Mustafa KELEŞ, Gülnihal DOĞAN EMREM, Hülya AKSOY

Periton Diyalizi ve Hemodiyaliz Hastalarında Periodontal Hastalık ile Serum Lipid Seviyeleri Arasındaki İlişki

AMAÇ: Sağlıklı bireylerde yapılan bazı çalışmalarda periodontal hastalık varlığı ile serum lipid değerleri arasında anlamlı bir ilişki olduğu gösterilmiştir. Ancak böbrek hastalığı olanlarda bu konu ile ilgili bir çalışma bulunmamaktadır. Biz de bu çalışmamızda periton diyalizi PD ve hemodiyaliz HD hastalarında periodontal parametreler ile serum lipid seviyeleri arasında ilişki olup olmadığını değerlendirmeyi amaçladık.YÖNTEMLER: Çalışmaya 54 periton diyalizi ve 40 hemodiyaliz hastası dahil edildi. Tüm hastalara değerlendirmeler yapılmadan 3 ay önce ağız hijyeni eğitimi verildi. Hastalar sağlıklı, gingivitis ve periodontitis olmak üzere 3 alt gruba ayrıldı. Hastaların plak indeksi Pİ , gingival indeks Gİ , sondalanabilir cep derinlikleri SCD , klinik ataşman seviyeleri KAS ve DMFT skorları kaydedildi. Hastalardan venöz kan örnekleri alınarak serum total kolesterol TKol , düşük dansiteli lipoprotein LDL , yüksek dansiteli lipoprotein HDL ve trigliserit düzeylerine bakıldı. BULGULAR: Çalışmamızda HD ve PD grupları arasında DMFT skorları istatistiksel olarak farklılık göstermemektedir p>0,05 . HD ve PD hastalarında serum lipid seviyeleri ile periodontal hastalıklar arasında ilişki bulunamamıştır. p>0,05 . Serum lipidlerinin ortalama değerleri gruplar arasında ve her bir alt grupta farklılık gösterse de bu fark istatistiksel olarak anlamlı değildi p>0,05 . SONUÇ: Literatürde sağlıklı bireylerde periodontal hastalık varlığı ile serum lipid değerleri arasında anlamlı bir ilişki bulunmuş olmasına rağmen bizim çalışmamızda diyaliz hastalarında periodontal hastalık ile serum lipid seviyeleri arasında bir ilişki bulunamamıştır.

Anahtar Kelimeler:

Periodontal hastalıklar, serum lipid seviyeleri, periton diyalizi, hemodiyaliz.

Relationship between periodontal diseases and serum lipid levels in patients undergoing peritoneal dialysis and hemodialysis

OBJECTIVE: The aim of this study was to evaluate in association between periodontal diseases and serum total cholesterol TC , triglyceride, low density lipoprotein LDL and high density lipoprotein HDL levels in patients undergoing peritoneal dialysis or hemodialysis treatment.METHODS: 40 hemodialysis HD and 54 peritoneal dialysis PD patients were included in the study. Groups divided into three subgroups as healthy, gingivitis and periodontitis. Decayed, missing, filled teeth index DMFT scores and fasting venous blood samples were obtained from all of the subjects. RESULTS: Significant differences in age, gender and DMFT scores p>0.05 were not observed. HDL, LDL and TC levels were significantly higher in PD group than HD group p0.05 . There were no significantly difference in the serum TC, Triglyceride, LDL, HDL and CRP levels in each subgroups of PD group p>0.05 . There were no significantly difference in the serum TC, Triglyceride, LDL, HDL and CRP levels in each subgroups of HD group p>0.05 .CONCLUSION: The results indicate that there is no significant association between periodontal diseases and serum lipid levels in dialysis patients.

Keywords:

Periodontal diseases, serum lipid levels, peritoneal dialysis, hemodialysis,

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