Behçet Hastalarında Oral Sağlığın Değişimi: 10 Yıllık İzlem Çalışması

Year 2011, Volume: 24 Issue: 1, 21 - 25, 30.03.2015

Gonca Mumcu , Nevsun İnanç Tulin Ergun Haner Direskeneli

Abstract

Giriş: Bu araştırmanın amacı Behçet hastalarında (BH)
10 yıllık dönemde oral sağlıktaki değişimleri
incelemektir.
Hastalar ve Yöntemler: Bu retrospektif araştırmaya 10
yıl süresince düzenli olarak klinik, laboratuvar ve oral
sağlık değerlendirmeleri yapılan 18 BH’lı hasta seçildi
(K/E: 12/6, yaş ort.:36.4 ± 9.9 yıl). Oral sağlık dental ve
periodontal indeksler ile değerlendirildi. Hastalara her
muayenede düzenli olarak oral hijyen eğitimi verildi. Oral
ülser sayısı/ay kaydedildi ve hastalık şiddet skoru
hesaplandı.
Bulgular: Diş fırçalama sıklığının 10 yıllık izlem
sonrasında (median:1.2) başlangıç dönemine
(median:1) göre artış gösterdiği ama anlamlı farklılığa
ulaşmadığı görüldü (p=0.06). Başlangıç ve kontrol
dönemlerinde dental ve periodontal indeks skorlarında
anlamlı farklılık tespit edilmedi (p>0.05). Aylık oral ülser
sayısı ise 10 yıllık izlem döneminde (median:1)
başlangıç dönemine göre (median:6) anlamlı olarak
azaldı (p=0.000).
Sonuçlar: Behçet hastalarında ağrılı ülser varlığının
oral sağlığı olumsuz yönde etkilemesine rağmen, 10
yıllık izlem döneminde oral hijyen eğitimi ve motivasyon
ile dental ve periodontal sağlığın stabil kaldığı belirlendi.
Ancak oral hijyenin iyileştirilmesi ile oral ülserin azalması
arasındaki ilişkinin daha iyi değerlendirilebilmesi için
yeni çalışmalara ihtiyaç vardır.

Keywords

Oral sağlık, Oral hijyen, Oral ülser ve Behçet hastalığı

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