Međuzavisnost oralnog i općeg zdravlja

master's thesis

• Title (english): Interdependence of oral and general health
• Author: Kalista Kamenečki
• Mentor: Marinka Mravak-Stipetić (mentor)
• Committee member: Katica Prskalo (predsjednik povjerenstva)
• Committee member: Sanja Šegović (član povjerenstva)
• Committee member: Vanja Vučićević-Boras (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Oral Medicine); Zagreb
• Defense date and country: 2017-09-11, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Medicine

Abstract

Oralno zdravlje dio je i preduvjet općeg zdravlja i dobre kvalitete života svakog pojedinca. Neliječena oralna infekcija dovodi do poteškoća sa žvakanjem , boli i ozbiljnijih infekcija, no učinak oralnih bolesti ne ostaje nužno ograničen samo na usnu šupljinu već može imati i učinke većih razmjera, tj. može djelovati na cijelo tijelo. Isto tako, mnoge sistemske bolesti i stanja mogu se očitovati u ustima i pogoršati stanje oralnog zdravlja.
Simptomi dijabetesa u usnoj šupljini mnogobrojni su i ovise o kontroli bolesti. Pojavljuju se suhoća usta, kandidijaza i stomatopiroza. Loše kontrolirani dijabetes s jedne strane povećava rizik za nastanak i napredovanje parodontitisa te gubitak zubi, a parodontitis s druge strane može štetno djelovati na kontrolu glikemije kod bolesnika s dijabetesom. Trudnice uslijed porasta cirkulirajućih spolnih hormona i oralne higijene koja nije idealna mogu patiti od trudničkog epulisa ili gingivitisa. Primijećen je utjecaj progesterona i estrogena na parodontalna tkiva i postoje dokazi koju upućuju na povezanost majčina parodontitisa i rizika za prerani porod i druge nepovoljne ishode trudnoće. Parodontna bolest dokazano je samostalni rizični čimbenik za aterosklerozu. DNK parodontogenih patogena pronađen je u aterosklerotskom plaku. Parodontne bakterije induciraju poliferaciju vaskularnih stanica i olakšavaju agregaciju trombocita.
Postoje brojni dokazi da su oralno i opće zdravlje nedjeljiva cjelina i da su međusobno povezani na brojne načine. Loše oralno zdravlje predstavlja rizik za opće zdravlje i zato je odgovarajuća oralna higijena izuzetno bitna komponenta brige o vlastitom zdravlju.

Abstract (english)

Oral health is essential to general health and good quality of life. Untreated dental infection lead to difficulties with chewing , pain and serious infection; these issues extend beyond the oral cavity and can play a role in systemic diseases. Many systemic diseases and issues can affect oral health, making oral health diseases more severe.
Oral manifestations of diabetes are multiple and directly related to the degree of control of the disease. There are a number of problems including xerostomia, candidiasis and stomatopyrosis. Poorly controlled diabetes affects oral health by increasing the risk and progression of periodontitis and tooth loss. Furthermore, periodontitis can adversely affect glycaemic control in persons with diabetes. Pregnant women may experience a significant rise in the amount of circulating sex hormones which can, together with insufficient oral hygiene, cause pregnancy gingivitis and the formation of pregnancy granuloma. The effect of progesterone and oestrogen on periodontal tissues has been reported and evidence exist that suggest an association between maternal periodontitis and the risk of premature labour and other adverse pregnancy outcomes. Periodontal disease is an independent risk factor for the development of atherosclerosis. The DNA of periopathogens has been found within atherosclerotic plaque. Periodontal bacteria trigger vascular cell proliferation and facilitate platelet aggregation.
There is numerous evidence that oral and general health form an indivisible whole with abundant interconnections. Poor oral health is a risk to general health, so appropriate oral hygiene is an extremely important component of taking care of one’s health.

• Keywords: oralno zdravlje; oralne manifestacije sistemskih bolesti; međuzavisnost oralnog i općeg zdravlja; šećerna bolest; trudnice; kardiovaskularne bolesti
• Keywords (english): oral health; oral manifestations of systemic diseases; interdependence of oral and general health; diabetes mellitus; pregnancy; cardiovascular disease
• Language: croatian
• URN:NBN: urn:nbn:hr:127:722867
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-01-16 12:25:58