Periodontal Status of Tuberculosis patients - Inter linked with each other

Ziaulhaq Shahzad, F. Ahmad, S. Danish, S. Butt
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Abstract

Background: Evidence suggests periodontitis may contribute to the development and progression of respiratory illnesses. However, few studies currently look at the coexistence of periodontitis and tuberculosis. The current study investigates the relationship between periodontal health and tuberculosis. Aim: To assess various clinical dental parameters of periodontal health among patients with and without TB. Methods: The participants in the present case-control study were individuals who obtained informed permission forms to participate when they were patients in the outpatient dentistry department. The current study included 585 patients in total. Three hundred-one individuals with normal pulmonary function were added to the control group, whereas 284 patients with tuberculosis were added to the cases group. The diagnosis of the pulmonary conditions was confirmed using spirometry. Using SPSS software 21, we evaluated the demographics & clinical indicators such as plaque, different gingival parameters of periodontitis, Gingival bleeding, and gingival index (GI), and compared cases and controls. Results: The population comprised two hundred eighty-seven women (49.1%) and 298 men (50.9%). There was a significant association between tuberculosis and periodontitis, and it has been observed that 159 (56%) tuberculosis patients had 6.23 (4.2 – 9.1) times higher effects on oral periodontitis issues (P<0.001*). Patients with gingivitis had a significantly higher number of bleeding, accounting for 241 (72.8), p<0.001. Practical implication: The study suggests that healthcare providers, particularly those involved in the treatment of TB, should consider incorporating oral health screening and assessment as part of the overall care for TB patients. This could help identify and address periodontal issues that may exist, hence dental professionals can play a role in the early detections of TB Conclusion: This study suggest that important relationship between TB and periodontitis. TB patients should be educated about the potential impact of their disease on periodontal health and encouraged to maintain regular dental visit and oral hygiene. Keywords: Tuberculosis (TB), Periodontitis (PD), Gingival bleeding, and gingival index (GI)
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结核病患者牙周状况-相互联系
背景:有证据表明牙周炎可能与呼吸系统疾病的发生和发展有关。然而,目前很少有研究关注牙周炎和结核病的共存。本研究旨在探讨牙周健康与结核病的关系。目的:评价有无结核患者牙周健康的各项临床牙学参数。方法:本病例对照研究的参与者是在牙科门诊就诊时获得知情同意书的个体。目前的研究共纳入了585名患者。301名肺功能正常的人被加入到对照组,而284名肺结核患者被加入到病例组。肺活量测定法证实了肺部疾病的诊断。采用SPSS软件21对两组患者菌斑、牙周炎不同牙龈参数、牙龈出血、牙龈指数(GI)等人口统计学及临床指标进行评估,并将病例与对照组进行比较。结果:女性2887例(49.1%),男性298例(50.9%)。结核病与牙周炎之间存在显著相关性,159例(56%)结核病患者的口腔牙周炎问题的影响是前者的6.23(4.2 - 9.1)倍(P<0.001*)。牙龈炎患者出血次数明显高于牙龈炎患者,为241例(72.8例),p<0.001。实际意义:该研究表明,卫生保健提供者,特别是那些参与结核病治疗的卫生保健提供者,应考虑将口腔健康筛查和评估作为结核病患者整体护理的一部分。这有助于识别和解决可能存在的牙周问题,因此牙科专业人员可以在结核病的早期发现中发挥作用。结论:本研究表明结核病与牙周炎之间存在重要关系。应教育结核病患者了解其疾病对牙周健康的潜在影响,并鼓励他们定期看牙医和保持口腔卫生。关键词:结核(TB)牙周炎(PD)牙龈出血牙龈指数(GI)
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