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العلامات الالتهابية اللعابية وعلاقتها بحالة الفم الصحية بين مجموعة من الصبيان الذين يعانون من السمنة بعمر 21 سنة == Salivary Inflammatory Biomarkers In Relation To Oral Health Status Among Obese Boys Aged 12 Years

Author name: عاتكة رسول عزيز
Supervisor name: احلام طه محمد
General topic: Dentistry
Specific topic: Preventive Dentistry
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages: 20T381 - p.pdf
Abstract: Worldwide, obesity trends are causing serious public health concerns and significantly increases the risk of morbidity and mortality. It has an effect on the person`s general health including the oral health. Aims of the study : This study was designed to investigate the oral health status among a group of obese boys in relation to salivary inflammatory biomarkers (interleukin - 6 and Creactive protein) and selected salivary elements.Materials and methods : The study group consists of forty obese boy of an age 12 year, and forty normal weighted boy of the same age as a control group. Assessment of nutritional status was done by using Body Mass Index specific for age and gender. Dental caries severity was recorded by using the index of Muhlemann (1976). Plaque index of Silness and Loe (1964) was used for plaque assessment, calculus component of periodontal disease index of Ramfjord (1959) was used for calculus assessment and gingival condition assessed according to gingival index of Loe and Silness (1963). Unstimulated salivary samples were collected under standardized condition, salivary flow rate was determined and then the salivary samples chemically analyzed to determine the concentration of salivary interleukine - 6, Creactive protein, calcium, magnesium and phosphorus.Results : Caries experience of permanent dentition (DMFS) among study group was lower than that among control group with significant difference (P<0.05) for D2, while caries experience of primary dentition (dmfs) was significantly (P<0.05) lower among study group compared with control group with significant difference (P<0.05) for ds and highly significant difference (P<0.01) for d4.Salivary flow rate was lower among study group compared with control group with no significant difference. No significant correlations (P>0.05) were recorded between salivary flow rate and dental caries, oral cleanliness and gingivalhealth conditions among both groups. The mean value of plaque, calculus and gingival indices were not significantly lower among study group compared with control group. A positive highly significant correlations (P<0.01) were recorded between gingival and plaqueindices among both groups. The level of salivary interleukin - 6 (pg/ml) was higher among study group compared with control group with no significant difference between them; whereas there was no significant difference between the two groups regarding C - reactive protein (?g/ml) level. Salivary calcium and magnesium levels (mg/dl) were highly significantly (P<0.01) lower among study group compared with control group, whereas salivary phosphorus level (mg/dl) was not significantly higher among study group compared with control group. Salivary interleukin - 6 and C - reactive protein were negatively correlated with dental caries of both dentitions among study group with significant correlation (P<0.05) between IL - 6 and D2, while they were correlated positively with dental caries of both dentitions among control group with highly significant correlation (P<0.01) between IL - 6 and D3 and significant correlation (P<0.05) between IL - 6 and d4. Salivary calcium was correlated positively highly significantly (P<0.01) withDMFS and significantly (P<0.05) with D4 among control group. Salivary magnesium was correlated positively significantly (P<0.05) with DMFS and D2 among study group; also it was correlated negatively highly significantly (P<0.01) with d3 amongcontrol group. Salivary phosphorus was correlated significantly (P<0.05) in positive direction with d3 among study group; also it was correlated highly significantly (P<0.01) in negative direction with DMFS and significantly (P<0.05) in positivedirection with d3 among control group.
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