Evaluation of tooth wear and gingival recession in individualswith obsessive-compulsive symptoms: a clinical study


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Öcal F., Çetintaş R., Demirtaş Öcal Y.

Journal of Dental Sciences and Education, cilt.3, sa.4, ss.94-100, 2025 (Hakemli Dergi)

Özet

Aims: This study aimed to evaluate tooth wear and gingival recession in individuals presenting with obsessive-compulsivedisorder (OCD) symptoms and to investigate potential associations with obsessive-compulsive symptom severity, toothbrushinghabits, and demographic characteristics.Methods: A cross-sectional design was applied, including 143 participants aged 16-70 years with at least 20 natural teeth whomet the inclusion criteria. All participants completed a demographic information form, an oral hygiene questionnaire, and theObsessive-Compulsive Inventory-Revised (OCI-R). Clinical examination assessed tooth wear using the Bartlett Tooth WearIndex and gingival recession using the Miller Classification. Data were analyzed with SPSS 27.0. Group comparisons wereperformed with the Mann-Whitney U test, and correlations were examined with Spearman’s correlation and regression analysis.Results: Of the participants, 18.9% scored OCI-R ≥21, indicating higher obsessive-compulsive symptoms. Females brushedmore frequently than males, and younger participants brushed more often than older individuals (p<0.05). Gingival recessionscores did not differ significantly between high and low OCI-R groups (p>0.05). However, occlusal enamel (OE3), occlusaldentin (OD2), and cervical (C3) wear scores were significantly higher in the high OCI-R group (p<0.05). Weak-to-moderatecorrelations were observed between the OCI-R ordering subscale and selected occlusal wear parameters. Overall, no strongassociations were found between total OCI-R scores and tooth wear or gingival recession.Conclusion: The findings suggest that while gingival recession may not increase in individuals with obsessive-compulsivesymptoms, certain occlusal wear patterns may be more prevalent. Obsessive behaviors such as excessive toothbrushing, bruxism,and ordering compulsions may play a role in these outcomes. Dental practitioners should consider these behavioral factors whenproviding preventive strategies and oral hygiene education. A multidisciplinary approach is recommended to optimize the oralhealth management of individuals with obsessive-compulsive tendencies.