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土耳其东部儿科患者乳糜泻特定口腔和唾液表现的临床评估

Clinical evaluation of specific oral and salivary findings of coeliac disease in eastern Turkish paediatric patients.

作者信息

Dane A, Gürbüz T

机构信息

Department of Pediatric Dentistry, Faculty of Dentistry, İzmir Katip Çelebi University, İzmir, Turkey.

Department of Pediatric Dentistry, Faculty of Dentistry, Atatürk University, Erzurum, Turkey.

出版信息

Eur J Paediatr Dent. 2016 Mar;17(1):53-6.

Abstract

AIM

The aim of this study was to evaluate enamel defects (EDs), recurrent aphthous stomatitis (RAS) and salivary findings in Eastern Turkish children with coeliac disease (CD), and to compare the results with healthy children.

STUDY DESIGN

70 children (35 CD patients and 35 healthy patients) aged between 5 to 15 years were included in this study. Intraoral examination was performed; saliva specimens were collected for analysis. Oral health conditions, tooth brushing frequency, saliva pH level, flow rate and buffering capacity were recorded. Kruskal-Wallis test was used for comparison of DMFT and dft index. Chi-squared test was used for the data of oral health status. The significance level was set at p = 0.05.

RESULTS

EDs were seen in 54.3% (19 patients) of the CD patients and more frequently than the controls (p < 0.05). Regarding RAS, 31.4% (11 patients) of the CD patients and none of control group had aphthous ulcers (p < 0.05). Salivary flow rate and buffering capacity were lower in CD patients (p < 0.05).

CONCLUSION

The oral examination could be a significant contribution to the detection of CD. Especially paediatric dentists can play an important role in the early diagnosis and may help paediatricians about CD.

摘要

目的

本研究旨在评估患有乳糜泻(CD)的东土耳其儿童的牙釉质缺陷(EDs)、复发性阿弗他口炎(RAS)和唾液检查结果,并将结果与健康儿童进行比较。

研究设计

本研究纳入了70名年龄在5至15岁之间的儿童(35名CD患者和35名健康患者)。进行了口腔检查;收集唾液标本进行分析。记录口腔健康状况、刷牙频率、唾液pH值、流速和缓冲能力。采用Kruskal-Wallis检验比较DMFT和dft指数。采用卡方检验分析口腔健康状况数据。显著性水平设定为p = 0.05。

结果

54.3%(19名患者)的CD患者出现了牙釉质缺陷,且比对照组更频繁(p < 0.05)。关于复发性阿弗他口炎,31.4%(11名患者)的CD患者有阿弗他溃疡,而对照组无一例出现(p < 0.05)。CD患者的唾液流速和缓冲能力较低(p < 0.05)。

结论

口腔检查对乳糜泻的检测可能有重要贡献。特别是儿科牙医在早期诊断中可以发挥重要作用,并可能在乳糜泻方面帮助儿科医生。

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