Obezite ile Çürük, Kayıp, Dolgulu Dişler (DMFT/dmft) İndeksi Arasındaki İlişki
Obezite vücuda alınan enerjiyle harcanan enerji arasındaki dengesizlikten kaynaklanan morbidite ve mortalite oranını önemli ölçüde arttırtan kronik bir hastalıktır. Obezite prevalansı dünyada olduğu gibi ülkemizde de hızla artmaktadır. Obezite kardiyovasküler hastalıklar, diyabet, hipertansiyon, kanserler gibi bir dizi hastalıkla ilişkili olup; orta derecede kilo kaybı ile komorbiditeleri önemli ölçüde azalmaktadır. Obezite aynı zamanda çürük, kserostomi, periodontitis, diş kaybı, dentin hassasiyeti, dental erozyon gibi ağız ve diş hastalıklarına da neden olmaktadır. Diş hekimlerinin obezitenin ağız ve diş sağlığı üzerine olan etkilerini göz önünde bulundurarak obez bireyleri ağız ve diş sağlığı konusunda ayrıca bilgilendirerek motive etmeleri gerekmektedir. Bu derlemede obezitenin DMFT/dmft indeksiyle ilişkisinin literatür desteğiyle değerlendirilmesi amaçlanmıştır.
The Correlation Between Obesity and the Decayed, Missing, Filled Teeth (DMFT/dmft) Index
Obesity is a chronic disease that significantly increases the rates of morbidity and mortality induced by the imbalance between energy intake into the body and spent energy. The prevalence of obesity rapidly increases in Turkey as in the world. Obesity is associated with a number of diseases such as cardiovascular disorders, diabetes, high blood pressure and cancers, and its comorbidities significantly decrease with moderate weight loss. Obesity also causes oral and dental diseases such as decay, xerostomia, periodontitis, teeth loss, dentin tenderness and dental erosion. Dentists should motivate individuals with obesity by informing them about oral and dental health considering the effects of obesity on oral and dental health. This review article aimed to assess the correlation between obesity and DMFT/dmft index based on the literature.
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- 1. Johnson S. Role of noninvasive ventilation in the management
of obese patients. Curr Res Diabetes Obes. J 2019; 10: 1-2.
- 2. Kurt AK. Birinci basamakta obezite yönetimi. Klinik Tıp Aile
Hekimliği. 2019; 11: 55-60.
- 3. NCD Risk Factor Collaboration (NCD-RisC)-Africa Working
Group. Trends in obesity and diabetes across Africa from 1980
to 2014: An analysis of pooled population-based studies. Int J
Epidemiol. 2017; 46: 1421-1432.
- 4. Ramakrishna A, Priya N, Nandini D, Madhushankari G.
Obesity and oral health–a review. J Dent Pract Res. 2013; 1:
30-35.
- 5. Danaei G, Ding EL, Mozaffarian D, Taylor B, Rehm J, Murray
CJL, Ezzati M. The preventable causes of death in the United
States: Comparative risk assessment of dietary, lifestyle, and
metabolic risk factors. PLoS Med. 2009; 6: e1000058.
- 6. Upadhyay J, Farr O, Perakakis N, Ghaly W, Mantzoros C.
Obesity as a disease. Med Clin. 2018; 102: 13-33.
- 7. Cowley MA, Brown WA, Considine RV. Obesity: The problem
and its management. Endocrinology: Adult & Pediatric.
Elsevier. 2016; 468-478.
- 8. Rychter AM, Zawada A, Ratajczak AE, Dobrowolska A, Krela‐
Kaźmierczak I. Should patients with obesity be more afraid of
COVID‐19? Obes Rev. 2020; 21: e13083.
- 9. Elfhag K, Rössner S. Who succeeds in maintaining weight
loss? A conceptual review of factors associated with weight
loss maintenance and weight regain. Obes Rev. 2005; 6: 67-85.
- 10. Werler MM, Louik C, Shapiro S, Mitchell AA. Prepregnant
weight in relation to risk of neural tube defects. JAMA. 1996;
275: 1089-1092.
