Avtor/Urednik     Kovač-Kavčič, Marija; Skalerič, Uroš
Naslov     Systemic health in patients with periodontal disease
Prevedeni naslov     Sistemsko zdravje pacientov s parodontalno boleznijo
Tip     članek
Vir     Zdrav Vestn
Vol. in št.     Letnik 67, št. Suppl 2
Leto izdaje     1998
Obseg     str. II-69-72
Jezik     eng
Abstrakt     Background. Systemic disases may modify a host response to bacteria in dental plaque, and influence on the development and progression of periodontal disease. A periodontal patient is most frequently middle aged or older. This life period is frequently accompanied by different diseases which can influence on the periodontal treatment outcome. In order to avoid unnecessary complications the periodontist must be aware of the patient systemic diseases and impairments. The aim of our study was to find out whether systemic diseases and conditions are more frequently present in periodontal patients in comparison with subjects with healthy periodontal tissues. Methods. Periodontal tissues of the randomly selected 1210 inhabitants of Ljubljana were checked by The Community Periodontal Index of Treatment Needs Method. Out of all of 25-to 65-yr-old subjects two study groups were formed. In the first 195 persons with periodontal disease were chosen, and in the second 186 perons with relatively healthy periodontal tissues. Presence of systemic diseases were assessed by answers to a health questionnaire (Cornell Medical Index health Questionnaire). Results. Patients with periodontal disease ha dmore frequent appearance of cardiovascular diseases among which the most frequently reported was high blood pressure (22.1%), followed by rheumatoid arthritis (20.0%), asthma/hay fever (10.3%) and diabetes mellitus (8,7%). In the "healghy" group hives (31.2%) and allergy to drugs (24.7%) were more frequently reported than in the "periodontal" group. In addition, among patients with periodontal disease moderate and heavy smokers were more frequently significant, and had less teeth than "healthy" subjects.(Abstract truncated at 2000 characters.)
Izvleček     Izhodišča. Sistemske bolezni spadajo med osebnostne dejavnike, ki zmanjšajo odpornost organizma na bakterije v zobnih oblogah in tako vplivajo na začetek in klinični potek parodontalne bolezni. Pacient s parodontalno boleznijo je najpogosteje srednjih ali starejših let. Velikokrat ga spremljajo še druga bolezenska stanja, ki lahko vplivajo na spremenjen odgovor organizma na parodontalno zdravljenje in ga tudi poslabšajo. Ker so ti pacienti pogosto deležni parodontalno kirurških posegov, mora parodontolog poznati pacientovo splošno zdravstveno stanje, da lahko prepreči neljube zaplete, ki bi lahko ogrožili njegovo zdravje. Namen naše raziskave je bil ugotoviti ali so sistemske bolezni pogosteje prisotne pri osebah s parodontalno boleznijo v primerjavi z osebami, ki imajo zdrava obzobna tkiva. Metode. Obzobna tkiva 1210 naključno izbranih prebivalcev Ljubljane smo pregledali z uveljavljenim Skupnostnim indeksom potreb po parodontalnem zdravljenju. Preiskovance, ki so bili stari 25, 35, 45, 55 in 65 let, smo razdelili v dve skupini. V "parodontalno" skupino smo izbrali 195 oseb z znaki parodontalne bolezni. "Zdravo" skupino pa je sestavljalo 186 oseb z relativno zdravimi obzobnimi tkivi glede na starost. obe skupini sta predstavljali 31.5% delež pregledane populacije. Prisotnost sistemskih bolezni smo ocenili iz odgovorov na vprašalnik o zdravju (Cornell Medical index health questionnaire). Pri vrednotenju rezultatov smo uporabili test c, in Studentov t-test. Rezultati. V primerjavi z "zdravo" skupino so se v "parodontalni" skupini pogosteje pojavljale kardiovaskularne bolezni, med katerimi je bil največkrat prisoten visok krvni pritisk (22.1%), nato revmatično vnetje sklepov (20.0%), astma/seneni nahod (10.3%) in sladkorna bolezen (8.7%).(Izvleček prekinjen pri 2000 znakih.)
Deskriptorji     PERIODONTAL DISEASES
ASTHMA
HYPERTENSION
HYPERSENSITIVITY
MEDICAL HISTORY TAKING
AGE FACTORS
QUESTIONNAIRES
SMOKING