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Relationship between periodontal diseases and serum lipid levels in patients undergoing peritoneal dialysis and hemodialysis

Periton Diyalizi ve Hemodiyaliz Hastalarında Periodontal Hastalık ile Serum Lipid Seviyeleri Arasındaki İlişki

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Abstract (2. Language): 
Objective: The aim of this study was to evaluate in associa-tion between periodontal diseases and serum total choles-terol (TC), triglyceride, low density lipoprotein (LDL) and high density lipoprotein (HDL) levels in patients undergoing peritoneal dialysis or hemodialysis treatment. Method: 40 hemodialysis (HD) and 54 peritoneal dialysis (PD) patients were included in the study. Groups divided into three subgroups as healthy, gingivitis and periodonti-tis. Decayed, missing, filled teeth index (DMFT) scores and fasting venous blood samples were obtained from all of the subjects. Results: Significant differences in age, gender and DMFT scores (p>0.05) were not observed. HDL, LDL and TC levels were significantly higher in PD group than HD group (p0.05). There were no significantly difference in the serum TC, Triglyceride, LDL, HDL and CRP levels in each subgroups of PD group (p>0.05). There were no significantly difference in the serum TC, Triglyceride, LDL, HDL and CRP levels in each subgroups of HD group (p>0.05). Conclusion: The results indicate that there is no significant association between periodontal diseases and serum lipid levels in dialysis patients.
Abstract (Original Language): 
Amaç: Sağlıklı bireylerde yapılan bazı çalışmalarda perio-dontal hastalık varlığı ile serum lipid değerleri arasında anlamlı bir ilişki olduğu gösterilmiştir. Ancak böbrek hasta-lığı olanlarda bu konu ile ilgili bir çalışma bulunmamakta-dır. Biz de bu çalışmamızda periton diyalizi (PD) ve hemo-diyaliz (HD) hastalarında periodontal parametreler ile serum lipid seviyeleri arasında ilişki olup olmadığını değer-lendirmeyi amaçladık. Yöntem: Çalışmaya 54 periton diyalizi ve 40 hemodiyaliz hastası dahil edildi. Tüm hastalara değerlendirmeler ya-pılmadan 3 ay önce ağız hijyeni eğitimi verildi. Hastalar sağlıklı, gingivitis ve periodontitis olmak üzere 3 alt gruba ayrıldı. Hastaların plak indeksi (Pİ), gingival indeks (Gİ), sondalanabilir cep derinlikleri (SCD), klinik ataşman seviye-leri (KAS) ve DMFT skorları kaydedildi. Bulgular: Çalışmamızda HD ve PD grupları arasında DMFT skorları istatistiksel olarak farklılık göstermemektedir (p>0,05). HD ve PD hastalarında serum lipid seviyeleri ile periodontal hastalıklar arasında ilişki bulunamamıştır. (p>0,05). Serum lipidlerinin ortalama değerleri gruplar arasında ve her bir alt grupta farklılık gösterse de bu fark istatistiksel olarak anlamlı değildi (p>0,05). Sonuç: Literatürde sağlıklı bireylerde periodontal hastalık varlığı ile serum lipid değerleri arasında anlamlı bir ilişki bulunmuş olmasına rağmen bizim çalışmamızda diyaliz hastalarında periodontal hastalık ile serum lipid seviyeleri arasında bir ilişki bulunamamıştır.
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