Research Article
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The relationship between oral and dental health and appendicitis

Year 2023, Volume: 5 Issue: 4, 350 - 354, 27.10.2023
https://doi.org/10.38053/acmj.1318825

Abstract

Aims: In this study, we aimed to evaluate the relationship between the scores of the “Simplified Oral Hygiene Index” (OHI-S) indicating poor oral hygiene and the “Decayed, Missing and Filled Teeth” (DMFT) index indicating oral health impairment, and acute appendicitis (AA).
Methods: Eighty four patients who were operated on with the diagnosis of acute appendicitis between April 2022 and May 2023 were included. The control group included 32 individuals without a history of appendectomy. In our study, oral health was evaluated using the DMFT and OHI-S indices. The DMFT index is one of the indices quantifying dental health status based on the number of cavities. OHI-S is an index used to evaluate oral hygiene.
Results: The OHI-S index scores of the patients with AA were significantly higher than those of the control group (3.53±1.43, 2.56±1.24, p<0.05, respectively). DMFT index scores of the patients with AA were significantly higher than the DMFT scores of the control group (12.09±5.51, 8.4±4.73, p<0.05, respectively). Among all individuals who participated in the study, OHI-S and DMFT index values of those who never or occasionally brushed their teeth were significantly higher than those who brushed their teeth at least once a day (p<0.05).
Conclusion: In this study, the OHI-S index scores indicating poor oral hygiene, and the DMFT index scores indicating poor oral health status were found to be higher in patients operated for AA; It suggests that poor oral health may increase the risk of appendicitis.

