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Tip II diyabetli periodontitis hastalarında periodontal tedavinin ağız kokusuna etkisi

Year 2008, Volume: 11 Issue: 1, 28 - 34, 11.11.2011

Aysun Akpinar , Tamer Ataoglu Vildan Bostanci İsmail Marakoglu Hafize Sezer

Abstract

The aim of this study was to evaluate the effect of Phase 1 periodontal therapy on oral malodour levels in Type 2 DM patients with chronic periodontitis. Out of fifty patients, 24 females and 26 males, were included in the study. Thirty of them were in test group (TG) and the rest were in control group (CG). Test group received Phase 1 periodontal therapy, however, control group received neither periodontal therapy nor oral hygiene instructions. Clinical evaluation of the patients consisted of; Plaque index (PI), Gingival index (GI), probing depth (PD) and oral malodour (HMV) evaluations. At the end of the study, clinical parameters of the test group, decreased PI, GI, PD, and HLM values(P<0.05). However, in the

control group, changes on PI, GI and HDM values were statistically insignificant (p>0.05), but the increase on PD value were statistically significant. Also, however none of the values changed statistically in control group. Within the limits of this study, conclude that periodontal therapy in Type II DM patients with chronic periodontitis has favourable effects on halitozis .

 

ÖZET

Bu araştırmada, Tip II diyabetli kronik periodontitis hastalarında başlangıç periodontal tedavisinin halitozis(ağız kokusu) değerine etkisi amaçlandı. Çalışmaya 24’ü kadın, 26’sı erkek toplam 50 birey katıldı. Bu hastaların 30’u tedavi, 20’si kontrol grubuna dahil edildi. Tedavi grubuna başlangıç periodontal tedavisi, diğer kontrol grubuna ise çalışma süresince hiçbir tedavi ya da oral hijyen eğitiminde bulunulmadı. Hastaların klinik olarak değerlendirilmesinde plak indeksi (Pİ), gingival indeks (Gİ), sondalama cep derinliği (SCD) ve ağız kokusu (HMD) ölçümleri yapıldı. Bu işlemler başlangıç ve tedavi sonrası 3.ayda tekrarlandı. Çalışma sonucunda tedavi grubunda klinik parametrelerden Pİ, Gİ, SCD ve HMD ortalama değerlerinde azalma istatistiksel olarak anlamlı bulundu (p<0.05). Kontrol grubunda ise Pİ, Gİ, HMD ortalama değerlerinde anlamlı bir değişiklik olmazken (p>0.05), SCD değerinde istatistiksel olarak anlamlı bir artış bulundu (p<0.05). Bu araştırmanın sınırları içerisinde; Tip II diyabetli kronik periodontitis hastalarında başlangıç periodontal tedavinin, halitozis (ağız kokusu) üzerine olumlu etkileri olduğu düşünülmektedir.

