The Assessment of the Association Between Systemic Diseases and Dental Findings

Year 2023, , 267 - 273, 15.06.2023

Lale Begüm Mutlu Filiz Mediha Namdar Pekiner , Gaye Keser

https://doi.org/10.33808/clinexphealthsci.1077549

Cited By: 1

Abstract

Objective: In dentistry, systemic diseases are extremely important in terms of taking the required precautions for overall health and preventing complications before they emerge. Many clinicians are aware of the oral symptoms of systemic diseases; nevertheless, the major source of the problem must be addressed in order to limit the rate of misdiagnosis due to systemic origins and establish an appropriate treatment strategy. The purpose of this study is to investigate whether there is a relationship between systemic diseases and dental health.
Methods: The study included 200 individuals, 100 women and 100 men, all between the ages of 25 and 75, who had at least one systemic disease. The patients’ medical records and panoramic radiography were examined. In the panoramic radiographs of the patients, the existence of existing teeth, caries, restorations, prostheses, and endodontic conditions were documented, taking into consideration the presence of systemic disorders, gender, and age of the patients.
Results: Caries rates were significantly higher in the 25-40 age group (43.3%) than in the 41-60 age group (20.7%) (p<0.05). There was no statistically significant difference between the incidence of caries, endodontic treatment and prosthesis according to the presence of diabetes mellitus (p>0.05). The prevalence of prosthesis was statistically significantly greater in patients with cardiovascular disease (64.3%) than in patients without cardiovascular disease (47.7%) (p<0.05).
Conclusion: According to the findings of our study, which confirm the link between oral and overall health, challenges with general health lead to several other adverse consequences, including worsening of dental health and related complications.

Keywords

Diagnosis, Oral, Dental Health Survey, Cardiovascular Diseases, Diabetes Mellitus

References

• Canger EM, Fatma A, Tatlı Ş. The evaluation of systemic conditions of a group of individuals who attended to a dentistry faculty. J Dent Fac Atatürk Uni. 2018;28(3):333-340. DOI: 10.17567/ataunidfd.473242
• Radfar L, Suresh L. Medical profile of a dental school patient population. J Dent Educ. 2007;71(5):682-686. DOI: 10.1002/j.0022-0337.2007.71.5.tb04325.x
• Al‐Bayaty H, Murti P, Naidu R, Matthews R, Simeon D. Medical problems among dental patients at the school of dentistry, the university of the West Indies. J Dent Educ. 2009;73(12):1408-1414. DOI: 10.1002/j.0022-0337.2009.73.12.tb04837.x
• Hatipoğlu H, Demiralp B. The evaluation of medically compromised periodontal patients and the analysis of consultation forms. Clin Dent Res. 2005;29(3):65-75. DOI: 10.17098/amj.75178
• Chi AC, Neville BW, Krayer JW, Gonsalves WC. Oral manifestations of systemic disease. Am Fam Physician. 2010;82(11):1381-1388. DOI: 10.1016/b978-0-323-55225-7.00017-8
• White S, Pharoah M. Oral Radiology: Principles and Interpretation. 6th ed. Missouri: Mosby; 2009.
• Aydıntuğ YS, Şençimen M, Bayar GR, Mutlu İ, Gülses A. The frequency of various systemic diseases in adult patients admitting to the department of oral and maxillofacial surgery outpatient clinic. Gulhane Med J. 2010;52(1):7-10.
• Şener E, Gürhan C, Coşgun E, Mert A. Evaluation of the impact of systemic diseases on dental treatment need and quality of life. EÜ Dişhek Fak Derg. 2017;38(1):54-61. DOI: 10.5505/eudfd.2017.89814
• McCreary C, Ríordáin RN. Systemic diseases and the elderly. Dental update. 2010;37(9):604-607. DOI: 10.12968/denu.2010.37.9.604
• Evans CA, Kleinman DV. The Surgeon General's report on America's oral health: opportunities for the dental profession. JADA. 2000;131(12):1721-1728. DOI: 10.14219/jada.archive.2000.0118
• Cottone JA, Kafrawy A. Medications and health histories: a survey of 4,365 dental patients. JADA. 1979;98(5):713-718. DOI: 10.14219/jada.archive.1979.0134
• Segura‐Egea JJ, Jiménez‐Pinzón A, Ríos‐Santos JV, Velasco‐Ortega E, Cisneros‐Cabello R, Poyato‐Ferrera M. High prevalence of apical periodontitis amongst type 2 diabetic patients. Int Endod J. 2005;38:564-569. DOI: 10.1111/j.1365-2591.2005.00996.x
• Haq MH, Tanwir F, Nawaz M, Tabassum S, Jabar M. Association of systemic diseases on tooth loss and oral health. J Biomedical Sci. 2016, 4(1):1. DOI: 10.4172/2254-609x.100001
• Maryam A, Atessa P, Mozafari Pegah M, Zahra S, Hanieh G, Davood A, Yeganeh K. Medical risk assessment in patients referred to dental clinics, Mashhad, Iran (2011-2012). Open Dent J. 2015;9:420-425. DOI: 10.2174/1874210601509010420
• Hatipoğlu Mg, Hatipoğlu H, Pekkan G. Evaluation of medical records of a dental patient population which admitted to a university hospital dental clinic. BAUN Sağ Bil Derg. 2012;1(2):54-58. DOI: 10.5505/bsbd.2012.43153
• Kömerik N, Çadır B. The Analysis of Referral Letters Requested from the Oral Surgery Department: Is the Communication Between Medical and Dental Professionals a Neglected Issue? AOT. 2004;21(3):205-208.
• Onat A, Hergenç G, Uyarel H, Can G, Ozhan H. Prevalence, incidence, predictors and outcome of type 2 diabetes in Turkey. Anatol J Cardiol .2006;6(4):314-21.
• Ahlqwist M, Halling A, Hollender L. Rotational panoramic radiography in epidemiological studies of dental health. Comparison between panoramic radiographs and intraoral full mouth surveys. Swed Dent J. 1986;10(1-2):73-84.
• Li X, Kolltveit KM, Tronstad L, Olsen I. Systemic diseases caused by oral infection. Clin Microbiol Rev. 2000;13(4):547-558. DOI: 10.1128/CMR.13.4.547
• Gökalp S, Güçiz Doğan B, Tekçiçek M, Berberoğlu A, Ünlüer Ş. The oral health profile of adults and elderly Turkey-2004. Clin Dent Res. 2007;31(4):11-18
• Wray L. The diabetic patient and dental treatment: an update. Br Dent J. 2011;211:209-215. DOI: 10.1038/sj.bdj.2011.724
• Marotta PS, Fontes TV, Armada L, Lima KC, Rôças IN, Siqueira JF Jr. Type 2 diabetes mellitus and the prevalence of apical periodontitis and endodontic treatment in an adult Brazilian population. J Endod. 2012;38(3):297-300. DOI: 10.1016/j.joen.2011.11.001
• de Medeiros Vanderlei JM, Messora MR, Fernandes PG, Novaes AB Jr, Palioto DB, de Moraes Grisi MF, Scombatti de Souza SL, Gerlach RF, Antoniali C, Taba M Jr. Arterial hypertension perpetuates alveolar bone loss. Clin Exp Hypertens. 2013;35(1):1-5. DOI: 10.3109/10641963.2012.683969