TY - JOUR T1 - Sigara İçen ve İçmeyen Hastaların Dişeti Marjininin Kapilleroskopi ile Değerlendirilmesi TT - Capillaroscopic evaluation of smoking and non-smoking patients’ gingival margin AU - Oduncuoğlu, Bahar Füsun AU - Göçhan, Deniz PY - 2019 DA - June DO - 10.22312/sdusbed.521171 JF - Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi PB - Süleyman Demirel Üniversitesi WT - DergiPark SN - 2146-247X SP - 105 EP - 110 VL - 10 IS - 2 LA - tr AB - Amaç: Gingival videokapilleroskopi, dişetinin mikrovasküleryapısındaki değişimlerin gözlenmesine olanak sağlayan invaziv olmayan biryöntemdir. Dişeti dokusunda, damarsal değişimlere de neden olabilen sigara kullanımıperiodontal hastalıklar için bir risk faktörüdür. Bu çalışmada; klinik olaraksağlıklı, gingivitisli ve kronik periodontitisli hastaların dişeti marjinindekimikrodolaşıma ait değişimlerin değerlendirilmesi ve sigara kullanımınınetkisinin belirlenmesi amaçlanmıştır.Materyal-Metot: Çalışmaya 129 birey katıldı. Sigara kullanan ve kullanmayan hastalarperiodontal durumlarına göre; sigara kullanmayan ve klinik olarak sağlıklıdişetine sahip bireyler, grup S (n=23); sigara içen ve klinik olarak sağlıklıdişetine sahip bireyler, grup SS (n=20); sigara kullanmayan gingivitislihastalar, grup G (n=25), sigara içen gingivitisli hastalar, grup GS (n=20),sigara içmeyen kronik periodontitisli hastalar, grup P (n=20) ve sigara içenkronik periodontitisli hastalar, grup PS (n=21) olarak gruplandırıldı.Periodontal klinik parametreler kaydedildi. Gingival videokapillaroskopiyöntemi ile x200 büyütmede görüntüler elde edildi. Elde edilen görüntüler kapillersayısı ve alanı açısından bir bilgisayar programı yardımıyla analiz edildi. Bulgular: S, SS, GS ve PS gruplarında kapiller sayısı, G ve P gruplarına göreanlamlı olarak düşük bulundu (p<0,003). Damar alanı hesaplamalarında gruplararasında anlamlı farklılık izlendi ve sırasıyla S-SS<PS-GS<P-G şeklindeolduğu belirlendi (p<0,003).Sonuç: Sigaraiçen bireylerde kapiller sayısının periodontal hastalık varlığında artmadığı,sigara içmeyen gingivitis ve periodontitisli gruplardan düşük olduğu gözlendi. Sigarayabağlı artmış periodontal yıkım, sigara içen bireylerdeki mikrovasküleretkilenimlerden kaynaklanıyor olabilir. KW - sigara içme KW - kapilleroskopi KW - periodontal hastalıklar N2 - Objective: Gingivalvideocapillaroscopy is a non-invasive method to observe the changes in thegingival microvasculature. Smoking, which may cause vascular changes ingingiva, is a risk factor for periodontal diseases. This study aimed to observethe gingival capillary characteristics of healthy, gingivitis and chronicperiodontitis patients and the effect of smoking status on microcirculation.Material-Methods: One-hundred twenty-nine patients participated in the study. Smoking andnon-smoking patients were categorized in three groups based on the periodontalstatus as follows; group S (n=23), non-smoking patients with clinically healthygingiva; group SS (n=20), smoking patients with clinically healthy gingiva;group G (n=25), non-smoking patients with gingivitis; group GS (n=20), smokingpatients with gingivitis; group P (n=20), non-smoking patients with chronicperiodontitis and group PS (n=21), smoking patients with chronic periodontitis.Periodontal clinical parameters were recorded. Gingival videocapillaroscopy wasused to investigate the characteristics of microcirculation with x200magnification. Obtained images were analyzed for the capillary number and areaby a software program. Results: Number of capillaries were significantly lower in S, SS, SG and SP groupscompared to G and P groups (p<0,003). 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