References

  • Menteş Ö, Eryılmaz M, Yiğit T, Tascı S, Balkan M, Kozak O. 60 yaş üstü apandektomili olgularımızın retrospektif analizi. JAEM. 2008;36-41.
  • Powers RD, Guertler AT. Abdominal pain in the ED:stability and change over 20 years. Am J Emerg Med. 1995;13(3):301-303.
  • Bostancı MT, Yılmaz İ, Cimen S, Koşmaz K, Gökçe A, Avcı MA. Are scoring systems detecting acute appendicitis reliable? a prospective clinical study. J Health Sci Med. 2022;5(1):167-172.
  • Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132:910-25.
  • Jones AE, Phillips AW, Jarvis JR, Sargen K. The value of routine histopathological examination of appendicectomy specimens. BMC Surg. 2007;7:17.
  • Akbulut S, Tas M, Sogutcu N, et al. Unusual histopathological findings in appendectomy specimens:a retrospective analysis and literature review. World J Gastroenterol. 2011;17(15):1961-1970.
  • Yabanoglu H, Caliskan K, Aytac HO, et al. Unusual findings in appendectomy specimens of adults:retrospective analyses of 1466 patients and a review of literature. Iran Red Crescent Med J. 2014;16(2):e12931.
  • Lamps LW. Appendicitis and infections of the appendix. Semin Diagn Pathol. 2004;21(2):86-97.
  • Pieper R, Kager L, Lindberg AA, Nord CE. Acute appendicitis and Bacteroides fragilis. Scand J Infect Dis Suppl. 1979;(19):92-97.
  • World Health Organization. Oral health. 2020. Available at: https://www.who.int/health-topics/oral-health#tab=tab_1
  • Wilson M, Reddi K, Henderson B:Cytokine-inducing components of periodontopathogenic bacteria. J Periodontal Res. 1996;31(6):393-407.
  • Külekçi G, Gökbuget A. Ağız mikroflorasının genel sağlığa etkisi. Ankem Derg. 2009;23(3):137-145.
  • Bischoff JI, Van der Merwe EHM, Retief DH, Barbakow FH, Cleaton-Jones PE. Relationship between fluoride concentration in enamel, DMFT index, and degree of fluorosis in a community residing in an area with a high level of fluoride. J Dent Res. 1976;55(1):37-42.
  • Greene JG, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964;68(1):7-13.
  • Bakır EP, Çitaker ÖK, Bakır Ş. Relationship of socioeconomic status and oral-dental health in the Southeastern Anatolia. J Health Sci Med. 2021;4(5):622-629.
  • Surel AA, Güngörer B. The predictors of complicated acute appendicitis:large unstained cells, gamma-glutamyl transferase, monocyte to platelet ratio, age and gender. J Health Sci Med. 2020;4(4):477-481.
  • Petroianu A, Villar Barroso TV. Pathophysiology of Acute Appendicitis. JSM Gastroenterol Hepatol. 2016;4(3):4-7.
  • Wagner M, Tubre DJ, Asensio J. Evolution and current trends in the management of acute appendicitis. Surg Clin N Am. 2018;98.5:1005-1023
  • Carr NJ, Weldon F. The pathology of Acute Appendicitis. Ann. Diagn. Pathol. 2000;4:46-58.
  • Lamps LW. Infectious causes of appendicitis. Infect Dis Clin North Am. 2010;24(4):995-1018.
  • Andreou P, Blain S, Boulay CD. A histopathological study of the appendix at autopsy and after surgical resection. Histopathology. 1990;17(5):427-431.
  • Arnbjörnsson E, Bengmark S. Obstruction of the appendix lumen in relation to pathogenesis of acute appendicitis. Acta Chir Scand. 1983;149(8):789-791.
  • Kim SY, Oh DJ, Park B, Park IS, Choi HG. Increased risk of appendectomy in patients with asthma. Medicine. 2019;98(38):e17203.
  • Alder AC, Fomby TB, Woodward WA, Haley RW, Sarosi G, Livingston EH. Association of viral infection and appendicitis. Arch Surg. 2010;145(1):63-71.
  • Özan Ü, Özan F, Er K. Oral mikroorganizmalara karşı propolisin antimikrobiyal etkinliği. Acta Odontol Turc. 2015;32(1):36-41.
