Research Article
BibTex RIS Cite

The relationship between oral and dental health and appendicitis

Year 2023, , 350 - 354, 27.10.2023
https://doi.org/10.38053/acmj.1318825

Abstract

Aims: In this study, we aimed to evaluate the relationship between the scores of the “Simplified Oral Hygiene Index” (OHI-S) indicating poor oral hygiene and the “Decayed, Missing and Filled Teeth” (DMFT) index indicating oral health impairment, and acute appendicitis (AA).
Methods: Eighty four patients who were operated on with the diagnosis of acute appendicitis between April 2022 and May 2023 were included. The control group included 32 individuals without a history of appendectomy. In our study, oral health was evaluated using the DMFT and OHI-S indices. The DMFT index is one of the indices quantifying dental health status based on the number of cavities. OHI-S is an index used to evaluate oral hygiene.
Results: The OHI-S index scores of the patients with AA were significantly higher than those of the control group (3.53±1.43, 2.56±1.24, p<0.05, respectively). DMFT index scores of the patients with AA were significantly higher than the DMFT scores of the control group (12.09±5.51, 8.4±4.73, p<0.05, respectively). Among all individuals who participated in the study, OHI-S and DMFT index values of those who never or occasionally brushed their teeth were significantly higher than those who brushed their teeth at least once a day (p<0.05).
Conclusion: In this study, the OHI-S index scores indicating poor oral hygiene, and the DMFT index scores indicating poor oral health status were found to be higher in patients operated for AA; It suggests that poor oral health may increase the risk of appendicitis.

