Features of clinical manifestations of perodontal tissue damage in adolescents on the area of alimentary-constitutional obesity
DOI:
https://doi.org/10.11603/2311-9624.2017.3.8026Keywords:
alimentary-constitutional obesity, periodontal disease.Abstract
The article presents the results of clinical examination of periodontal tissues in adolescents against the background of alimentary-constitutional obesity.
The aim of the study – to investigate the features of the course of diseases of the periodontal tissue according to clinical indices in persons with alimentary-constitutional obesity.
Materials and Methods. As a result of the survey, 95 adolescents aged 16–18 years old were included to study the features of the course of infl ammatory diseases of periodontal tissues in adolescents with alimentary-constitutional obesity 76 adolescents and 19 adolescents with harmonious physical development. To clarify the diagnosis, «excessive body weight» was determined by weight and height of the patient, and measured the circumference of the waist and hips. In the future, the body mass index (BMI) was calculated as the ratio of body weight in kg to square of growth in m2. Diagnosis of excess body weight was confi rmed with BMI less than 30kg/m2. The evaluation of the condition of periodontal tissues was carried out according to subjective and objective criteria (clinical parameters, index score). For the verifi cation of the pathological process in the periodontium, the classifi cation of M. F. Danilevskyi (1994) was used. The state of periodontal tissues was described using a traditional index score. Statistical processing of the results was carried out using commonly used methods of variation statistics with a help of personal computer using a statistical software package «Statistica 8.0» («Statsoft», USA). The probability level was estimated at 95 % (p<0.05) using Student’s t criterion.
Conclusions. Consequently, the clinical indicators of the state of periodontal tissues in the context of alimentaryconstitutional obesity (Fedorov-Volodkin’s index, Green-Vermillion index, Sillness-Loe index, CPITN index) signifi cantly deteriorate compared with the corresponding indicators in the control group of adolescents without AKO, indicating the effect of alimentary-constitutional obesity on the clinical course, the severity and severity of the
infl ammatory process and the feasibility of timely and effective pharmacotherapy.
References
Averyanov, A.P. & Bolotova, N.V. (2009). Neyrovegetativni narusheniya u detey s ozhireniyem v period pubertata i ikh korektsiya [Neurovegetative disorders in children with obesity during puberty and their correction]. Pediatriya: zhurnal imeni G.N. Speranskiy – Journal named after G.N. Speranskiy, 87 (3), 47-52 [in Russian].
Beloklitskaya, G.F. (1998). Klinicheskie formy generalizirovanogo parodontita i ikh znachenie dlya differentsiyirovanoy terapii [Clinical forms of generalized periodontitis and their signifi cance for its differentiated therapies]. Vestnik stomatologii – Journal of Dentistry, 3, 16-20 [in Russian].
Belousov, Yu.V. & Belousov, O.Yu. (2005). Funktsionalnye zabolevaniya pishchevaritelnoy sistemy u detey: Monografi ya [Functional diseases of the digestive system in children: Monograph]. Kharkiv: ID “INZhEK” [in Russian].
Vushniak H.N. (1969). Paradontoz u detey i podrostkov otyagoshchonnyy obshchey patologiyey [Periodontitis in children and adolescents, burdened with general pathology] Materialy of naukovoprakticheskoy konferentsyi po voprosam stomatologii detskogo vozrasta – Materials of the Scientifi c-Practical Conference on the Issues of Stomatologists of Children’s Growth. (pp. 132-135). Moscow [in Russian].
Voznesenskaya, T.G. (2000). Ozhirenie [Obesity]. Mezdunarodnyy meditsinskiy zhurnal – International Medical Journal (1), 90-93 [in Russian].
Gudaryan, A.A. (2003). Chastota i osobennosti klinicheskogo generalizovanogo parodontita pri razlichnikh komponentax metabolicheskogo sindroma [Frequency and features of the clinical manifestation of generalized periodontitis with various components of the metabolic syndrome]. Visnyk stomatologii – Journal of Dentistry (1), 20-23 [in Russian].
Danylevskiy, N.F. (1994). Systematika bolezney paradonta [Systematics of periodontal diseases]. Visnyk stomatologii – Journal of Dentistry, 1, 20-23 [in Russian].
Borysenko, A.V. (2008). Terapevtychna stomatolohiia. Zakhvoriuvannia parodonta. Tom 3. [Therapeutic dentistry. Periodontal disease. Volume 3]. Kyiv: Medytsyna [in Ukrainian].
Zabolotnyi, T.D., Markov, A.V., & Shylivkyi, I.V. (2011). Henaralozovanyi parodontyt [Generalized periodontitis].
Lviv: HalDent [in Ukrainian].
Pavlovskaya, E.V., Surkov, A.G., Strakova, T.V., & Zubakovich, A.I. (2009). Klinicheskie proyavleniya ozhyreniya u detey [Clinical manifestations of obesity in children]. PAG, 71 (5), 50-51 [in Russian].
Perova, M.D. (2005). Tkani parodonta: norma, patologiya, puti vostonovleniya [Periodontal tissues:
norm, pathology, ways of recovery]. Moscow: Triada Ltd [in Russian].
Skrypnikov, P.N., Yarynich-Buchinskaya, N.P., Yugov, V.K., & Bogashova, L.Ya. (2007). Opredilenie plotnosti kosti pri parodontite [Determination of bone density in periodontitis]. Ukrainskyi stomatolohichnyi almanakh – Ukrainian Dental Almanac (5), 42-45 [in Russian].
Savychuk, O.V., & Tymofi eieva, L.O. (2010). Sychasni osoblyvosti stanu tkanyn parodonta u ditei [Modern
features of the condition of periodontal tissues in children]. Liky Ukrainy – Medicines of Ukraine (3), 54-56 [in Ukrainian].
Makoto, O., & Mitsuko, S. (2003). Effects stzreptozotocin-induced diabetes in neonatal rats with naturalli occurring gingivitis. Departament of Pharmacologi., 37 (1), 13-19.
Ogden, C.L., Flegal, K.M., & Carroll, M.D. (2002). Prevalence and trends in overweight among US children
and adolescents. JAMA, 288 (14), 1728-1732.
World Health Organization (WHO). (2015). Byuleten Vsemirnoy organizatsii zdravokhraneniya – Bulletin of World Organization of Public Health, 93, 594-595 [Electronic resource]. – Retrieved from: http://www.who. int/bulletin/volumes/93/9/15-020915/ru/ [in Russian].
Keller, A., Rohde, J.F., Raymond, K., & Heitmann, B.L. (2015). Association between periodontal disease and overweight and obesity: a systematic review. Journal of Periodontology, 86 (6), 766-776.
