Gizem AYAN, Burak DAYI, Şelale ŞAHİN, Bahri EVREN

Morbid Obez ve Obez Hastalarda DMFT İndeksi ve Tükürük Değerlerinin İncelenmesi

Amaç: Obezite gelişmiş ve gelişmekte olan ülkeleri etkileyen küresel ve kronik bir hastalıktır. Bu çalışmanın hedefi morbid obezite ve obezitenin çürük, kayıp ve dolgulu dişler (DMFT) indeksi ve tükürük değerleri üzerindeki etkilerini araştırmaktır. Gereç ve Yöntem: Çalışmaya 18-68 yaş arası 50 morbid obez, 50 obez ve 50 normal kilolu hasta dahil edildi. Hastaların DMFT indeksi klinik muayene ile belirlendi. Tükürük değerleri ise [uyarılmamış tükürük akış hızı(USFR), uyarılmış tükürük akış hızı(SSFR), tükürük viskozitesi(SV), tükürük pH'ı(SpH) ve tükürük tamponlama kapasitesi(SBC)] tükürük kiti yardımıyla belirlendi. Hastalar ağız bakım alışkanlıkları, beslenme alışkanlıkları ve sosyoekonomik durumlarını belirlemek amacıyla ankete tabi tutuldu. Bulgular: Gruplar arasında çürük diş sayısı, dolgulu diş sayısı, USFR ve SV açısından anlamlı fark görülmedi (p>0.05). DMFT indeksi, kayıp diş sayısı, SSFR, SpH ve SBC açısından gruplar arasında anlamlı fark bulundu (p<0.05). Çoklu lineer regresyon modeline göre diş hekimine gitme sıklığı (Beta=0,365), yaş (Beta=0,322) ve uyarılmış tükürük akış hızı (Beta=-0,256) DMFT ile ilişkili anlamlı değişkenlerdi. Sonuç: Obez hastalar düşük tükürük akışı, düşük tükürük pH'ı, düşük tamponlama kapasitesi, yüksek DMFT indeksi ve yüksek kayıp diş sayısına sahiptir.

Anahtar Kelimeler:

Diş çürüğü, obezite, tükürük, DMFT

Investigation of DMFT index and saliva values in morbidly obese and obese patients

Objective: Obesity is a global, chronic disease that affects both developed and developing countries. The purpose of this study is to examine the effect of morbid obesity and obesity affect the decayed, missing, and filled teeth (DMFT) index and saliva values. Methods: The study included 50 morbidly obese, 50 obese, and 50 control group patients ranging in age from 18 to 68. The DMFT index of the patients was determined by clinical examination. The saliva kit was used to determine saliva values [unstimulated saliva flow rate (USFR), stimulated saliva flow rate (SSFR), saliva viscosity (SV), saliva pH (SpH), and saliva buffering capacity (SBC)]. The patients were surveyed to learn about their oral health habits, nutritional habits, and socioeconomic status. Results: There was no significant difference in the number of decayed teeth, filled teeth, USFR, or SV between the groups (p>0.05). The DMFT index, number of missing teeth, SSFR, SpH, and SBC all showed significant differences between the groups (p<0.05). Significant variables associated with DMFT, according to the multiple linear regression model, are frequency of dental visits (Beta=0.365), age (Beta=0.322), and stimulated saliva flow rate (Beta=-0.256). Conclusions: Obese patients have low saliva rate, low saliva pH, low buffering capacity, high DMFT index and high number of missing teeth.

Keywords:

DMFT, obesity, salivary, tooth decay,

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ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez