Kamile ERCİYAS, Kemal ÜSTÜN, Yavuz PAHLİVAN, Ahmet Mesut ONAT

Romatoid artrit ve periodontal sağlık

Periodontal hastalıklarla bazı sistemik hastalıklar karşılıklı etkileşim içerisindedirler. Periodontal hastalıklar patojenlere karşı lokal ve sistemik konak cevabını değiştirir. Bu değişim genel sağlığı ve bazı sistemik hastalıkların seyrini etkiler. Bazı sistemik hastalıklarda periodontal sağlık üzerine olumsuz katkı sağlar. Bu çalışmanın amacı Romatoid Artritli bireylerin mevcut ağız sağlığını ve periodontal durumunu değerlendirmektir. Çalışmaya Romatoid Artrit tanısı konulmuş 65 birey (55 kadın, 10 erkek) dahil edildi. Tüm bireylerden gingival indeks, plak indeksi, sondalabilen cep derinliği, klinik ataşman düzeyi ölçüldü ve eksik diş sayısı kaydedildi. İlave olarak dental radyografiler alındı. Çalışmaya katılan bireylerin periodontal parametre değerleri yüksek bulundu. Bireylerin %63'ünde gingivitis, %22'inde kronik periodontitis ve %4.6'sında agresif periodontitis tanısı konulurken, %10.8'inde periodontal hastalık tespit edilememiştir. Romatoid artrit hastalığı bulunan bireylerin periodontal sağlığının iyi olmadığı gösterilmiştir. Periodontitisin oluşturduğu sistemik etkilerin romatoid artrin sistemik bulgularını etkileme riskinden korunabilmeleri için periodontal sağlıklarına önem vermeleri büyük önem taşımaktadır.

Anahtar Kelimeler:

Sağlık durumu göstergeleri, Periodontit, Dişeti dokusu iltihabı, Artrit, romatoid, Periodontal indeks

Rheumatic arthritis and priodontal health

Periodontal diseases are characterized with inflammation in periodontal supportive tissues and alveolar bone resorption. They might interfere with systemic health or systemic disease pattern via localand systemic host response occurred against bacteria. The aim 'offthis study is to compare the öraf and periodontal health status of ' rheumatoid.arthritis.'65 subjects with rheumatoid arthritis (55 female, , 10 male) were included in this study.,Patie,ntsswere evaluated both clinically and radio graphically: The measurement of gingival index, plaque inaex,probing,depth, clinical attachment levels and the number of missing teeth we're recorded. All of the clinical periodontal parameters were found significantly higher in RA group. Our results showed that percentage of patients with gingivitis was 63%, patients with chronic periodontitis was 22%, periodontitis patients with aggressive periodontitis 'was 4.6%/ The results of this study showed weak oral health and Çeribdöhta] - status in1 patients with rheumatoid arthritis.

Keywords:

Health Status Indicators, Periodontitis, Gingivitis, Arthritis, Rheumatoid, Periodontal Index,

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