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CROHN HASTALIĞI : BİR OLGU NEDENİYLE

CROHN'S DISEASE: A CASE REPORT

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Crohn's disease (CD) is an inflammatory bowel disease characterized by granulomatous inflammation which may affect any site along the gastrointestinal tract from the mouth to anus. Clinically, patients with CD present abdominal pain, diarrhoea, malaise, anorexia, weight loss and fever. Oral manifestations of CD are characterized by specific symptoms such as indurated polypoid tag lesions on vestibular and retromolar fossae, diffuse labial, buccal or gingival swellings, mucosal inflammatory hyperplasia and fissuring, granulomatous cheilitis and nonspesific symptoms such as deep persistent oral ulcerations, perioral edema, cheilitis angularis, glossitis, gingivitis, pyostomatitis vegetans, perioral erythema and mucosal discoloration. Neglection of oral hygiene during the active phases of the disease may also contribute to the high caries incidence. CD patients imply frequent dental check-ups with oral hygiene instructions because of the undesirable oral affects of the disease. This report presents oral manifestations of a thirty-seven years old female CD patient, gives an overview of the oral findings observed in patients with CD and the importance of the disease for dentists are discussed.
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Abstract (Original Language): 
Crohn hastalığı (CH) etyolojisi kesin olarak bilinmeyen, ağızdan anüse kadar gastrointestinal sistemin herhangi bir bölgesini etkileyebilen, granülomatöz inflamasyon ile karakterize bir inflamatuar barsak hastalığıdır. Abdominal ağrı, ishal, mide bulantısı, anoreksi, kilo kaybı ve ateş hastalığın en önemli klinik belirtileridir. Ağız bulguları, vestibüler ve retromolar bölgelerdeki sertleşmiş polipoid yama tarzındaki lezyonlar, diffüz labial bukkal veya gingival şişlikler, mukozal inflamatuar fissürler ve hiperplaziler, granülomatöz chelitis, derin oral ülserler, perioral ödem, angular chelitis, glossitis, gingivitis, piyostomatitis vejetans, perioral eritem ve mukozal renk değişiklikleri ile karakterizedir. Hastalığın aktif dönemlerinde ağız hijyeninin ihmal edilmesi, çürük insidansının artmasına neden olur. Hastalığın istenmeyen ağız etkilerini azaltmak amacıyla Crohn hastaları ağız hijyeni konusunda çok iyi eğitilmeli, düzenli ve sık aralıklarla diş hekimleri tarafından takip edilmelidir. Bu olgu sunumunda, CH teşhisi konmuş 37 yaşındaki kadın hastadaki ağız bulguları değerlendirilmiş ve bu hastalığın diş hekimleri açısından önemi tartışılmıştır.
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