References

  • Menteş Ö, Eryılmaz M, Yiğit T, Tascı S, Balkan M, Kozak O. 60 yaş üstü apandektomili olgularımızın retrospektif analizi. JAEM. 2008;36-41.
  • Powers RD, Guertler AT. Abdominal pain in the ED:stability and change over 20 years. Am J Emerg Med. 1995;13(3):301-303.
  • Bostancı MT, Yılmaz İ, Cimen S, Koşmaz K, Gökçe A, Avcı MA. Are scoring systems detecting acute appendicitis reliable? a prospective clinical study. J Health Sci Med. 2022;5(1):167-172.
  • Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132:910-25.
  • Jones AE, Phillips AW, Jarvis JR, Sargen K. The value of routine histopathological examination of appendicectomy specimens. BMC Surg. 2007;7:17.
  • Akbulut S, Tas M, Sogutcu N, et al. Unusual histopathological findings in appendectomy specimens:a retrospective analysis and literature review. World J Gastroenterol. 2011;17(15):1961-1970.
  • Yabanoglu H, Caliskan K, Aytac HO, et al. Unusual findings in appendectomy specimens of adults:retrospective analyses of 1466 patients and a review of literature. Iran Red Crescent Med J. 2014;16(2):e12931.
  • Lamps LW. Appendicitis and infections of the appendix. Semin Diagn Pathol. 2004;21(2):86-97.
  • Pieper R, Kager L, Lindberg AA, Nord CE. Acute appendicitis and Bacteroides fragilis. Scand J Infect Dis Suppl. 1979;(19):92-97.
  • World Health Organization. Oral health. 2020. Available at: https://www.who.int/health-topics/oral-health#tab=tab_1
  • Wilson M, Reddi K, Henderson B:Cytokine-inducing components of periodontopathogenic bacteria. J Periodontal Res. 1996;31(6):393-407.
  • Külekçi G, Gökbuget A. Ağız mikroflorasının genel sağlığa etkisi. Ankem Derg. 2009;23(3):137-145.
  • Bischoff JI, Van der Merwe EHM, Retief DH, Barbakow FH, Cleaton-Jones PE. Relationship between fluoride concentration in enamel, DMFT index, and degree of fluorosis in a community residing in an area with a high level of fluoride. J Dent Res. 1976;55(1):37-42.
  • Greene JG, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964;68(1):7-13.
  • Bakır EP, Çitaker ÖK, Bakır Ş. Relationship of socioeconomic status and oral-dental health in the Southeastern Anatolia. J Health Sci Med. 2021;4(5):622-629.
  • Surel AA, Güngörer B. The predictors of complicated acute appendicitis:large unstained cells, gamma-glutamyl transferase, monocyte to platelet ratio, age and gender. J Health Sci Med. 2020;4(4):477-481.
  • Petroianu A, Villar Barroso TV. Pathophysiology of Acute Appendicitis. JSM Gastroenterol Hepatol. 2016;4(3):4-7.
  • Wagner M, Tubre DJ, Asensio J. Evolution and current trends in the management of acute appendicitis. Surg Clin N Am. 2018;98.5:1005-1023
  • Carr NJ, Weldon F. The pathology of Acute Appendicitis. Ann. Diagn. Pathol. 2000;4:46-58.
  • Lamps LW. Infectious causes of appendicitis. Infect Dis Clin North Am. 2010;24(4):995-1018.
  • Andreou P, Blain S, Boulay CD. A histopathological study of the appendix at autopsy and after surgical resection. Histopathology. 1990;17(5):427-431.
  • Arnbjörnsson E, Bengmark S. Obstruction of the appendix lumen in relation to pathogenesis of acute appendicitis. Acta Chir Scand. 1983;149(8):789-791.
  • Kim SY, Oh DJ, Park B, Park IS, Choi HG. Increased risk of appendectomy in patients with asthma. Medicine. 2019;98(38):e17203.
  • Alder AC, Fomby TB, Woodward WA, Haley RW, Sarosi G, Livingston EH. Association of viral infection and appendicitis. Arch Surg. 2010;145(1):63-71.
  • Özan Ü, Özan F, Er K. Oral mikroorganizmalara karşı propolisin antimikrobiyal etkinliği. Acta Odontol Turc. 2015;32(1):36-41.
