ANKYLOSING SPONDYLITIS AND PERIODONTAL HEALTH: A PILOT STUDY

Yıl 2009, Cilt: 2009 Sayı: 3, 151 - 155, 01.03.2009

Yrd. Doç. Dr. Kamile Erciyas Yrd. Doç. Dr. Kemal Üstün Dr. Yavuz Pehlivan Doç. Dr. Ahmet Mesut Onat

Öz

Objective: Periodontal diseases are characterized with inflammation in periodontal supportive tissues and alveolar bone resorbtion. They might interfere with systemic health or systemic disease pattern via local and systemic host response occurred against bacteria. The aim of this study is to compare the oral and periodontal health status of ankylosing spondylitis and healthy control groups. Material and Methods: In this study were included in 35 subjects with rheumatoid arthritis and 36 healthy controls. Patients were evaluated as both clinical and radio graphical. The measurement of gingival index, plaque index, probing depth, clinical attachment levels and the number of missing teeth were recorded. Results: After the statistical analyses, all of the clinical periodontal parameters were found significantly higher in ankylosing spondylitis group than the control group. Conclusion: The results of this study showed weak oral health and periodontal status in patients with ankylosing spondylitis. The individuals with ankylosing spondylitis should intensively take care about their periodontal health to prevent from the risk of periodontitis development, and the systemic effects of periodontitis on the systemic symptoms of ankylosing spondylitis. 

Anahtar Kelimeler

Ankylosing spondylitis, periodontitis, gingivitis

ANKİLOZAN SPONDİLİT VE PERİODONTAL SAĞLIK: BİR PİLOT ÇALIŞMA

Öz

Amaç: Periodontal hastalıklar dişi destekleyen dokuların kaybı ile karakterize bir enfeksiyondur. Dental plak mikroorganizmalarına karşı yerel ve sistemik konak cevabının oluşması nedeniyle bu enfeksiyonun genel sağlığı ve bazı sistemik hastalıkların seyrini etkileyebileceği düşünülmektedir. Bu çalışmanın amacı ankilozan spondilitli bireylerin ağız sağlığını ve periodontal durumunu sistemik ve periodontal açıdan sağlıklı bireylerle karşılaştırmaktır. Gereç ve yöntem: Çalışmaya Ankikozan spondilit teşhisi konulmuş 35 birey ve 36 sağlıklı kontrol grubu dahil edildi. Hastalar hem klinik hem de radyografik olarak değerlendirildi. Tüm bireylerde gingival indeks, plak indeksi, sondalabilen cep derinliği ölçümü, klinik ataşman düzeyi ve eksik diş sayısı kaydedildi. Bulgular: İstatistiksel analizler sonucunda tüm periodontal parametreler ankilozan spondilit grubunda kontrol grubuna göre anlamlı derecede yüksek bulundu. Sonuç: Ankilozan spondilit hastalığı bulunan bireylerin ağız ve periodontal sağlığının iyi olmadığı belirlenmiştir. Hasta grubumuzun periodontitisin oluşturduğu sistemik etkilerin ankilozan spondilitin sistemik bulgularını etkileme riskinden korunabilmeleri için periodontal sağlıklarına önem vermeleri gereklidir.

Anahtar Kelimeler

Ankilozan spondilit, periodontitis, gingivitis

Kaynakça

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