Anahtar Kelime: Periodontitis, Diyabet, Ağız kokusu

Keywords

Periodontitis; diabetes mellitus; halitozis

References

  • Aköz M. Diyabetlilerde fruktozamin ve bazı lipid parametrelerinin araştırılması ve normallerle karşılaştırılması. Uzmanlık tezi, Selçuk Ü. Sağlık Bilimleri Enstitüsü, Konya, 1990.
  • Aldridge JP, Lester V, Watts TLP, Collins A, Viberti G, Wilson RF. Single-blind studies of the effects of improved periodontal health on metabolic control in type1 diabetes mellitus. J Clin Periodontol 1995;22:271-275.
  • Almas K, Al-Lazzam S, Al-Quadiri A. The effect of oral hygiene instructions on diabetic type 2 male patients with periodontal diseases. J Contemp Dent Pract 2003;4:40-51.
  • Almas K, Al-Qahtani M, Al-Yami M, Khan N. The relationship between periodontal disease and blood glucose level among type II diabetic patients. J Contemp Dent Pract 2001;4:18-25.
  • Al-Mubarak S, Ciancio S, Aljada A, Awa H, Hamouda W, Ghanim H, Zambon J, Boardman TJ, Mohanty P, Ross C, Dandona P. Comparative evaluation of adjunctive oral irrigation in diabetics. J Clin Periodontol 2002;29:295-300.
  • Amado F, Chinellato LE, Tarzia O, Rezende ML. Evaluation of oral preliminary report. Cleft Palate Craniofac J 2004;41:661-663.
  • Aydın S. Tip II diyabette makrovasküler komplikasyonlar açısından serum sitokin (tümör nekroz faktör-α ve interlökin 1-β) düzeylerinin ve lipid peroksidasyonunun değerlendirilmesi. Doktora tezi, İstanbul Ü. Sağlık Bilimleri Enstitüsü, İstanbul, 1998.
  • Baker J, Cutfield R, Taylor W. Fructosamine in a diabetic clinic. NZ Med J 1987;100:733-735.
  • Braatvedt GD, Lecterer S, Drury PL, Cudy T. Assessing glycemic control in diabetes: Relationships between fructosamine and HgA1c. NZ Med J 1997;110:458-462.
  • Diabetes and periodontal diseases. Position paper. J Periodontol Christgau M, Palitzsch K-D, Schmalz G, Kreiner U, Frenzel S. Healing response to non-surgical periodontal therapy in patients with diabetes mellitus: Clinical, microbiological and immunologic results. J Clin Periodontol 1998;25:112-124.
  • Fıratlı E. The relationship between clinical periodontal status and insulin-dependent diabetes mellitus. Results after 5 years. J Periodontol 1997;68:136-140.
  • Grossi SG, Skrepcinski FB, DeCaro T, Robertson DC, Ho AW, Dunford RG, Genco RJ. Treatment of periodontal disease in diabetics reduces glycated hemoglobin. J Periodontol 1997;68:713-719.
  • Grossi SG, Skrepcinski FB, DeCaro T, Robertson DC, Ho AW, Dunford RG, Genco RJ. Treatment of periodontal disease in diabetics reduces glycated hemoglobin. J Periodontol 1997;68:713-719.
  • Iwamoto Y, Nishimura F, Nakagawa M, Sugimoto H, Shikata K, Makino H, Fukuda T, Tsuji T, Iwamoto M, Murayama Y. The effect of antimicrobial periodontal treatment on circulating tumor necrosis factor-alpha and glycated hemoglobin level in patients with type 2 diabetes. J Periodontol 2001;72:774-778.
  • Kara C, Tezel A, Orbak R ; Effect of oral hygiene instruction and scaling on oral malodor in a population of turkish children with gingival inflamation. İnternational Journal of Pediatric Dentistry; ;16; 399-404. Kesim S. Ratlarda deneysel diyabetin periodontal dokulara etkisinin mikrobiyolojik ve histopatolojik olarak incelenmesi. Doktora tezi, Selçuk Ü. Sağlık Bilimleri Enstitüsü, Konya, 1994.
  • Kıran M. Tip II diabetes mellitus hastalarında periodontal tedavinin hastalığın metabolik kontrolüne etkisi. Doktora tezi, Ankara Ü. Sağlık Bilimleri Enstitüsü, Ankara, 2002.
  • Köşger H, Yeler H. Halitozis (Ağız Kokusu). Cumhuriyet Üniversitesi Diş Hekimliği Fakültesi Dergisi 2003; 6: 139-147.
  • Lee CH, Kho HS, Chung SC, Lee SW, Kim YK. The relationship between volatile sulfur compounds and major halitosis- inducing factors. J Periodontol 2003;74:32-37.
  • Lindhe J. Clinical Periodontology and Implant Dentistry. 3rd edition, Munskgaard, Copenhagen, 1998
  • Löe H. The Gingival Index, the Plaque Index and the Retantion ındex systems, J Clin Periodontol 1967;38:61-70.
  • Lösche W, Karapetow F, Pohl A, Pohl C, Kocher T. Plasma lipid and blood glucose levels in patients with destructive periodontal disease. J Clin Periodontol 2000;27:537-541.
  • Miller LS, Manwell MA, Newbola D, Reding ML, Rasheed A, Blogett J, Kornman KS. The relationship between reduction in periodontal inflammation and diabetes control : A report of 9 cases. J Periodontol 1992;63:843-848.
  • Morita M, Wang H-L: Association between oral malodor and adult periodontitis: A rewiew. J Clin Periodontol 2001;28:813-819.
  • Oho T,Yoshida Y, Shimazaki Y, Yamashita Y, Koga T: Characteristics of patients complaining of halitozis and the usefulness of choromatograpy for diagnosing halitosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;91:531-534.
  • Orbak R: Kontrol altındaki diabetik bireylerde ağız kokusunu gidermek için yapılan farklı periodontal tedavi yaklaşımları. A Ü Diş Hek Fak Derg, 1996; 23:197-201.
  • Page RC. The pathobiology of periodontal diseases may affect systemic diseases: Inversion of a paradigm. Ann Periodontol ;3:108-120. Quirynen M, Mongardini C, Steenberghe D: The effect of a 1- stage full-mouth disinfection on oral malodor and microbial colonization of the tongue in periodontitis patients. A pilot study. J Periodontol, 1998; 69:374-382.
  • Replogle WH, Beebe DK: Halitosis. Am Fam Physician, 1996; : 1215-1223.
  • Sanz M, Roldan S, Herrera D: Fundamentals of breath malodour. J Contemp Dent Pract, 2001;2: 1-12.
  • Schully C, Porter S, Greenman J: What to do about Halitosis? BMJ, 1994; 308:217-218.
  • Seppala B, Ainamo J. A site-by-site follow-up study on the effect of controlled versus poorly controlled insulin-dependent diabetes mellitus. J Clin Periodontol 1994;21:161-165.
  • Seppala B, Seppala M, Ainamo J. A longitudinal study on insulin-dependent diabetes mellitus and periodontal disease. J Clin Periodontol 1993;20;161-165.
  • Shimura M, Watanabe S, Iwakura M, Oshikiri Y, Kusumoto M, Ikawa K, Sakamoto S. Correlation between measurements using a new halitosis monitor and organoleptic assessment. J Periodontol ;68:1182-1185.
  • Smith GT, Greenbaum CJ, Johnson BD, Rutger G. Short-term responses to periodontal therapy in insulin-dependent diabetic patients. J Periodontol 1996;67:794-802.
  • Taylor GW, Burt BA, Becker MP, Genco RJ, Shlooman M, Knowler WC, Pettitt DJ. Severe periodontitis and risk for poor glycemic control in patients with non-insulin-dependent diabetes mellitus. J Periodontol 1996;67:1085-1093
  • Tervonen T, Oliver RC. Long-term control of diabetes mellitus and periodontitis. J Clin Periodontol 1993;20:431-435.
  • Ünal T, Fıratlı E, Sivas A, Meriç H, Öz H. Fructosamine as a possible monitoring parameter in non-insulin dependent diabetes mellitus patients with periodontal disease. J Periodontol Westfelt E, Rylander H, Blohme G, Jonasson P, Lindhe J. The effect of periodontal therapy in diabetics: Results after 5 years. J Clin Periodontol 1996;23:92-100.
  • Young A, Jonski G, Rölla G, Waler SM: Effects of metal salts on the oral production of volatile sulfur containing compounds(VSC). J Clin Periodontol, 2001; 28:776-781.