  • Blod C, Schlichting N, Schülin S et al. The oral microbiome—the relevant reservoir for acute pediatric appendicitis?. Int J Colorectal Dis. 2018;33:209-218.
  • Aiyoshi T, Kakihara T, Watanabe E, et al. A comprehensive microbial analysis of pediatric patients with acute appendicitis. J Microbiol Immunol Infect. 2023;56(4):695-704.
  • Guinane CM, Tadrous A, Fouhy F, et al. Microbial composition of human appendices from patients following appendectomy. mBio. 2013;4(1):e00366-12.
  • Siqueira JF, Rôças IN. Microbiology and treatment of acute apical abscesses. Clin Microbiol Rev. 2013;26(2):255-273.
  • Zhong D, Brower-Sinning R, Firek B, Morowitz MJ. Acute appendicitis in children is associated with an abundance of bacteria from the phylum Fusobacteria. J Pediatr Surg. 2014;49(3):441-446.
  • Rogers MB, Brower-Sinning R, Firek B, Zhong D, Morowitz MJ. Acute appendicitis in children is associated with a local expansion of fusobacteria. Clin Infect Dis. 2016;63(1):71-78.
  • Swidsinski A, Dörffel Y, Loening-Baucke V et al. Acute appendicitis is characterised by local invasion with Fusobacterium nucleatum/necrophorum. Gut. 2011;60:34-40.
  • Swidsinski A, Dörffel Y, Loening-Baucke V et al. Mucosal invasion by fusobacteria is a common feature of acute appendicitis in Germany, Russia and China. Saudi J Gastroenterol. 2012;18:55-58.
  • Barker DJP, Osmond C, Golding J, Wadsworth MEJ. Acute appendicitis and bathrooms in three samples of British children. Br Med J (Clin Res Ed). 1988;296(6627):956-958.
  • Barker DJ, Liggins A. Acute appendicitis in nine British towns. Br Med J (Clin Res Ed). 1981;283(6299):1083-1085.
  • Barker DJ. Acute appendicitis and dietary fibre: an alternative hypothesis. Br Med J (Clin Res Ed). 1985;290(6475):1125-1127.
  • Barker DJ, Morris JA, Simmonds SJ, Oliver RH. Appendicitis epidemic following introduction of piped water to Anglesey. J Epidemiol Community Health. 1988;42(2):144-148.
  • Trowell HC. Non-infective disease in Africa. Edward Arnold, London. 1960;481.
  • Burkitt DP, Trowell HC. Appendicitis in refined carbohydrate food and disease. Ν York Acad Press Ine. 1975;87-97.
  • Sulu B. Demographic and epidemiologic features of acute appendicitis. appendicitis-a collection of essays from around the world. Rijeka: InTech. 2012;169-178.
  • Abeş M, Petik B, Kazıl S. Nonoperative treatment of acute appendicitis in children. J Pediatr Surg. 2007;42(8):1439-1442.
  • Gardikis S, Giatromanolaki A, Kambouri K, Tripsianis G, Sivridis E, Vaos G. Acute appendicitis in preschoolers:a study of two different poppulations of children. Ital J Pediatr. 2011;37(1):35.
  • Budhi I. B, Azka R, Yudhani RD. Describing the role of personal hygiene on non-complicated pediatric appendicitis patients. Highlights on Medicine and Medical Science. 2021;16, 91-95.
  • Rothrock SG, Pagane J. Acute appendicitis in children:emergency department diagnosis and management. Ann Emerg Med. 2000;36(1):39-51.
  • Sakellaris G, Tilemis S, Charissis G. Acute appendicitis in preschool-age children. Eur J Pediatr. 2005;164(2):80-83.
  • Attin T, Hornecker E. Tooth brushing and oral health: how frequently and when should tooth brushing be performed? Oral Health Prev Dent. 2005;3(3):135-140.
  • Lieffers JR, Vanzan AGT, Rover de Mello J, Cammer A. Nutrition care practices of dietitians and oral health professionals for oral health conditions: a scoping review. Nutrients. 2021;13(10):3588.
Year 2023, , 350 - 354, 27.10.2023
https://doi.org/10.38053/acmj.1318825

Abstract

References

  • Menteş Ö, Eryılmaz M, Yiğit T, Tascı S, Balkan M, Kozak O. 60 yaş üstü apandektomili olgularımızın retrospektif analizi. JAEM. 2008;36-41.
  • Powers RD, Guertler AT. Abdominal pain in the ED:stability and change over 20 years. Am J Emerg Med. 1995;13(3):301-303.
  • Bostancı MT, Yılmaz İ, Cimen S, Koşmaz K, Gökçe A, Avcı MA. Are scoring systems detecting acute appendicitis reliable? a prospective clinical study. J Health Sci Med. 2022;5(1):167-172.
  • Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132:910-25.
  • Jones AE, Phillips AW, Jarvis JR, Sargen K. The value of routine histopathological examination of appendicectomy specimens. BMC Surg. 2007;7:17.
  • Akbulut S, Tas M, Sogutcu N, et al. Unusual histopathological findings in appendectomy specimens:a retrospective analysis and literature review. World J Gastroenterol. 2011;17(15):1961-1970.
  • Yabanoglu H, Caliskan K, Aytac HO, et al. Unusual findings in appendectomy specimens of adults:retrospective analyses of 1466 patients and a review of literature. Iran Red Crescent Med J. 2014;16(2):e12931.
  • Lamps LW. Appendicitis and infections of the appendix. Semin Diagn Pathol. 2004;21(2):86-97.
  • Pieper R, Kager L, Lindberg AA, Nord CE. Acute appendicitis and Bacteroides fragilis. Scand J Infect Dis Suppl. 1979;(19):92-97.
  • World Health Organization. Oral health. 2020. Available at: https://www.who.int/health-topics/oral-health#tab=tab_1
  • Wilson M, Reddi K, Henderson B:Cytokine-inducing components of periodontopathogenic bacteria. J Periodontal Res. 1996;31(6):393-407.
  • Külekçi G, Gökbuget A. Ağız mikroflorasının genel sağlığa etkisi. Ankem Derg. 2009;23(3):137-145.
  • Bischoff JI, Van der Merwe EHM, Retief DH, Barbakow FH, Cleaton-Jones PE. Relationship between fluoride concentration in enamel, DMFT index, and degree of fluorosis in a community residing in an area with a high level of fluoride. J Dent Res. 1976;55(1):37-42.
  • Greene JG, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964;68(1):7-13.
  • Bakır EP, Çitaker ÖK, Bakır Ş. Relationship of socioeconomic status and oral-dental health in the Southeastern Anatolia. J Health Sci Med. 2021;4(5):622-629.
  • Surel AA, Güngörer B. The predictors of complicated acute appendicitis:large unstained cells, gamma-glutamyl transferase, monocyte to platelet ratio, age and gender. J Health Sci Med. 2020;4(4):477-481.
  • Petroianu A, Villar Barroso TV. Pathophysiology of Acute Appendicitis. JSM Gastroenterol Hepatol. 2016;4(3):4-7.
  • Wagner M, Tubre DJ, Asensio J. Evolution and current trends in the management of acute appendicitis. Surg Clin N Am. 2018;98.5:1005-1023
  • Carr NJ, Weldon F. The pathology of Acute Appendicitis. Ann. Diagn. Pathol. 2000;4:46-58.
  • Lamps LW. Infectious causes of appendicitis. Infect Dis Clin North Am. 2010;24(4):995-1018.
  • Andreou P, Blain S, Boulay CD. A histopathological study of the appendix at autopsy and after surgical resection. Histopathology. 1990;17(5):427-431.
  • Arnbjörnsson E, Bengmark S. Obstruction of the appendix lumen in relation to pathogenesis of acute appendicitis. Acta Chir Scand. 1983;149(8):789-791.
  • Kim SY, Oh DJ, Park B, Park IS, Choi HG. Increased risk of appendectomy in patients with asthma. Medicine. 2019;98(38):e17203.
  • Alder AC, Fomby TB, Woodward WA, Haley RW, Sarosi G, Livingston EH. Association of viral infection and appendicitis. Arch Surg. 2010;145(1):63-71.
  • Özan Ü, Özan F, Er K. Oral mikroorganizmalara karşı propolisin antimikrobiyal etkinliği. Acta Odontol Turc. 2015;32(1):36-41.
  • Blod C, Schlichting N, Schülin S et al. The oral microbiome—the relevant reservoir for acute pediatric appendicitis?. Int J Colorectal Dis. 2018;33:209-218.
  • Aiyoshi T, Kakihara T, Watanabe E, et al. A comprehensive microbial analysis of pediatric patients with acute appendicitis. J Microbiol Immunol Infect. 2023;56(4):695-704.
  • Guinane CM, Tadrous A, Fouhy F, et al. Microbial composition of human appendices from patients following appendectomy. mBio. 2013;4(1):e00366-12.
  • Siqueira JF, Rôças IN. Microbiology and treatment of acute apical abscesses. Clin Microbiol Rev. 2013;26(2):255-273.
  • Zhong D, Brower-Sinning R, Firek B, Morowitz MJ. Acute appendicitis in children is associated with an abundance of bacteria from the phylum Fusobacteria. J Pediatr Surg. 2014;49(3):441-446.
  • Rogers MB, Brower-Sinning R, Firek B, Zhong D, Morowitz MJ. Acute appendicitis in children is associated with a local expansion of fusobacteria. Clin Infect Dis. 2016;63(1):71-78.
  • Swidsinski A, Dörffel Y, Loening-Baucke V et al. Acute appendicitis is characterised by local invasion with Fusobacterium nucleatum/necrophorum. Gut. 2011;60:34-40.
  • Swidsinski A, Dörffel Y, Loening-Baucke V et al. Mucosal invasion by fusobacteria is a common feature of acute appendicitis in Germany, Russia and China. Saudi J Gastroenterol. 2012;18:55-58.
  • Barker DJP, Osmond C, Golding J, Wadsworth MEJ. Acute appendicitis and bathrooms in three samples of British children. Br Med J (Clin Res Ed). 1988;296(6627):956-958.
  • Barker DJ, Liggins A. Acute appendicitis in nine British towns. Br Med J (Clin Res Ed). 1981;283(6299):1083-1085.
  • Barker DJ. Acute appendicitis and dietary fibre: an alternative hypothesis. Br Med J (Clin Res Ed). 1985;290(6475):1125-1127.
  • Barker DJ, Morris JA, Simmonds SJ, Oliver RH. Appendicitis epidemic following introduction of piped water to Anglesey. J Epidemiol Community Health. 1988;42(2):144-148.
  • Trowell HC. Non-infective disease in Africa. Edward Arnold, London. 1960;481.
  • Burkitt DP, Trowell HC. Appendicitis in refined carbohydrate food and disease. Ν York Acad Press Ine. 1975;87-97.
  • Sulu B. Demographic and epidemiologic features of acute appendicitis. appendicitis-a collection of essays from around the world. Rijeka: InTech. 2012;169-178.
  • Abeş M, Petik B, Kazıl S. Nonoperative treatment of acute appendicitis in children. J Pediatr Surg. 2007;42(8):1439-1442.
  • Gardikis S, Giatromanolaki A, Kambouri K, Tripsianis G, Sivridis E, Vaos G. Acute appendicitis in preschoolers:a study of two different poppulations of children. Ital J Pediatr. 2011;37(1):35.
  • Budhi I. B, Azka R, Yudhani RD. Describing the role of personal hygiene on non-complicated pediatric appendicitis patients. Highlights on Medicine and Medical Science. 2021;16, 91-95.
  • Rothrock SG, Pagane J. Acute appendicitis in children:emergency department diagnosis and management. Ann Emerg Med. 2000;36(1):39-51.
  • Sakellaris G, Tilemis S, Charissis G. Acute appendicitis in preschool-age children. Eur J Pediatr. 2005;164(2):80-83.
  • Attin T, Hornecker E. Tooth brushing and oral health: how frequently and when should tooth brushing be performed? Oral Health Prev Dent. 2005;3(3):135-140.
  • Lieffers JR, Vanzan AGT, Rover de Mello J, Cammer A. Nutrition care practices of dietitians and oral health professionals for oral health conditions: a scoping review. Nutrients. 2021;13(10):3588.
There are 47 citations in total.