- 11. Suvan J, D’Aiuto F. Assessment and management of oral
health in obesity. Curr Obes Rep. 2013; 2: 142-149.
- 12. Sheiham A, Steele J, Marcenes W, Finch S, Walls A. 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: 703-706.
- 13. Dye BA, Shenkin JD, Ogden CL, Marshall TA, Levy SM,
Kanellis M. 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.
- 14. 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:
1080-1086.
- 15. Kottayi S, Bhat S, Hegde K, Peedikayil F, Chandru T, Anil S. A
cross-sectional study of the prevalence of dental caries among
12-to 15-year-old overweight schoolchildren. J Contemp Dent
Pract. 2016; 17: 750-754.
- 16. 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: 65-71.
- 17. Tenkumo T, Rojas-Sánchez L, Sáenz JRV, Ogawa T, Miyashita
M, Yoda N, Prymak O, Sokolova V, Sasaki K, Epple M.
Reduction of inflammation in a chronic periodontitis model
in rats by TNF-α gene silencing with a topically applied
siRNA-loaded calcium phosphate paste. Acta Biomater. 2020;
105: 263-279.
- 18. Yaylı NZA, Tunç SK, Talmaç AC, Altatari M. Relationship
between obesity and oral health. Dent Med J Rev. 2019;1:1-11.
- 19. Yuan JCC, Lee DJ, Afshari FS, Galang MTS, Sukotjo C.
Dentistry and obesity: A review and current status in US
predoctoral dental education. J Dent Educ. 2012;76:1129-
1136.
- 20. Johansson I, Tidehag P, Lundberg V, Hallmans G. Dental
status, diet and cardiovascular risk factors in middle‐aged
people in northern Sweden. Community Dent Oral Epidemiol.
1994; 22: 431-436.
- 21. Organization WH. Diet, nutrition, and the prevention
of chronic diseases: report of a joint WHO/FAO expert
consultation. WHO 2003. (Accessed March, 16, 2021, at
https:// www. who. int/dietphysicalactivity/publications/
trs916/en/)
- 22. Kemaloğlu H, Yildirim DG, Kaya A, Önal B. İzmir ilinin
Seferihisar ilçesindeki 8-12 ve 13-16 yaş aralığındaki
çocuklarda çürük dağılımının değerlendirilmesi, Bölüm: 1.
Atatürk Üniv Diş Hek Fak Derg. 2014; 24: 353-359.
- 23. Şimşek E. Obez kadınlarda uyarılmış tükürük akış hızı ve
dmf indeksinin değerlendirilmesi. Hacettepe Üniversitesi
Sağlık Bilimleri Enstitüsü, Oral Diagnoz ve Radyoloji
Doktora Tezi, Ankara 2015. (Accessed March, 16, 2021, at
http:// www. openaccess. hacettepe. edu. tr: 8080/xmlui/
bitstream/handle/11655/1077/2b85b629- 0a15- 46ee- a23fb90d32731110.
pdf? sequence=1)
- 24. Al‐Kandari Y. Prevalence of obesity in Kuwait and its relation
to sociocultural variables. Obes Rev. 2006; 7: 147-154.
- 25. Pereira A, Frias A, Hasegawa C, Ramos D, Rocha A, Bonfim D.
Assessment between dental caries index and body mass index
among adults. Oral Health Prev Dent. 2018; 16: 563-569.
- 26. Alswat K, Mohamed WS, Wahab MA, Aboelil AA. The
association between body mass index and dental caries: Crosssectional
study. J Clin Med Res. 2016; 8: 147.
- 27. 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: 178-184.
- 28. Adejumo A, Ogunlade O, Ozeigbe E, Oluwadaisi A, Asafa M.
Assessment of association between anthropometry and dental
caries among nigerian young adults: A case control study. J
Adv Med Pharm Sci. 2018; 17: 1-6.
- 29. Ahmadi-Motamayel F, Abdolsamadi H, Goodarzi MT,
Jamshidi Z, Mahdavinezhad A. Relationship between body
mass index, lipid profile and dental caries. J Islam Dental
Assoc Iran. 2018; 30: 106-112.
