The Approaching The Obese Patients In Dentistry

Year 2012, Volume: 2012 Issue: 3, 317 - 324, 01.03.2012

Araş. Gör. Dt. Oğuz Köse Prof. Dr. Varol Çanakçı Yard. Doç. Dr. Taner Arabacı

Abstract

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Keywords

Obesity, Overweight, Dentist

Diş Hekimliğinde Obez Hastalara Yaklaşım

Abstract

Obezite ve aşırı kilo vücut sağlığını bozacak ölçüde yağ dokusundaki anormal veya aşırı yağ birikmesi olarak tanımlanmaktadır. Obezitenin ve aşırı kilonun temel nedeni, diyetle alınan enerji miktarı ile metabolizma ve fiziksel aktiviteler sırasında harcanan enerji miktarı arasındaki düzensizliktir. Aşırı kilo ve obezite prevalansı dünyanın çeşitli bölgelerindeki gelişmiş ve gelişmekte olan ülkelerde ciddiyetle dikkate alınması gereken oranlara ulaşmıştır. Obezite başta Tip 2 diyabet, hipertansiyon ve kardiyovasküler sistem hastalıkları olmak üzere pek çok kronik enflamatuar hastalık ve kanser gelişimi için temel bir risk faktörü olarak kabul edilmektedir. Son dönemdeki çalışmalar obezitenin ağız hastalıkları, özelliklede periodontitis ile ilişkili olduğunu göstermiştir. Bunun yanı sıra çürük, diş kaybı, travmatik diş yaralanmaları, ağız kuruluğu ile de ilişkilidir. Obezite prevalansının dünya çapında bir artış eğiliminde olması, diş hekimi kliniklerinde obez hastalarla çok daha sık karşılaşılması ihtimalini artırmaktadır. Kliniğe ulaşım imkânları ve tedavi ortamının ergonomisi obez hastalar için bazı modifikasyonlar gerektirebilir. Hastanın muayenesi, tedavi için hazırlanması, konservatif veya cerrahi müdahaleler ve ilaç tedavisi aşamaları obez hastalarda bazı spesifik yaklaşımları gerektirmektedir. Bu derlemede diş hekiminin obez hastalara yaklaşımına yardımcı olabilecek bilgilerin güncel literatürler ışığında değerlendirilmesi amaçlanmaktadır

Keywords

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