Tıp Doktorlarının İlaçlara Bağlı Diş Eti Büyümesi Hakkında Farkındalıklarının Değerlendirilmesi: Bir Ön Çalışma

Eda ÇETİN ÖZDEMİR, Meral Uzunkaya
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Abstract

Objective: Gingival enlargement is a clinical condition characterized by hyperplasia and hypertrophy, which has an etiology of inflammation originating from dental plaque, hormones, genetics, malignant or benign lesions, and drugs. The drugs causing gingival enlargement include anti-convulsants, calcium channel blockers, immunosuppressants, and high-dose oral contraceptives. This study aimed to investigate the awareness of specialist and practitioner medical doctors about the drugs causing gingival enlargement. Material and Methods: A total of 100 respondents participated in this questionnaire study. A self-reported questionnaire was formed to evaluate the awareness of the study participants about drugs causing gingival enlargement. The questionnaire was prepared online using Google forms and was introduced and distributed on the social networks of Facebook and WhatsApp. Results: % 27 of the respondents reported that anti-convulsants caused gingival enlargement, followed by immunosuppressants at the rate of 23%, calcium channel blockers at 19%, and oral contraceptives at 11%. Although there is no consensus in the literature that antibiotics and non-steroidal anti-inflammatory drugs (NSAIDs) cause gingival enlargement, 9.2% of the study respondents reported that antibiotics caused gingival enlargement, 4.3% NSAIDs, and 5.4% antidepressants. Conclusion: In studies evaluating the awareness of healthcare personnel about drug adverse effects, it has been shown that personnel have knowledge on this subject, but do not report this at a sufficient level. The results of this study suggest that specialist and practitioner medical doctors had insufficient awareness about drugs causing gingival enlargement.
评估医生对药物引起的牙龈增生的认识:初步研究
目的:牙龈增生是一种以增生和肥大为特征的临床症状,其病因包括牙菌斑、激素、遗传、恶性或良性病变以及药物引起的炎症。导致牙龈增生的药物包括抗惊厥药、钙通道阻滞剂、免疫抑制剂和大剂量口服避孕药。本研究旨在调查专科医生和执业医师对导致牙龈增生的药物的认识。材料和方法:共有 100 名受访者参与了此次问卷调查。为评估研究参与者对导致牙龈增生的药物的认识,我们制作了一份自我报告问卷。问卷使用谷歌表格在线编制,并在 Facebook 和 WhatsApp 社交网络上进行了介绍和分发。结果:27%的受访者表示抗惊厥药会导致牙龈增生,其次是免疫抑制剂(23%)、钙通道阻滞剂(19%)和口服避孕药(11%)。虽然抗生素和非甾体抗炎药(NSAIDs)导致牙龈增生的观点在文献中尚未达成共识,但有 9.2% 的受访者表示抗生素导致牙龈增生,4.3% 的受访者表示非甾体抗炎药导致牙龈增生,5.4% 的受访者表示抗抑郁药导致牙龈增生。结论在对医护人员对药物不良反应的认识进行评估的研究中显示,医护人员对这一问题有所了解,但报告的程度不够。本研究结果表明,专科医生和执业医师对导致牙龈增生的药物认识不足。
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