Obezite ile Diş Çürüğü ve Dental Erozyon Arasındaki İlişkilerin Değerlendirilmesi

Günümüzde sağlıklı beslenme alışkanlıklarının artmasına ve fiziksel aktivitelerin yaygınlaşmasına rağmen yeme alışkanlıklarındaki değişimler sonucu ortaya çıkan obezitede, global olarak önemli ölçüde bir artış gözlenmektedir. Ağız diş sağlığının genel sağlığın ayrılmaz bir parçası olduğu düşünüldüğünde, vücutta pek çok organda kronik iltihap meydana getiren obezitenin diş sert dokularını da etkilemesi kaçınılmazdır. Çalışmalarda obezite ile diş çürüğü arasındaki ilişki araştırılmış, ancak metodolojilerdeki farklılıklardan doğan çelişkili sonuçlar nedeniyle kesin bir ilişkiden bahsedilememiştir. Ortak etiyolojik faktör olarak bildirilen karbonhidrattan zengin beslenmenin gerek obeziteyi gerekse diş çürüğü gelişimini arttırdığı düşünülse de sosyo-ekonomik durum, ülke ekonomisi, televizyon izleme alışkanlığı gibi dispozisyonel etkenlerle birlikte multifaktöriyel bir etkileşim oluştuğu belirtilmektedir. Son yıllarda dental erozyon prevalansında görülen artışa bağlı olarak, özel bir hasta grubunu oluşturan obez bireylerde dental erozyonun incelendiği çalışmalar yapılmaya başlanmıştır. Bireylerin sadece sistemik sağlığını değil, aynı zamanda diş sert dokularını da etkileyen obezitenin literatür desteğiyle incelenmesini amaçlayan bu derlemede, özellikle obez bireylerden oluşan hasta gruplarında tıp ve diş hekimlerinin birlikte çalışmalarının gerekliliği belirlenmiştir.

Evaluation of the Relation between Obesity and Dental Caries and Erosion

Nowadays, in spite of the popularity among healthy dietary habits and sports activities, the prevalence of obesity, which is an eating disorder, has increased. As oral health is an inseparable part of systemic health, it is inevitable that obesity, which causes chronic inflammation in many organs, would not affect oral health. In studies investigating both obesity and dental caries, a definite relationship has not mentioned due to the contradictory results arising from the differences in the methodologies. Although the carbohydrate-rich diet, as a common etiological factor, is thought to increase the prevalence of both obesity and dental caries, it is stated that they had a multifactorial interaction with the dispositional factors such as socioeconomic status, the national economy and television watching habits. In recent years, due to the increase in the prevalence of dental erosion, studies have started to examine obese individuals in terms of dental erosion. In this review, obesity was aimed to be investigated with the support of literature. Besides, it has revealed the necessity of physicians and dentists working together especially in the groups of obese individuals.

