Spanish adults older than 35 experience gum problems, and about 15-30% suffer from periodontitis, being severe in up to 5-11% of them. Unlike other inflammatory conditions, periodontal disease rarely causes discomfort, or limits life or causes functional limitations until its advanced stages, when clinical signs and symptoms arise (gingival recession, pathological teeth migration, or mobility). Lack of knowledge about the disease, together with the idea that tooth loss is linked to ageing, frequently results in a late diagnosis, requiring extensive treatments with a worse prognosis. At Primary Care level, there is series of drugs have been related to periodontal disease (anticonvulsants, immunosuppressive drugs, and calcium channel blockers) as secondary effects, which vary as regards their frequency and severity depending of the amount of accumulated plaque. Stress and depression have also been reported to alter the immune response and to increase the inflammatory response as well as periodontal susceptibility. Certain systemic conditions, such as diabetes mellitus, cardiovascular disorders, respiratory diseases, as well as low-weight pre-term birth, have also been linked to periodontitis.
Subject(s)
Gingival Recession/epidemiology , Periodontal Diseases/epidemiology , Periodontitis/epidemiology , Adult , Family Practice , Humans , Periodontal Diseases/diagnosis , Periodontal Diseases/etiology , Periodontitis/diagnosis , Periodontitis/etiology , Primary Health Care , Prognosis , Risk Factors , Severity of Illness Index , SpainABSTRACT
Introducción La valoración de la calidad es vida de nuestros pacientes es un aspecto del proceso patológico cada vez más considerado a la hora de realizar la anamnesis. Por ello, nos hemos planteado realizar el presente estudio con un doble objetivo: Comprobar si existen diferencias en la calidad de vida de las personas que consultan por cuadros dolorosos respecto a las que consultan por otras patologías. Conocer diferentes etiologías del dolor consultado en Atención Primaria (AP). Pacientes y métodos Se reclutaron los pacientes de 10 consultas de AP de la provincia de Lugo. Se diseñó un cuaderno de recogida de datos al efecto, que consta de una parte común para los dos grupos objetos del estudio (edad, sexo, antecedentes personales de interés y datos antropométricos) y de otra específica para los casos, es decir las personas que consultaron por cualquier proceso doloroso, (cronología, tipo de dolor, diagnóstico, tiempo de evolución, tratamiento y resultado de la escala visual analógica [EVA]). A todos los participantes se les realizó la encuesta de calidad de vida SF-36. Resultados La muestra se compone de 347 individuos (170 casos y 177 controles) con una edad media de 63 años (+/- 31). Hubo diferencias estadísticamente significativas en todos los aspectos analizados de la calidad de vida entre los dos grupos (función física, función social, problemas físicos, problemas emocionales, salud mental, vitalidad, dolor, salud general y cambios en el tiempo). El diagnóstico más frecuente de proceso doloroso fue gonartrosis/coxartrosis con el 12.69 % de los casos, seguido de osteoartrisis de columna vertebral (10.27 % ). Por aparatos, el más afectado es el músculo-esquelético (37.76% de los casos), seguido del sistema nervioso (3.63% de los casos). Conclusiones Las personas que consultan por procesos dolorosos tienen su calidad de vida más deteriorada que las que consultan por otro tipo de procesos. El dolor crónico menoscaba la CV de una manera más amplia que el agudo. La causa más frecuente de dolor consultado es la gonartrosis/coxartrosis. El aparato más comúnmente afectado por procesos dolorosos es el músculo-esquelético
Introduction The valuation of the quality of life (QL) of our patients is an aspect of the pathological process more and more considered when carrying out the anamnesis. For it, we have thought about to carry out the present study with an objective double: To check if differences exist in the quality of people's life that they consult for painful squares regarding those that consult for other pathologies. To know different etiologies of the pain consulted in Primary Care (PC). Patient and methods The patients of 10 consultations of PC of the county of Lugo were recruited. A notebook of data collection was designed; that consists of a common part for the two groups objects of the study (age, sex, personal antecedents of interest and data antropometrics) and of another specific one for the cases, that is to say people that consulted for any painful process, (chronology, type of pain, diagnostic, time of evolution, treatment and result of the analogical visual scale [AVS]). All the participants they were carried out the survey of quality of life SF-36. Results The sample is composed of 347 individuals (170 cases and 177 controls) with a 63 year-old half age (+ / - 31). There were differences statistically significant in all the analyzed aspects of the quality of life among the two groups (physical function, social function, physical problems, emotional problems, mental health, vitality, pain,general health and changes in the time). The most frequent diagnosis in painful process was gonarthrosis/ coxarthrosis with 12.69% of the cases, followed by spine osteoarthritis (10.27%). For apparatuses, the most affected is the muscle-skeletal (37.76% of the cases), followed by the nervous system (3.63% of the cases). Conclusions People that consult for painful processes have their quality of life more deteriorated that those that consult for another type of processes. The chronic pain impairs the QL in a wider way more than the acute one. The most frequent cause in consulted pain is the gonartrosis/ coxartrosis. The apparatus more commonly affected by painful processes it is the muscle-skeletal one
