Index assessment of the state of periodontal tissues in individuals with primary hypothyroidism
DOI:
https://doi.org/10.11603/2311-9624.2017.3.8065Keywords:
primary hypothyroidism, periodontal disease, hygiene index, PMA, KPI, Fux index, Sample of Schiller-Pisarev.Abstract
In recent decades, both in the world and in our country, thyroid gland diseases are not only widespread, but also have a tendency to constant growth. Currently, more attention is paid to diseases of the thyroid gland that are associated with endemic foci of iodine defi ciency in soil and water.
The aim of the study – to investigate the state of periodontal tissues in individuals with primary hypothyroidism.
Materials and Methods. We conducted a survey of 86 people with primary hypothyroidism, 16 of them with manifestation and 70 with subclinical forms. A comparison group was 45 people without thyroid gland diseases. Index assessment of periodontal tissues included the defi nition of a simplifi ed oral hygiene index of the oral cavity of the Green-Vermillion (Oral Hygiene Index-Simlifi ed, Green-Vermillion, 1964), the degree of gingival infl ammation was determined by Parma (C. Parma, 1960, Papillary-Marginal Alveolar Index)), the state of periodontal tissues in the complex periodontal index (KPI) (1987), destructive changes in the bone tissue of the alveolar appendix were determined by the Fux index.
Results and Discussion. The article presents the results of the index estimation of periodontal tissues in individuals with primary hypothyroidism. An analysis of the conducted index evaluation found that they had a poor level of hygienic state of the oral cavity. This was manifested by the development of infl ammatory and, to a lesser extent, infl ammatory and dystrophic lesions of periodontal tissues, as evidenced by papillarymarginalalveolar (PMA) and complex periodontal indices (KPI).
Conclusions. Even more signifi cant changes in these indicators were found in individuals with a manifestation of hypothyroidism. So, we can conclude that in persons with primary hypothyroidism metabolic processes of
the organism are violated, which leads through a number of pathophysiological changes to the activity of parodontopathogenic microfl ora and the development of infl ammatory and infl ammatory and dystrophic periodontal diseases.
References
Danilevs'kiy, N.F. & Borisenko, A.V. (2000). Zabolevaniya parodonta [Periodontal disease.]. Kyiv: Zdorovia, 462 [in Russian].
Zelinska, N.B. (2003). Hipotyreoz Tsentralna hemodynamika i kompensatsiya khvoroby [Hypothyroidism. Central hemodynamics and disease compensation]. Visnyk VNMU – Bulletin VNMU, 1.2, 256 [in Ukrainian].
Kuznyak, N.B., Hodovanets, O.I. & Honcharenko, V.A. (2013). Stomatolohichna zakhvoriuvanist u ditey z endokrynnoiu patolohiieiu [Dental morbidity in children with endocrine pathology]. Bukovynskyi medychnyi visnyk – Bukovinsky Medical Bulletin, (12), 2(44), 100–102 [in Ukrainian].
Mamenko, M.YE. (2013). Yodnyi defitsyt ta yododefitsytni zakhvoriuvannia (lektsiia) [Iodine deficiency and iodine deficiency diseases (lecture)]. Perynatalohyya y pedyatryya – Perinatology and Pediatrics, 1 (53), 97–105 [in Ukrainian].
Melnyk, N.S. (2010). Osoblyvosti perebihu heneralizovanoho parodontytu pry dysfunktsii shchytopodibnoi zalozy: vplyv na strukturno-funktsionalnyi stan kistkovoi tkanyny adlveolyarnoho vidrostka [Peculiarities of the course of generalized periodontitis in dysfunction of the thyroid gland: influence on the structural and functional state of bone tissue adloveolar appendix]. Extended abstract of candidate’s thesis 14.01.22 «Stomatolohiia». Kyiv, 1–12 [in Ukrainian].
Melnyk, N.S. (2007). Osoblyvosti protikannia heneralizovanoho parodontytu na foni zakhvoryuvan shchytyvydnoi zalozy [Features of the occurrence of generalized periodontitis on the background of diseases of the syndrome of the gland]. Dentalnye tekhnolohyy – Dental technologies, 1 (32), 23–24 [in Ukrainian].
Myronyuk, N.I. (2008). Problema yodnoho defitsytu ta yoho podolannya u naselennya Zakhidnoho rehionu Ukrayiny [Problem of iodine deficiency and its overcoming in the population of the Western region of Ukraine]. Extended abstract of candidate’s thesis Sciences: special 14.01.14. "Pediatrics". Kyiv, 23 [in Ukrainian].
Ogonyan, A.V. (2010). Kliniko-morfologicheskiye izmeneniya zubo-chelyustnoy sistemy pri gipotireoze [Clinical and morphological changes of the dento-jaw system with hypothyrosis]. Extended abstract of candidate’s thesis Sciences: special 14.03.02. «Stomatology», 14.03.02. «Pathological Anatomy». Stavropol, 22 [in Russian].
Sutayeva, R.T., Minkailova, S.R., Shamov, I.M. & Omarov, O.G. (2012). Khronicheskiy generalizovannyy parodontit u bolnykh endemicheskim zobom [Chronic generalized periodontitis in patients with endemic goiter]. Vestnik novykh meditsinskikh tekhnologiy – Bulletin of New Medical Technologies, (19), 3, 46 [in Russian].
Buzalaf, M.A.R. & Kato, M.T. (2010). Iron supplementation reduces the erosive potential of a cola drink on enamel and dentin in situ. J. Appl. Oral Sci., (20), 318–322.
Lynch, R.J.M. (2011). Zinc in the mouth, its interactions with dental enamel and +possible effects on caries; a review of the literature. Int. Dent. J. (61), 46–54.