___

  • 1. Kantovitz KR, Pascon FM, Rontani RMP, Gaviao MBD, Pascon FM. Obesity and dental caries-a systematic review. Oral Health Prev Dent. 2006; 4(2): 137-44.
  • 2. Song IS, Han K, Ryu JJ, Park JB. Obesity is inversely related to the risks of dental caries in Korean adults. Oral Dis. 2017; 23(8): 1080-6.
  • 3. Türkiye İstatistik Kurumu. tuik.gov.tr [İnternet]. 31 Mayıs 2017 [Erişim adresi: Mayıs 2019]. Erişim adresi: http://www.tuik.gov.tr/PreHaberBultenleri.do?id=24573.
  • 4. Koca F. saglik.gov.tr [İnternet]. Ankara: 13 Kasım 2018: T.C. Sağlık Bakanlığı 2019 yılı bütçe sunumu, TBMM Plan Bütçe Komisyonu [Erişim adresi: Mayıs 2019]. Erişim adresi: https://sgb.saglik.gov.tr.
  • 5. Dogusal G, Sönmez I. Interrelationship between childhood obesity and pediatric dentistry: a literature review. J Pediatr Res. 2017; 4(3): 90-5.
  • 6. Li LW, Wong HM, McGrath CP. Longitudinal association between obesity and dental caries in adolescents. J Pediatr. 2017; 189: 149-54.
  • 7. Nishida C, Uauy R, Kumanyika S, Shetty P. The joint WHO/FAO expert consultation on diet, nutrition and the prevention of chronic diseases: process, product and policy implications. Public Health Nutr. 2004; 7(1a): 245-50.
  • 8. Modéer T, Blomberg CC, Wondimu B, Julihn A, Marcus C. Association between obesity, flow rate of whole saliva, and dental caries in adolescents. Obesity. 2010; 18(12): 2367-73.
  • 9. Hayden C, Bowler JO, Chambers S, Freeman R, Humphris G, Richards D, et al. Obesity and dental caries in children: a systematic review and meta‐analysis. Commun Dent Oral Epidemiol. 2013; 41(4): 289-308.
  • 10. Baker JL, Olsen LW, Sørensen TI. Childhood body-mass index and the risk of coronary heart disease in adulthood. N Engl J Med. 2007; 357(23): 2329-37.
  • 11. Khan S, Barrington G, Bettiol S, Barnett T, Crocombe L. Is overweight/obesity a risk factor for periodontitis in young adults and adolescents?: a systematic review. Obes Rev. 2018; 19(6): 852-83.
  • 12. Johnson EO, Kostandi M, Moutsopoulos HM. Hypothalamic-pituitary adrenal axis function in Sjögren’s syndrome: mechanisms of neuroendocrine and immune system homeostasis. Ann N Y Acad Sci. 2006; 1088: 41-51.
  • 13. Sheiham A, Steele JG, Marcenes W, Finch S, Walls AWG. The relationship between oral health status and body mass index among older people: A national survey of older people in Great Britain. Br Dent J. 2002; 192(12): 703-6.
  • 14. Dye BA, Shenkin JD, Ogden CL, Marshall TA, Levy SM, Kanellis MJ. The relationship between healthful eating practices and dental caries in children aged 2-5 years in the United States, 1988-1994. J Am Dent Assoc. 2004; 135: 55-66.
  • 15. Khadri FA, Gopinath VK, Hector MP, Davenport ES. How preschool children learn to brush their teeth in Sharjah, United Arab Emirates. Int J Paediatr Dent. 2010; 20(3): 230-4.
  • 16. Halder S, Kaul R, Angrish P2, Saha S, Bhattacharya B, Mitra M. Association between obesity and oral health status in schoolchildren: a survey in five districts of West Bengal, India. Int J Clin Pediatr Dent. 2018; 11(3): 233-7.
  • 17. Farsi DJ, Elkhodary HM. The prevalence of overweight/obesity in high school adolescents in Jeddah and the association of obesity association with dental caries. Ann Saudi Med. 2017; 37(2): 114-21.
  • 18. Kottayi S, Bhat SS, Hegde KS, Peedikayil FC, Chandru TP, Anil S. A cross-sectional study of the prevalence of dental caries among 12-to 15-year-old overweight school children. J Contemp Dent Pract. 2016; 17(9): 750-4.
  • 19. Basha S, Mohamed RN, Swamy HS, Ramamurthy PH, Sexena V. Caries incidence among obese adolescents: a 3-year prospective study. Oral Health Prev Dent. 2017; 15(1): 65-71.
  • 20. Al‐Kandari YY. Prevalence of obesity in Kuwait and its relation to sociocultural variables. Obes Rev. 2006; 7(2): 147-54.
