The Effects Of Emotional Stress On Periodontal Disease

Yıl 2012, Cilt: 2012 Sayı: 3, 306 - 316, 01.03.2012

Dt. S.serhan Altıntepe Doç.dr Hakan Develioğlu

Öz

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Anahtar Kelimeler

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Emosyonel Stresin Periodontal Hastalık Üzerine Etkileri

Öz

Diş gelişimi, erken embriyonik dönemde Günümüzde periodontitisin multi-faktöriyel bir hastalık olduğu net bir şekilde bilinmektedir. Diş plak biofilmi birincil etiyolojik faktör olup spesifik periodontal patojenleri içerir. Ayrıca çeşitli sistemik hastalıklar, bazı genetik polimorfizmler, kişinin sosyo-ekonomik veya eğitim durumu, sigara içimi ve psikolojik stres gibi riskler ve yatkınlıklar periodontitis ile bağlantılı bulunmuştur. Kronik stresin; immün yanıt üzerinde yaygın olarak, olumsuz etki oluşturduğu konak ve parazitler arasında dengesizliğe yol açtığı, sonuç olarak periodontal yıkıma neden olduğu düşünülmektedir. Stres, nekrotizan periodontitis için ikincil bir etiyolojik faktör olarak gösterilmiştir. Bu derlemede emosyonel stresin değerlendirilmiştir. periodontal hastalık üzerine etkileri

Anahtar Kelimeler

Stres, risk determinantı, periodontal hastalık

Kaynakça

• Katılımcılar Klinik Parametreler Aurer A ve ark. (1999)
• periodontitis)+ 20 kişi (kontrol) çalışmaya alınmıştır. Çalışmanın sonuçlarına göre agresif periodontitis oluşumunda stres önemli bir
• indikatör olarak bulunmuştur. Çalışmanın sonuçlarına göre stres, B.
• forsythus ve P. Gingivalis’in şiddetli periodontal
• hastalıklar için risk indikatörleri olduğu bulunmuştur. florada ölçülmüştür. CD, Pİ, KAK, Gİ,
• SSE, SUÖL, DSKE değerleri saptanmıştır. (2003) Sadece KAK, CD değerleri ile stres arasında
• pozitif ilişki bulunmuştur. Çalışmanın sonuçlarına
• göre Pİ, Gİ, IL- 6 ve kortizol seviyeleri ile stres arasında
• pozitif bir ilişki bulunmuştur. alınmıştır. 9 ve kortizol seviyelerine bakılmıştır. Stres markırları (kromogranin A,
• kortizol, α-amilaz, β-endorfin) ölçülmüş ve Pİ, Gİ, ağızda mevcut olan periodontal
• hastalıklı dişlerin sayısı belirlenmiştir.
• arasında pozitif ilişki bulunmuştur. Çalışmanın sonucuna göre Pİ ve
• hiperkortizolemi seviyeleri
• arasında pozitif bir ilişki bulunmuştur. kortizol seviyelerine göre
• değerlendirilmiştir.
• PI:plak indeksi, GI: gingival indeks, CD: cep derinliği, SK:
• sondlamada kanama, KAK: klinik ataşman seviyesi, AKY: alveol
• kemik yüksekliği, Ca: kalsiyum, P:fosfor, CRP: C-reaktif protein,
• DOS: dişeti oluğu sıvısı, IL-6: interlökin-6, MMP-9: matriks
• metalloproteinaz-9, SUÖL: sosyal uyumu ölçme listesi, SSE: stres
• semptom envanteri, DSKE: durumluk-sürekli kaygı envanteri, C3:
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