Details

Primary Language English
Subjects General Surgery, Endodontics
Journal Section Research Articles
Authors

Semih Sağlık 0000-0002-4224-9272

Enver Ay 0009-0004-0064-3206

Veysel Bakır 0009-0001-4831-5592

Necip Nas 0000-0002-0927-5217

Early Pub Date October 26, 2023
Publication Date October 27, 2023
Published in Issue Year 2023

Cite

AMA Sağlık S, Ay E, Bakır V, Nas N. The relationship between oral and dental health and appendicitis. Anatolian Curr Med J / ACMJ / acmj. October 2023;5(4):350-354. doi:10.38053/acmj.1318825

TR DİZİN ULAKBİM and International Indexes (1b)

Interuniversity Board (UAK) Equivalency:  Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS]

Note: Our journal is not WOS indexed and therefore is not classified as Q.

You can download Council of Higher Education (CoHG) [Yüksek Öğretim Kurumu (YÖK)] Criteria) decisions about predatory/questionable journals and the author's clarification text and journal charge policy from your browser. https://dergipark.org.tr/tr/journal/3449/file/4924/show

Journal Indexes and Platforms: 

TR Dizin ULAKBİM, Google Scholar, Crossref, Worldcat (OCLC), DRJI, EuroPub, OpenAIRE, Turkiye Citation Index, Turk Medline, ROAD, ICI World of Journal's, Index Copernicus, ASOS Index, General Impact Factor, Scilit.


The indexes of the journal's are;

18596


asos-index.png

f9ab67f.png

WorldCat_Logo_H_Color.png

      logo-large-explore.png

images?q=tbn:ANd9GcQgDnBwx0yUPRKuetgIurtELxYERFv20CPAUcPe4jYrrJiwXzac8rGXlzd57gl8iikb1Tk&usqp=CAU

index_copernicus.jpg


84039476_619085835534619_7808805634291269632_n.jpg





The platforms of the journal's are;

COPE.jpg

images?q=tbn:ANd9GcTbq2FM8NTdXECzlOUCeKQ1dvrISFL-LhxhC7zy1ZQeJk-GGKSx2XkWQvrsHxcfhtfHWxM&usqp=CAUicmje_1_orig.png

cc.logo.large.png

ncbi.png

ORCID_logo.pngimages?q=tbn:ANd9GcQlwX77nfpy3Bu9mpMBZa0miWT2sRt2zjAPJKg2V69ODTrjZM1nT1BbhWzTVPsTNKJMZzQ&usqp=CAU


images?q=tbn:ANd9GcTaWSousoprPWGwE-qxwxGH2y0ByZ_zdLMN-Oq93MsZpBVFOTfxi9uXV7tdr39qvyE-U0I&usqp=CAU






The
 
indexes/platforms of the journal are;

TR Dizin Ulakbim, Crossref (DOI), Google Scholar, EuroPub, Directory of Research Journal İndexing (DRJI), Worldcat (OCLC), OpenAIRE, ASOS Index, ROAD, Turkiye Citation Index, ICI World of Journal's, Index Copernicus, Turk Medline, General Impact Factor, Scilit 


EBSCO, DOAJ, OAJI is under evaluation.

Journal articles are evaluated as "Double-Blind Peer Review"