Akademik Veri Yönetim Sistemi
KLİNİK DİŞ HEKİMLİĞİNDE GÜNCEL PERSPEKTİFLER, Prof. Dr. Fatma ALTIPARMAK, Editör, UBAK YAYINEVİ, İstanbul, ss.52-76, 2026
Periodontal diseases are chronic, multifactorial conditions characterized by inflammatory destruction of the supporting tissues of the teeth and are traditionally evaluated through objective clinical parameters such as plaque index, gingival index, probing pocket depth, and clinical attachment loss. However, growing evidence suggests that these clinical indicators do not always correspond directly to the burden of disease perceived by patients. In many cases, clinically successful periodontal outcomes may coexist with persistent pain, functional limitations, aesthetic concerns, and psychosocial discomfort, while some individuals with relatively limited clinical findings may report substantial impairment in oral health–related quality of life (OHRQoL). This chapter explores the dissociation between clinical periodontal parameters and patient-centered outcomes from biological and behavioral perspectives. It discusses the biological basis and measurement limitations of traditional periodontal parameters, while highlighting the theoretical significance of patient-reported outcome measures, particularly the Oral Health Impact Profile (OHIP-14), in assessing the subjective impact of periodontal diseases. The chapter further examines the multidimensional factors underlying the discrepancy between clinical findings and patient perception, including inflammatory and perceptual mechanisms, pain threshold variability, psychosocial determinants, educational level, health literacy, and oral health behaviors. Special emphasis is placed on the role of self-care, awareness, and professional identity in shaping both clinical periodontal status and perceived disease burden. The chapter argues that periodontal assessment should extend beyond conventional clinical measures and incorporate patient-centered outcomes to achieve a more comprehensive understanding of treatment success. By integrating biological indicators with quality-of-life measures, a more holistic, patient-centered, and sustainable framework for periodontal diagnosis, treatment, and research can be established.