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患有甲状腺疾病儿童的口腔健康状况。

Oral health status of children suffering from thyroid disorders.

作者信息

Venkatesh Babu N S, Patel Purna B

机构信息

Department of Pediatric and Preventive Dentistry, VS Dental College, Bangalore, Karnataka, India.

出版信息

J Indian Soc Pedod Prev Dent. 2016 Apr-Jun;34(2):139-44. doi: 10.4103/0970-4388.180443.

DOI:10.4103/0970-4388.180443
PMID:27080964
Abstract

BACKGROUND

Thyroid dysfunction is the second most common disorder of the endocrine system that can affect any system of the body. The oral cavity can be adversely affected by either an excess or deficiency of these hormones.

AIM OF THE STUDY

To assess and compare the oral health status of children suffering from thyroid disorders and healthy children.

MATERIALS AND METHODS

A total of 200 children aged between 2 years and 16 years were allocated into two groups. The study group consisted of 100 children with thyroid dysfunction (hypothyroidism/hyperthyroidism), while the control group consisted of 100 healthy children. Gingival index, plaque index, DMFT (Decayed missing filled teeth Index for permanent teeth) & Dmft index (Decayed missing filled teeth Index for primary teeth) and modified developmental defects of enamel (DDE) index were recorded and data were analyzed statistically.

RESULTS

Plaque and gingival scores were significantly higher in the thyroid group compared to the control group. DMFT and dmft scores were higher in the thyroid group than the control group but the difference in score was not statistically significant. Statistically significant DDE score was found in the thyroid group. Apart from increased susceptibility to caries and poor periodontal health condition, children with thyroid disorders were also found to have other oral manifestations such as macroglossia, open bite, and change in eruption pattern.

CONCLUSION

Thyroid dysfunction (both hypothyroidism and hyperthyroidism) has impact on the oral health status. Children with thyroid disorders showed high prevalence of dental caries and periodontal disease compared to the control group.

摘要

背景

甲状腺功能障碍是内分泌系统第二常见的疾病,可影响身体的任何系统。这些激素分泌过多或过少都会对口腔产生不利影响。

研究目的

评估并比较患有甲状腺疾病的儿童和健康儿童的口腔健康状况。

材料与方法

将200名年龄在2岁至16岁之间的儿童分为两组。研究组由100名甲状腺功能障碍(甲状腺功能减退/甲状腺功能亢进)儿童组成,而对照组由100名健康儿童组成。记录牙龈指数、菌斑指数、恒牙龋失补指数(DMFT)和乳牙龋失补指数(Dmft)以及改良釉质发育缺陷(DDE)指数,并对数据进行统计学分析。

结果

与对照组相比,甲状腺组的菌斑和牙龈评分显著更高。甲状腺组的DMFT和Dmft评分高于对照组,但评分差异无统计学意义。在甲状腺组中发现了具有统计学意义的DDE评分。除了患龋齿的易感性增加和牙周健康状况不佳外,还发现患有甲状腺疾病的儿童有其他口腔表现,如巨舌症、开咬合和萌出模式改变。

结论

甲状腺功能障碍(甲状腺功能减退和甲状腺功能亢进)会影响口腔健康状况。与对照组相比,患有甲状腺疾病的儿童龋齿和牙周病的患病率较高。

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