A Survey on Risk Factors, Common Treatment Pattern of Periodontal Disease & Behavioral Impact of People on this Disease in Dhaka City

Abstract

Periodontal disease is the disease related to gums and teeth. It can be classified as gingivitis and periodontitis. Gingivitis can lead to the severe form of gum disease called periodontitis. This survey has been conducted on 200 populations where 47% were male and 53% were female. Most of the people were in the age range of 26-40 years (16%) and 41-65 years (18%). The rest of the population was in the age range of below 25 years (11.5%) and above 65 years (1%). To find the association of periodontal disease with habits, the history of patients were analyzed. After this, it was found that 79.5% people had no habit of smoking, 61% people did not use betel leaf and 96% and 100% people did not consume alcohol and tobacco respectively. Only 1% people were identified who brush their teeth more than twice a day. A major portion of the people does not use floss (76%) and oral rinse (60%). 12.5% people use floss and 18.5% people use oral rinse once a day. Various types of complications have been seen in patients like tingling pain, tooth pain with fever, sensitivity, lose of tooth, red or swollen gums and tender or bleeding gums. The patients were prescribed with various types of medications such as Antiulcerants (84%), Antibiotics (81%), Pain killers (88%), Antiprotozoal (33%) and other medicines (5%). Among the Antiulcerants, Proton Pump Inhibitors (PPIs) are most commonly prescribed. Among PPIs, Rabiprazole (6%), Omeprazole (66%), Esomeprazole (16%) and Pantoprazole (7%) are prescribed. Seclo, Xeldrin and Opal are the common brand of Omeprazole. Different generations of Cephalosporins and Beta-lactam antibiotics are prescribed in the treatment of periodontal disease. Ketorolac and Etoricoxib are the commonly prescribed painkillers. There is a wide application of Antiprotozoal in treating gum disease. Metronidazole is the generic name of the drug which has most commonly been prescribed in the treatment of gum disease. But different brand of this drug is prescribed by different dentists. The most commonly used brands of Metronidazole are Filmet (61%), Flagyl (18%) and Flamyd (18%). Vitamin C, Calcium supplements and Antiseptics are also used to improve the oral conditions.