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حاله الاكتئاب وعلاقتها بحاله الفم والخصائص الفزيوكيميائيه لدى طلاب المدارس من فئه عمر 15 سنة في مدينة الصويره - حافظة واسط - جمهورية العراق == Depression Status In Relation To Oral Health Condition And Salivary Physiochemical Characteristics Among 15 Years Old School Students In Al - Swera City - Wassit Governorate - Iraq
Author name:
هدى سلمان خیاله
Supervisor name:
بان صاحب ذیاب
General topic:
Dentistry
Specific topic:
Preventive Dentistry
Degree:
Master
University:
University of Baghdad
Language:
English
University location:
Baghdad
First pages:
20T371 - p.pdf
Abstract:
Background : Depression is a common mental disorder that presents with depressed mood, its affect oral health through its effect on salivary function. The aims of this study were to assess the relation of depression status on prevalence and severity of dental caries and gingival inflammation among students aged 15 years in relation to salivary physical (flow rate and viscosity) and chemical characteristics concentration of (total protein, zinc, copper, chromium and lithium).Materials and methods : The total sample involved 800 students (males and females) aged 15 years old that were selected randomly, the depression status was measured using Children Depression Inventory (CDI) index that divided the students with depression into four groups according to severity of depression (low or average grade, high average grade, elevated grade and very elevated grade). The diagnosis and recording of dental caries was made by using Decay, Missing, Filled surface index (DMFs), according to the criteria of Manji et al (1989), while gingival condition was evaluated by using the gingival index by L?e and Silness, (1964). Salivary samples were collected under standardized condition from 30 students with very elevated grade and 30 students with low average grade, and then analyzed for measuring salivary flow rate and viscosity, in addition to the estimation of salivary elements (total protein, zinc, copper, chromium and lithium).Results : The prevalence of depression was 100%. The DMFs was lower among students with high average grade than other grades of depression with nonsignificant difference. The severity of dental caries was higher among students with elevated grade concerning D1, D3 and in very elevated grade of depression concerning D2, D4 with highly significant among D4 (P = 0.01). The prevalence of gingivitis in present study was found to be 100%, mild gingivitis occurrence found higher among low or average grade than other grades, but moderate gingivitis was more among very elevated grade, while sever gingivitis was absent. Salivary analysis demonstrated that the salivary flow rate was non significantly higher among students with low or average grade of depression than very elevated, while the viscosity of saliva was not significantly higher among students with very elevated grade. The data analysis of salivary elements found that the total protein and copper was higher among students with very elevated grade while other elements show the opposite result with significant difference concerning copper and zinc among females in very elevated grade, while others with not significant.Conclusion : The results of the current research revealed that caries experience and gingival inflammation increase with depression that has an adverse effect on salivary physicochemical characteristics. There were changes in saliva variables between low or average grade and very elevated grade of depression.