TİP II DİYABETLİ PERİODONTİTİS HASTALARINDA PERİODONTAL TEDAVİNİN AĞIZ KOKUSUNA ETKİSİ

Year 2008, Volume: 11 Issue: 1, 28 - 34, 11.11.2011

Aysun Akpinar , Tamer Ataoglu Vildan Bostanci İsmail Marakoglu Hafize Sezer

Abstract

Bu araştırmada, Tip II diyabetli kronik periodontitis hastalarında başlangıç periodontal tedavisinin halitozis(ağız kokusu) değerine etkisi amaçlandı.Çalışmaya 24’ü kadın, 26’sı erkek toplam 50 birey katıldı. Bu hastaların 30’u tedavi, 20’si kontrol grubuna dahil edildi. Tedavi grubuna başlangıç periodontal tedavisi, diğer kontrol grubuna ise çalışma süresince hiçbir tedavi ya da oral hijyen eğitiminde bulunulmadı. Hastaların klinik olarak değerlendirilmesinde plak indeksi (Pİ), gingival indeks (Gİ), sondalama cep derinliği (SCD) ve ağız kokusu (HMD) ölçümleri yapıldı. Bu işlemler başlangıç ve tedavi sonrası 3.ayda tekrarlandı.Çalışma sonucunda tedavi grubunda klinik parametrelerden Pİ, Gİ,SCD ve HMD ortalama değerlerinde azalma istatistiksel olarak anlamlı bulundu (p0.05), SCD değerinde istatistiksel olarak anlamlı bir artış bulundu (p

