Evaluarea starii de sanatate orale si parodontale la pacientii diagnosticati cu hepatita virala tip c

EVALUAREA STARII DE SANATATE ORALE SI PARODONTALE LA PACIENTII DIAGNOSTICATI CU

HEPATITA VIRALA TIP C

Dorin Nicolae Gheorghe*, Elena Herascu**, Petra Surlin*, Ion Rogoveanu**

* UMF Craiova, Facultatea de Medicina Dentara, Disciplina de Parodontologie

** UMF Craiova, Facultatea de Medicina Generala, Disciplina de Gastroenterologie

INTRODUCERE

Boala parodontala reprezinta o stare de inflamatie a tesuturilor de sustinere a dintilor ce prezinta puternice conexiuni cu unele afectiuni generale cum ar fi poliartrita reumatioda sau diabetul zaharat. Unele date din literatura sugereaza existenta unor astfel de legaturi si cu hepatita virala tip C, insa acestea sunt neclare. Acest fapt a reprezentat motivatia studiului nostru, de evaluare a starii de sanatate orale si parodontale a pacientilor diagnosticati cu hepatita virala tip C.

MATERIAL SI METODA

Au fost intocmite doua grupuri de pacienti: grupul A - pacienti diagnosticati cu parodontita marginala cronica si grupul B -pacienti diagnosticati cu parodontita marginala cronica si hepatita virala tip C. Pacientii au fost supusi unui consult dentar in urma caruia s-a determinat gradul de igiena orala, numarul de dinti prezenti, prezenta edentatiilor, prezenta lucrarilor protetice. Evaluarea parodontala a presupus realizarea unui sondaj parodontal in urma caruia s-a determinat gradul de sangerare gingivala, mobilitatea dentara precum si adancimea santului gingival ca indicator al gradului de afectare.

REZULTATE SI CONCLUZII

Grupul B de pacienti a prezentat valori mai scazute ale gradului de igiena orala decat grupul A. Numarul de dinti prezenti in cavitatea orala a fost mai scazut la pacientii din grupul B, edentatiile fiind mai intinse in cazul pacientilor afectati de boala parodontala si hepatita C. Din punct de vedere parodontal, s-au observat valori mai mari de sangerare gingivala la pacientii din grupul B, pungi parodontale mai mari de 4mm fiind intalnite frecvent la pacientii diagnosticati cu ambele afectiuni. Putem astfel constata o stare de sanatate orala inrautatita la pacientii diagnoscati cu hepatita virala tip C si o predispozitie a acestora la dezvoltarea unei afectari parodontale.

Cuvinte cheie: hepatita viral C, boala parodontala, sanatate orala

ORAL AND PERIODONTAL HEALTH STATUS OF PATIENTS DIAGNOSED WITH VIRAL HEPATITIS C

Dorin Nicolae Gheorghe*, Elena Herascu**, Petra Surlin*, Ion Rogoveanu**

* University of Medicine and Pharmacy Craiova, Faculty of Dental Medicine, Department of Periodontology

** University of Medicine and Pharmacy Craiova, Faculty of Medicine, Department of Gastro-enterology

INTRODUCTION

The periodontal disease is an inflammatory condition which affects the supporting tissues of the teeth and that has a strong connection with some diseases such as rheumatoid arthritis or diabetes mellitus. Some scientific data suggests that such link could exist between the periodontal disease and the viral hepatitis C, but they are mainly inconclusive. This idea has given the purpose of our study, to evaluate the oral and periodontal health of patients diagnosed with viral hepatitis C.

MATERIAL AND METHOD

Two groups of patients were set up for the study: group A – patients diagnosed with periodontal disease and group B – patients diagnosed with both periodontal disease and viral hepatitis C. The patients underwent a dental check-up which aimed to evaluate the oral hygiene level, the number of missing teeth, teeth mobility and previous prosthodontic work. The periodontal evaluation included a full-mouth periodontal probing which enabled us to determine the level of gingival bleeding as well as the depth of the gingival groove or periodontal pocket as an indicator of the disease progression.

RESULTS AND CONCLUSION

Group B of patients had poorer oral hygiene levels than the other group of patients. The patients of group B had the highest number of missing teeth of the two groups. The periodontal evaluation revealed higher degrees of gingival bleeding for the patients in the B group as well as more periodontal pockets deeper than 4mm. In conclusion, we can say that patients diagnosed with viral hepatitis C often have a neglected and low-level oral heath, which can be a favoring factor to the development of the periodontal disease.

Key words: viral hepatitis C, periodontal disease, oral health