Psoriazis ve periodontal durum arasındaki ilişkinin değerlendirilmesi
Amaç: Periodontal hastalıklar mikrobiyal dental plaktaki bakterilerin neden olduğu kronik bir enfeksiyondur. Periodontopatojen bakteriler hem neden oldukları enflamasyon hem de bakteriyel ürünlerin immün yanıtta oluşturduğu değişikliklerle psoriazis hastalığının seyrini ve şiddetini etkileyebilir. Bu çalışmada psoriazis teşhisi konulmuş olan bireylerle, sistemik olarak sağlıklı bireyler arasındaki periodontal durumun karşılaştırılması amaçlandı.Gereç ve Yöntem: Bu çalışmaya psoriazis tedavisi devam eden 65 birey (test grubu; 29 kadın, 36 erkek) ve sistemik olarak sağlıklı 100 birey (kontrol grubu; 52 kadın, 48 erkek) dahil edildi. Hastaların klinik ve radyolojik periodontal değerlendirmesi yapıldı. Hastalar periodontal durumlarına göre gingivitis, Stage 1 periodontitis ve Stage 2 periodontitis olarak alt gruplara ayrıldı. Psoriazisli bireylerin dermatolojik değerlendirilmesi Psoriazis Alan ve Şiddet İndeksi (PAŞİ) kullanılarak yapıldı. Elde edilen veriler p<0.05 anlamlılık düzeylerine göre istatistiksel olarak analiz edildi.Bulgular: Demografik verilerin değerlendirmesi, gruplar arasında benzer yaş, cinsiyet, medeni durum ve eğitim durumu seviyeleri olduğunu gösterdi (p>0.05). Fırçalama sıklığı, oral hijyen seviyesi ve sosyoekonomik durum kontrol grubunda daha yüksek bulundu (p<0.05). Periodontal klinik parametreler değerlendirildiğinde test grubunda sondalama cep derinliği (SCD) ve plak indeksi (Pİ) seviyelerinin daha yüksek olduğu görüldü(p<0.05). Psoriazisli bireylerde PAŞİ seviyeleri ile periodontal klinik parametreler arası ilişki incelendiğinde ise Pİ, Gİ ve SKİ seviyeleri, PAŞİ değerleri 0-5, 5-10 ve >10 olan bireylerde benzer bulundu (p>0.05). SCD seviyeleri açısından psoriazisli hastaların PASI alt grupları arasında anlamlı farklılık gözlendi(p<0.05).Sonuç: Psoriazis hastalarının, sistemik sağlıklı bireylere göre, ağız hijyeni seviyelerinin ve periodontal durumlarının daha kötü olduğu görülmektedir. Çalışmamızın sonuçları dahilinde psoriazis ile periodontal hastalık arasında pozitif bir ilişki olduğu söylenebilir.
Anahtar Kelimeler:
Periodontal hastalıklar, periodontit, psöriyazis
Evaluation of the association between psoriasis and periodontal status
Objective: Periodontal disease is a chronic infection induced by bacteria of the microbial dental plaque. Periodontopathogenic bacteria can affect the formation and severity of psoriasis by both the inflammation they cause and the altered immune response by their products. The aim of this study was to compare the periodontal status between psoriasis-diagnosed individuals and systemically healthy individuals. Materials and Method: Sixty-five patients undergoing psoriasis treatment (test group; 29 females, 36 males) and 100 systemic healthy individuals (control group; 52 females, 48 males) were included in the present study. Clinical and radiographic periodontal assessments were performed. The patients were divided into subgroups according to their periodontal status as gingivitis, Stage 1 and Stage 2 periodontitis. The dermatological evaluation of the psoriasis patients was performed using the Psoriasis Area and Severity Index (PASI). The data were statistically analyzed considering p<0.05 as significant. Results: The demographic data presented similar age, gender, marital status, and educational status among the groups (p>0.05). Tooth brushing frequency, oral hygiene levels, and socioeconomic status were found higher in the control group (p<0.05). When periodontal clinical parameters were evaluated, probing pocket depth (PPD) and plaque index (PI) were found higher in the test group (p<0.05). Likewise, when the relationship between PASI levels and periodontal clinical parameters were examined in psoriasis patients, PI, GI, and BOP levels were found similar in the patients with 0-5, 5-10 and >10 PASI values (p>0.05). Significant PPD level differences were detected among the PASI subgroups of the psoriasis patients (p<0.05). Conclusion: Psoriasis patients appear to have poor oral hygiene and poor periodontal status compared to systemically healthy individuals. The findings suggest a positive relationship between periodontal disease and psoriasis.
Keywords:
psoriasis, periodontal diseases, periodontitis,
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- Yayın Aralığı: Yılda 3 Sayı
- Başlangıç: 1984
- Yayıncı: Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi
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Psoriazis ve periodontal durum arasındaki ilişkinin değerlendirilmesi