Associations Between Birth Order, Sibship Size, Childhood Socioeconomic Factors, Perinatal Characteristics and Oral Health Related Quality of Life and Periodontal Disease

This study is planned to be carried out with 240 individuals between the ages of 18-30 who applied to Necmettin Erbakan University Faculty of Dentistry, Department of Periodontology for various reasons. In the Department of Periodontology, non-surgical periodontal treatment is performed for every patient diagnosed with periodontal disease after clinical and radiological evaluation.

Individual selection If there are patients who come to the Periodontology clinical secretariat for periodontal treatment and meet the inclusion criteria of the study, patients who agree to fill out the Oral Health Impact Profile-14 (OHIP-14) scales and the sociodemographic questionnaire including the number of siblings, sibling rankings, and other information about birth before the treatment and those who sign the consent form will be included in the study.

This study is actually a prospective survey study. In the study, researchers will ask patients who have undergone routine periodontal examinations by physicians in the clinic and who are planning for treatment to fill out questionnaires beforehand. Survey tracking will continue until the number of people filling out the survey is completed. After filling out the questionnaires, the routine non-surgical periodontal treatments of the patients will be continued.

Routine Periodontal Examination Routine periodontal examination will be used to measure plaque score, gingival score, pocket depths, and attachment loss. The amount of plaque; According to the plaque index (PI) defined by Silness and Löe, 0: no plaque; 1: the presence of plaque coming to the end of the end; 2: the presence of plaque visible; 3: will be considered as excessive plaque accumulation. Gingival index: As defined by Leue and Silness, 0: healthy gingiva; 1: there is slight inflammation and discoloration, there is no bleeding on probing, 2: there is moderate inflammation, hyperemia, bleeding on probing; 3: severe inflammation, hyperemia, ulceration, edema, spontaneous bleeding.

Patients will be diagnosed according to the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Clinic gingival health would be defined as ≤3 mm probing depth and < 10% bleeding site. Participants will be diagnosed with periodontitis if interdental clinical attachment loss(CAL) is detected in 2 ≥2 adjacent teeth or if more than 3 mm buccal or oral CAL is detected in ≥2 teeth with a probing depth of ≥3 mm. The degree of periodontitis described will be based on the stage and grade system. For the definition of the four stages, the interdental CAL at the site of the greatest loss will be used. Stage classifies the severity and complexity of periodontitis (Stage I-II-III-IV), while grade is used to predict the likelihood of case progression (Grade A, B, C).