  • Blod C, Schlichting N, Schülin S et al. The oral microbiome—the relevant reservoir for acute pediatric appendicitis?. Int J Colorectal Dis. 2018;33:209-218.
  • Aiyoshi T, Kakihara T, Watanabe E, et al. A comprehensive microbial analysis of pediatric patients with acute appendicitis. J Microbiol Immunol Infect. 2023;56(4):695-704.
  • Guinane CM, Tadrous A, Fouhy F, et al. Microbial composition of human appendices from patients following appendectomy. mBio. 2013;4(1):e00366-12.
  • Siqueira JF, Rôças IN. Microbiology and treatment of acute apical abscesses. Clin Microbiol Rev. 2013;26(2):255-273.
  • Zhong D, Brower-Sinning R, Firek B, Morowitz MJ. Acute appendicitis in children is associated with an abundance of bacteria from the phylum Fusobacteria. J Pediatr Surg. 2014;49(3):441-446.
  • Rogers MB, Brower-Sinning R, Firek B, Zhong D, Morowitz MJ. Acute appendicitis in children is associated with a local expansion of fusobacteria. Clin Infect Dis. 2016;63(1):71-78.
  • Swidsinski A, Dörffel Y, Loening-Baucke V et al. Acute appendicitis is characterised by local invasion with Fusobacterium nucleatum/necrophorum. Gut. 2011;60:34-40.
  • Swidsinski A, Dörffel Y, Loening-Baucke V et al. Mucosal invasion by fusobacteria is a common feature of acute appendicitis in Germany, Russia and China. Saudi J Gastroenterol. 2012;18:55-58.
  • Barker DJP, Osmond C, Golding J, Wadsworth MEJ. Acute appendicitis and bathrooms in three samples of British children. Br Med J (Clin Res Ed). 1988;296(6627):956-958.
  • Barker DJ, Liggins A. Acute appendicitis in nine British towns. Br Med J (Clin Res Ed). 1981;283(6299):1083-1085.
  • Barker DJ. Acute appendicitis and dietary fibre: an alternative hypothesis. Br Med J (Clin Res Ed). 1985;290(6475):1125-1127.
  • Barker DJ, Morris JA, Simmonds SJ, Oliver RH. Appendicitis epidemic following introduction of piped water to Anglesey. J Epidemiol Community Health. 1988;42(2):144-148.
  • Trowell HC. Non-infective disease in Africa. Edward Arnold, London. 1960;481.
  • Burkitt DP, Trowell HC. Appendicitis in refined carbohydrate food and disease. Ν York Acad Press Ine. 1975;87-97.
  • Sulu B. Demographic and epidemiologic features of acute appendicitis. appendicitis-a collection of essays from around the world. Rijeka: InTech. 2012;169-178.
  • Abeş M, Petik B, Kazıl S. Nonoperative treatment of acute appendicitis in children. J Pediatr Surg. 2007;42(8):1439-1442.
  • Gardikis S, Giatromanolaki A, Kambouri K, Tripsianis G, Sivridis E, Vaos G. Acute appendicitis in preschoolers:a study of two different poppulations of children. Ital J Pediatr. 2011;37(1):35.
  • Budhi I. B, Azka R, Yudhani RD. Describing the role of personal hygiene on non-complicated pediatric appendicitis patients. Highlights on Medicine and Medical Science. 2021;16, 91-95.
  • Rothrock SG, Pagane J. Acute appendicitis in children:emergency department diagnosis and management. Ann Emerg Med. 2000;36(1):39-51.
  • Sakellaris G, Tilemis S, Charissis G. Acute appendicitis in preschool-age children. Eur J Pediatr. 2005;164(2):80-83.
  • Attin T, Hornecker E. Tooth brushing and oral health: how frequently and when should tooth brushing be performed? Oral Health Prev Dent. 2005;3(3):135-140.
  • Lieffers JR, Vanzan AGT, Rover de Mello J, Cammer A. Nutrition care practices of dietitians and oral health professionals for oral health conditions: a scoping review. Nutrients. 2021;13(10):3588.
Year 2023, Volume: 5 Issue: 4, 350 - 354, 27.10.2023
https://doi.org/10.38053/acmj.1318825