- 30. Li L-W, Wong HM, McGrath CP. Longitudinal association
between obesity and dental caries in adolescents. J Pediatr.
2017; 189: 149-154.
- 31. Isaksson H. On dental caries and dental erosion in Swedish
young adults. University of Gothenburg, Institute of
Odontology, Cariology Doctora Thesis, Sweden 2013.
(Accessed March, 16, 2021, at https:// gupea.ub.gu.se/
bitstream/2077/34072/1/gupea_2077_34072_1. pdf)
- 32. Alm A, Fåhraeus C, Wendt LK, Koch G, Andersson‐Gäre B,
Birkhed D. Body adiposity status in teenagers and snacking
habits in early childhood in relation to approximal caries at 15
years of age. Int J Paediatr Dent. 2008; 18: 189-196.
- 33. 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.
- 34. Goodson JM, Tavares M, Wang X, Niederman R, Cugini
M, Hasturk H, Barake R, Alsmadi O, Al-Mutawa S, Ariga J,
Soparkar P, Behbehani J, Behbehani K. Obesity and dental
decay: Inference on the role of dietary sugar. PloS One. 2013;
8: e74461.
- 35. Pinto A, Kim S, Wadenya R, Rosenberg H. Is there an
association between weight and dental caries among pediatric
patients in an urban dental school? A correlation study. J Dent
Educ. 2007; 71: 1435-1440.
- 36. D’mello G, Chia L, Hamilton SD, Thomson WM, Drummon
BK. Childhood obesity and dental caries among paediatric
dental clinic attenders. Int J Paediatr Dent. 2011; 21: 217-222.
- 37. Mathus‐Vliegen E, Nikkel D, Brand H. Oral aspects of obesity.
Int Dent J. 2007; 57: 249-256.
- 38. Forslund HB, Lindroos AK, Blomkvist K, Hakeberg M,
Berggren U, Jontell M, Torgerson JS. Number of teeth, body
mass index, and dental anxiety in middle-aged Swedish
women. Acta Odontol Scand. 2002; 60: 346-352.
- 39. Bailleul‐Forestier I, Lopes K, Souames M, Azoguy‐Levy S,
Frelut ML, Boy-Lefevre ML. Caries experience in a severely
obese adolescent population. Int J Paediatr Dent. 2007; 17:
358-363.
- 40. Markovic D, Ristic‐Medic D, Vucic V, Mitrovic G, Jelena
Ivosevic N, Peric T, Karadzic I. Association between being
overweight and oral health in Serbian schoolchildren. Int J
Paediatr Dent. 2015; 25: 409-417.
- 41. Loyola-Rodriguez JP, Villa-Chavez C, Patiño-Marin N,
Aradillas-Garcia C, Gonzalez C, de la Cruz-Mendoza E.
Association between caries, obesity and insulin resistance in
Mexican adolescents. J Clin Pediatr Dent. 2011; 36: 49-54.
- 42. Sede M, Ehizele A. Relationship between obesity and oral
diseases. Niger J Clin Pract. 2014; 17: 683-690.
- 43. Polat GG, Cehreli SB, Taşcilar ME, Akgün ÖM, Altun C,
Özgen İT. The oral health status of healthy and obese children
in a Turkish population: A cross-sectional study. Turk J Med
Sci. 2012; 42: 970-976.
- 44. Tramini P, Molinari N, Tentscher M, Demattei C, Schulte AG.
Association between caries experience and body mass index in
12-year-old French children. Caries Res. 2009; 43: 468-473.
- 45. 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: 203-210.
- 46. Willerhausen B, Blettner M, Kasaj A, Hohenfellner K.
Association between body mass index and dental health in
1,290 children of elementary schools in a German city. Clin
Oral Investig. 2007; 11: 195-200.
- 47. Creske M, Modeste N, Hopp J, Rajaram S, Cort D. How do
diet and body mass index impact dental caries in Hispanic
elementary school children? J Dent Hyg. 2013; 87: 38-46.