Obez Kadınlarda Uyarılmış Tükürük Akış Hızı ve Dmf Indeksinin Değerlendirilmesi

Abstract

Obesity is increasingly common in the developed world, and parts of the developing world and has systemic health risks that can reduce life-expectancy considerable. It also has negative effects on the oral health. Obesity and dental caries have become increasingly prevalent challenges to public health. The aim of this study was to evaluate the relationship between stimulated salivary flow rate and DMF index values obtained by calculating the number of decayed, missing and filled teeth due to caries in obese women. A total of 140 women (70 obese and 70 normal-weighted) aged 20-40 years were included in this study. In both groups, decayed teeth, missing teeth and filled teeth due to caries were evaluated clinically with and without bitewing radiography, based on WHO (1997) criteria. Oral health status was determined by using the DMF index. In the present study we found that obese women had a lower stimulated salivary flow rate (1.0 vs. 1.4 ml/min, p<0,001) than control group. DMF-T1, DMF-T2, DMF-S1 and DMF-S2 values were significantly higher in the obese group compared to the control group. Mean DMF-T1 and DMF-T2 values were 7.3 ± 4.7 and 5.2 ± 4.0 in the obese group respectively. No statistical differences in DT1, DT2, DS1 and DS2 values were detected between the groups. In both groups, DMF-T, DMF-S, DT and DS values obtained by the clinical examination with bitewing radiographs were statistically higher than values obtained by clinical examination. However, it was observed that the relationship is not statistically significant between decreased stimulated salivary flow rate and DMF index values and the number of decayed teeth. As a result, it was found that decreased stimulated salivary flow rate and obesity had no significant effects on DMF values and the number of decayed teeth. Keywords: Obesity, dental caries, salivary flow rate, DMF index, body mass index