Keywords

Periodontitis Diyabet Ağız kokusu

References

  • Aköz M. Diyabetlilerde fruktozamin ve bazı lipid parametrelerinin araştırılması ve normallerle karşılaştırılması. Uzmanlık tezi, Selçuk Ü. Sağlık Bilimleri Enstitüsü, Konya, 1990.
  • Aldridge JP, Lester V, Watts TLP, Collins A, Viberti G, Wilson RF. Single-blind studies of the effects of improved periodontal health on metabolic control in type1 diabetes mellitus. J Clin Periodontol 1995;22:271-275.
  • Almas K, Al-Lazzam S, Al-Quadiri A. The effect of oral hygiene instructions on diabetic type 2 male patients with periodontal diseases. J Contemp Dent Pract 2003;4:40-51.
  • Almas K, Al-Qahtani M, Al-Yami M, Khan N. The relationship between periodontal disease and blood glucose level among type II diabetic patients. J Contemp Dent Pract 2001;4:18-25.
  • Al-Mubarak S, Ciancio S, Aljada A, Awa H, Hamouda W, Ghanim H, Zambon J, Boardman TJ, Mohanty P, Ross C, Dandona P. Comparative evaluation of adjunctive oral irrigation in diabetics. J Clin Periodontol 2002;29:295-300.
  • Amado F, Chinellato LE, Tarzia O, Rezende ML. Evaluation of oral preliminary report. Cleft Palate Craniofac J 2004;41:661-663.
  • Aydın S. Tip II diyabette makrovasküler komplikasyonlar açısından serum sitokin (tümör nekroz faktör-α ve interlökin 1-β) düzeylerinin ve lipid peroksidasyonunun değerlendirilmesi. Doktora tezi, İstanbul Ü. Sağlık Bilimleri Enstitüsü, İstanbul, 1998.
  • Baker J, Cutfield R, Taylor W. Fructosamine in a diabetic clinic. NZ Med J 1987;100:733-735.
  • Braatvedt GD, Lecterer S, Drury PL, Cudy T. Assessing glycemic control in diabetes: Relationships between fructosamine and HgA1c. NZ Med J 1997;110:458-462.
  • Diabetes and periodontal diseases. Position paper. J Periodontol Christgau M, Palitzsch K-D, Schmalz G, Kreiner U, Frenzel S. Healing response to non-surgical periodontal therapy in patients with diabetes mellitus: Clinical, microbiological and immunologic results. J Clin Periodontol 1998;25:112-124.
  • Fıratlı E. The relationship between clinical periodontal status and insulin-dependent diabetes mellitus. Results after 5 years. J Periodontol 1997;68:136-140.
  • Grossi SG, Skrepcinski FB, DeCaro T, Robertson DC, Ho AW, Dunford RG, Genco RJ. Treatment of periodontal disease in diabetics reduces glycated hemoglobin. J Periodontol 1997;68:713-719.
  • Grossi SG, Skrepcinski FB, DeCaro T, Robertson DC, Ho AW, Dunford RG, Genco RJ. Treatment of periodontal disease in diabetics reduces glycated hemoglobin. J Periodontol 1997;68:713-719.
  • Iwamoto Y, Nishimura F, Nakagawa M, Sugimoto H, Shikata K, Makino H, Fukuda T, Tsuji T, Iwamoto M, Murayama Y. The effect of antimicrobial periodontal treatment on circulating tumor necrosis factor-alpha and glycated hemoglobin level in patients with type 2 diabetes. J Periodontol 2001;72:774-778.
  • Kara C, Tezel A, Orbak R ; Effect of oral hygiene instruction and scaling on oral malodor in a population of turkish children with gingival inflamation. İnternational Journal of Pediatric Dentistry; ;16; 399-404. Kesim S. Ratlarda deneysel diyabetin periodontal dokulara etkisinin mikrobiyolojik ve histopatolojik olarak incelenmesi. Doktora tezi, Selçuk Ü. Sağlık Bilimleri Enstitüsü, Konya, 1994.
  • Kıran M. Tip II diabetes mellitus hastalarında periodontal tedavinin hastalığın metabolik kontrolüne etkisi. Doktora tezi, Ankara Ü. Sağlık Bilimleri Enstitüsü, Ankara, 2002.
  • Köşger H, Yeler H. Halitozis (Ağız Kokusu). Cumhuriyet Üniversitesi Diş Hekimliği Fakültesi Dergisi 2003; 6: 139-147.
  • Lee CH, Kho HS, Chung SC, Lee SW, Kim YK. The relationship between volatile sulfur compounds and major halitosis- inducing factors. J Periodontol 2003;74:32-37.
  • Lindhe J. Clinical Periodontology and Implant Dentistry. 3rd edition, Munskgaard, Copenhagen, 1998
