The Impact of Systemic Diseases on the Effect of Conservative Periodontal Disease
ARC Journal of Dental Science
Aim: Systemic diseases cause well-expressed local effects in the oral mucosa or gingiva. In conditions where these declared patients suffering from systemic diseases undergo conservative periodontal treatment, the expectation in the prognosis of periodontal disease differs specifically to the patient depending on the severity and stage where the systemic disease is located. The aim of this study is to evaluate the clinical outcomes of non-surgical periodontal therapy specifically for cardiac,
... ally for cardiac, diabetic, nephropathic, and gastrointestinal patients. Materials and Methods: In a total of 206 patients, divided according to the susceptibility of systemic diseases: cardiac patients, diabetic patients, nephropathic patients, gastrointestinal patients. Patients included in the study were divided according to age, gender and socio-health status prior to non-surgical periodontal treatment. The parameters of the response to periodontal therapy were assessed by recording indices before and after treatment. Results: According to the female ratio: male susceptibility to heart disease is 16%: 23%, diabetic 19%: 17%, nephropathy 17%: 4% and gastrointestinal 3%: 0.5%. The correlation between cardiac disease: diabetes is 30% and nephropathy-diabetes is 24%. Pre-and post-treatment survey rates for cardiac patients are 28% to 45%; diabetics 30% to 74%; nephropathies 16% to 23% and gastrointestinal 71% to 100%. Conclusions: Vulnerability to systemic diseases speaks of high values that combined with susceptibility to periodontal diseases, in relation to the fact that these diseases are related to the aggravation of periodontal diseases expressed in the value of the hemorrhage index. Recovery after non-surgical periodontal therapy is more sensitive in gastrointestinal patients, expressed in high difference in concentration in the values of periodontal sexes, followed by diabetic patients, cardiac patients and then by nephropathies.