  • 21. Pereira ALP, Frias AC, Hasegawa CDCT, Ramos DVR, Rocha ADL, Bonfim D. Assessment between dental caries index and body mass index among adults. Oral Health Prev Dent. 2018; 16(6): 563-9.
  • 22. Alswat K, Mohamed WS, Wahab MA, Aboelil AA. The association between body mass index and dental caries: cross-sectional study. J Clin Med Res. 2016; 8(2): 147-52.
  • 23. Ashour AA, Basha S, Enan ET, Basalem A, Qahatani AA. Association between obesity/overweight and dental caries in psychiatric patients. Ann Saudi Med. 2019; 39(3): 178-84.
  • 24. Adejumo AO, Ogunlade O, Ozeigbe EO, Oluwadaisi AM, Asafa MA. Assessment of association between anthropometry and dental caries among nigerian young adults: a case control study. J Adv Med Pharma Sci. 2018; 17(2): 1-6.
  • 25. Ahmadi-Motamayel F, Abdolsamadi H, Goodarzi MT, Jamshidi Z, Mahdavinezhad A. Relationship between body mass index, lipid profile and dental caries. J Islam Dent Assoc Iran. 2018; 30(3): 106-12.
  • 26. Matheson DM, Killen JD, Wang Y, Varady A, Robinson TN. Children’s food consumption during television viewing. Am J Clin Nutr. 2004; 79(6): 1088-94.
  • 27. Sisson SB, Church TS, Martin CK, Tudor-Locke C, Smith SR, Bouchard C et al. Profiles of sedentary behavior in children and adolescents: The US national health and nutrition examination survey, 2001-2006. Int J Pediatr Obes. 2009; 4(4): 353-9.
  • 28. Alshihri AA, Rogers HJ, Alqahtani MA, Aldossary MS. Association between Dental Caries and Obesity in Children and Young People: a Narrative Review. Int J Dent. 2019; 2019: 9105759.
  • 29. Choromańska K, Choromańska B, Dąbrowska E, Bączek W, Myśliwiec P, Dadan J, et al. Saliva of obese patients-is it different?. Adv Hyg Exp Med. 2015; 69: 1190-5.
  • 30. Willershausen B, Haas G, Krummenauer F, Hohenfellner K. Relationship between highweight and caries frequency in German elementary schoolchildren. Eur J Med Res. 2004; 9: 400-4.
  • 31. Kumar S, Kroon J, Lalloo R, Kulkarni S, Johnson NW. Relationship between body mass index and dental caries in children, and the influence of socio‐economic status. Int Dent J. 2017; 67(2): 91-97.
  • 32. Suvan J, D'Aiuto F, Moles DR, Petrie A, Donos N. Association between overweight/obesity and periodontitis in adults. A systematic review. Obes Rev. 2011; 12(5): 381-404.
  • 33. Tuomi T. Pilot study on obesity in caries prediction. Commun Dent Oral Epidemiol. 1989; 17: 289-91.
  • 34. Salas MMS, Vargas-Ferreira F, Nascimento GG, Huysmanns MC, Demarco FF. Tooth erosion association with obesity: findings from a Brazilian survey in schoolchildren. Pesqui Bras Odontopediatria Clin Integr. 2018; 18(1): 1-13.
  • 35. Tong HJ, Rudolf MCJ, Muyombwe T, Duggal MS, Balmer R. An investigation into the dental health of children with obesity: an analysis of dental erosion and caries status. Eur Arch Paediatr Dent. 2014; 15(3): 203-10.
  • 36. de Almeida Bastos IH, Alves ES, de Sousa CD, Martins GB, de Jesus Campos E, Daltro C. Prevalence of risk factors for oral diseases in obese patients referred for bariatric surgery. JADA. 2018; 149(12): 1032-7.
  • 37. Sharma A, Sharma K, Mathur KP. Growth pattern and prevalence of obesity in affluent schoolchildren of Delhi. Public Health Nutr. 2007; 10(5): 485-91.
  • 38. Tschammler C, Simon A, Brockmann K, Röbl M, Wiegand A. Erosive tooth wear and caries experience in children and adolescents with obesity. J Dent. 2019; 83: 77-86.
  • 39. Prachand VN, Alverdy JC. Gastroesophageal reflux disease and severe obesity: fundoplication or bariatric surgery? World J Gastroenterol. 2010; 16(30): 3757-61.
  • 40. Griffiths LJ, Wolke D, Page AS, Horwood JP, Team AS. Obesity and bullying: different effects for boys and girls. Arch Dis Child. 2006; 91(2): 121-5.