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2018, vol. 34, br. 78, str. 1858-1870
Parodontopatija kod pacijenata sa dijabetes mellitusom tipa 2
aUniverzitet u Nišu, Medicinski fakultet, Stomatološka klinika
bUniverzitet u Kragujevcu, Fakultet medicinskih nauka
cUniverzitet u Nišu, Medicinski fakultet
dn/a

e-adresadr.rada@yahoo.com
Projekat:
Ovaj rad je urađen pod pokroviteljstvom Internog projekta broj 1114629-4/11 Medicinskog fakulteta Univerziteta u Nišu.

Ključne reči: parodontopatija; dijabetes; eksfolijativna citologija; oralno zdravlje
Sažetak
Dijabetes (DM; diabetes mellitus) je jedan od najzastupljenijih endokrinih metaboličkih poremećaja. Dijabetes izaziva oštećenje usne duplje i predstavlja faktor rizika za razvoj parodontopatije. Cilj istraživanja je opisati parodontalni status kod pacijenata sa dijabetesom tipa 2 i proceniti demografske, socijalne, medicinske i stomatološke faktore rizika povezane sa parodontopatijom i dijabetesom. Materijal i Metode: Analizirani su demografski podaci, medicinska i stomatološka istorija bolesti, urađen pregled parodonta (određen nivo pripojnog epitela, krvarenje pri sondiranju i prisustvo zubnog kamenca) i citomorfometrijska analiza. Rezultati: 160 ispitanika je učestvovalo u istraživanju, starosti 64,2 (±0,2) godina, prosečne dužine trajanja DM 23,6 (±0,39) godina i srednje vrednosti HbA1c 8,70% (±0,45). Visoke vrednosti nivoa epitelnog pripoja i kamenac bili su zastupljeniji kod starijih pacijenata. Krvarenje pri sondiranju je bio istih vrednosti nezavisno od starosti pacijenata. Citomorfometrijska analiza je pokazala prisustvo većih jedara kod starijih pacijenata. Prema regresionoj analizi faktori povezani sa uznapredovalom parodontopatijom su: starost (P<0,001), pušenje cigareta (p<0,001), bivši pušači (p<0,001), pranje zuba (p=0,017), posete stomatologu (p=0,068), dužina trajanja DM (p=0,034), kserostomija (p=0,500), povećanje vrednosti HbA1c (p=0,119), neuropatija (p=0,017), nefropatija (p=0,389), retinopatija (p=0,550) i periferna vaskularna kardiomiopatija (p=0,060). Zaključak: Parodontopatija je često oboljenje kod starijih dijabetesnih bolesnika. Pušenje cigareta u starijoj životnoj dobi je povezano sa visokom učestalošću uznapredovale parodontopatije. Pušači dijabetičari imaju visok rizik za lošu prognozu parodontopatije i moraju dolaziti na redovne parodontološke kontrolne preglede i terapiju.
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O članku

jezik rada: srpski, engleski
vrsta rada: originalan članak
DOI: 10.5937/asn1878858O
objavljen u SCIndeksu: 13.02.2020.