  • Löe H. The Gingival Index, the Plaque Index and the Retantion ındex systems, J Clin Periodontol 1967;38:61-70.
  • Lösche W, Karapetow F, Pohl A, Pohl C, Kocher T. Plasma lipid and blood glucose levels in patients with destructive periodontal disease. J Clin Periodontol 2000;27:537-541.
  • Miller LS, Manwell MA, Newbola D, Reding ML, Rasheed A, Blogett J, Kornman KS. The relationship between reduction in periodontal inflammation and diabetes control : A report of 9 cases. J Periodontol 1992;63:843-848.
  • Morita M, Wang H-L: Association between oral malodor and adult periodontitis: A rewiew. J Clin Periodontol 2001;28:813-819.
  • Oho T,Yoshida Y, Shimazaki Y, Yamashita Y, Koga T: Characteristics of patients complaining of halitozis and the usefulness of choromatograpy for diagnosing halitosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;91:531-534.
  • Orbak R: Kontrol altındaki diabetik bireylerde ağız kokusunu gidermek için yapılan farklı periodontal tedavi yaklaşımları. A Ü Diş Hek Fak Derg, 1996; 23:197-201.
  • Page RC. The pathobiology of periodontal diseases may affect systemic diseases: Inversion of a paradigm. Ann Periodontol ;3:108-120. Quirynen M, Mongardini C, Steenberghe D: The effect of a 1- stage full-mouth disinfection on oral malodor and microbial colonization of the tongue in periodontitis patients. A pilot study. J Periodontol, 1998; 69:374-382.
  • Replogle WH, Beebe DK: Halitosis. Am Fam Physician, 1996; : 1215-1223.
  • Sanz M, Roldan S, Herrera D: Fundamentals of breath malodour. J Contemp Dent Pract, 2001;2: 1-12.
  • Schully C, Porter S, Greenman J: What to do about Halitosis? BMJ, 1994; 308:217-218.
  • Seppala B, Ainamo J. A site-by-site follow-up study on the effect of controlled versus poorly controlled insulin-dependent diabetes mellitus. J Clin Periodontol 1994;21:161-165.
  • Seppala B, Seppala M, Ainamo J. A longitudinal study on insulin-dependent diabetes mellitus and periodontal disease. J Clin Periodontol 1993;20;161-165.
  • Shimura M, Watanabe S, Iwakura M, Oshikiri Y, Kusumoto M, Ikawa K, Sakamoto S. Correlation between measurements using a new halitosis monitor and organoleptic assessment. J Periodontol ;68:1182-1185.
  • Smith GT, Greenbaum CJ, Johnson BD, Rutger G. Short-term responses to periodontal therapy in insulin-dependent diabetic patients. J Periodontol 1996;67:794-802.
  • Taylor GW, Burt BA, Becker MP, Genco RJ, Shlooman M, Knowler WC, Pettitt DJ. Severe periodontitis and risk for poor glycemic control in patients with non-insulin-dependent diabetes mellitus. J Periodontol 1996;67:1085-1093
  • Tervonen T, Oliver RC. Long-term control of diabetes mellitus and periodontitis. J Clin Periodontol 1993;20:431-435.
  • Ünal T, Fıratlı E, Sivas A, Meriç H, Öz H. Fructosamine as a possible monitoring parameter in non-insulin dependent diabetes mellitus patients with periodontal disease. J Periodontol Westfelt E, Rylander H, Blohme G, Jonasson P, Lindhe J. The effect of periodontal therapy in diabetics: Results after 5 years. J Clin Periodontol 1996;23:92-100.
  • Young A, Jonski G, Rölla G, Waler SM: Effects of metal salts on the oral production of volatile sulfur containing compounds(VSC). J Clin Periodontol, 2001; 28:776-781.
There are 37 citations in total.

Details

Primary Language English
Journal Section Original Research Articles
Authors

Aysun Akpinar

Tamer Ataoglu

Vildan Bostanci

İsmail Marakoglu

Hafize Sezer

Publication Date November 11, 2011
Submission Date November 11, 2011
Published in Issue Year 2008Volume: 11 Issue: 1

Cite

EndNote Akpinar A, Ataoglu T, Bostanci V, Marakoglu İ, Sezer H (November 1, 2011) Tip II diyabetli periodontitis hastalarında periodontal tedavinin ağız kokusuna etkisi. Cumhuriyet Dental Journal 11 1 28–34.

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