Abstract

References

  • Menteş Ö, Eryılmaz M, Yiğit T, Tascı S, Balkan M, Kozak O. 60 yaş üstü apandektomili olgularımızın retrospektif analizi. JAEM. 2008;36-41.
  • Powers RD, Guertler AT. Abdominal pain in the ED:stability and change over 20 years. Am J Emerg Med. 1995;13(3):301-303.
  • Bostancı MT, Yılmaz İ, Cimen S, Koşmaz K, Gökçe A, Avcı MA. Are scoring systems detecting acute appendicitis reliable? a prospective clinical study. J Health Sci Med. 2022;5(1):167-172.
  • Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132:910-25.
  • Jones AE, Phillips AW, Jarvis JR, Sargen K. The value of routine histopathological examination of appendicectomy specimens. BMC Surg. 2007;7:17.
  • Akbulut S, Tas M, Sogutcu N, et al. Unusual histopathological findings in appendectomy specimens:a retrospective analysis and literature review. World J Gastroenterol. 2011;17(15):1961-1970.
  • Yabanoglu H, Caliskan K, Aytac HO, et al. Unusual findings in appendectomy specimens of adults:retrospective analyses of 1466 patients and a review of literature. Iran Red Crescent Med J. 2014;16(2):e12931.
  • Lamps LW. Appendicitis and infections of the appendix. Semin Diagn Pathol. 2004;21(2):86-97.
  • Pieper R, Kager L, Lindberg AA, Nord CE. Acute appendicitis and Bacteroides fragilis. Scand J Infect Dis Suppl. 1979;(19):92-97.
  • World Health Organization. Oral health. 2020. Available at: https://www.who.int/health-topics/oral-health#tab=tab_1
  • Wilson M, Reddi K, Henderson B:Cytokine-inducing components of periodontopathogenic bacteria. J Periodontal Res. 1996;31(6):393-407.
  • Külekçi G, Gökbuget A. Ağız mikroflorasının genel sağlığa etkisi. Ankem Derg. 2009;23(3):137-145.
  • Bischoff JI, Van der Merwe EHM, Retief DH, Barbakow FH, Cleaton-Jones PE. Relationship between fluoride concentration in enamel, DMFT index, and degree of fluorosis in a community residing in an area with a high level of fluoride. J Dent Res. 1976;55(1):37-42.
  • Greene JG, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964;68(1):7-13.
  • Bakır EP, Çitaker ÖK, Bakır Ş. Relationship of socioeconomic status and oral-dental health in the Southeastern Anatolia. J Health Sci Med. 2021;4(5):622-629.
  • Surel AA, Güngörer B. The predictors of complicated acute appendicitis:large unstained cells, gamma-glutamyl transferase, monocyte to platelet ratio, age and gender. J Health Sci Med. 2020;4(4):477-481.
  • Petroianu A, Villar Barroso TV. Pathophysiology of Acute Appendicitis. JSM Gastroenterol Hepatol. 2016;4(3):4-7.
  • Wagner M, Tubre DJ, Asensio J. Evolution and current trends in the management of acute appendicitis. Surg Clin N Am. 2018;98.5:1005-1023
  • Carr NJ, Weldon F. The pathology of Acute Appendicitis. Ann. Diagn. Pathol. 2000;4:46-58.
  • Lamps LW. Infectious causes of appendicitis. Infect Dis Clin North Am. 2010;24(4):995-1018.
  • Andreou P, Blain S, Boulay CD. A histopathological study of the appendix at autopsy and after surgical resection. Histopathology. 1990;17(5):427-431.
  • Arnbjörnsson E, Bengmark S. Obstruction of the appendix lumen in relation to pathogenesis of acute appendicitis. Acta Chir Scand. 1983;149(8):789-791.
  • Kim SY, Oh DJ, Park B, Park IS, Choi HG. Increased risk of appendectomy in patients with asthma. Medicine. 2019;98(38):e17203.
  • Alder AC, Fomby TB, Woodward WA, Haley RW, Sarosi G, Livingston EH. Association of viral infection and appendicitis. Arch Surg. 2010;145(1):63-71.
  • Özan Ü, Özan F, Er K. Oral mikroorganizmalara karşı propolisin antimikrobiyal etkinliği. Acta Odontol Turc. 2015;32(1):36-41.
  • Blod C, Schlichting N, Schülin S et al. The oral microbiome—the relevant reservoir for acute pediatric appendicitis?. Int J Colorectal Dis. 2018;33:209-218.
  • Aiyoshi T, Kakihara T, Watanabe E, et al. A comprehensive microbial analysis of pediatric patients with acute appendicitis. J Microbiol Immunol Infect. 2023;56(4):695-704.
  • Guinane CM, Tadrous A, Fouhy F, et al. Microbial composition of human appendices from patients following appendectomy. mBio. 2013;4(1):e00366-12.
  • Siqueira JF, Rôças IN. Microbiology and treatment of acute apical abscesses. Clin Microbiol Rev. 2013;26(2):255-273.
  • Zhong D, Brower-Sinning R, Firek B, Morowitz MJ. Acute appendicitis in children is associated with an abundance of bacteria from the phylum Fusobacteria. J Pediatr Surg. 2014;49(3):441-446.
  • Rogers MB, Brower-Sinning R, Firek B, Zhong D, Morowitz MJ. Acute appendicitis in children is associated with a local expansion of fusobacteria. Clin Infect Dis. 2016;63(1):71-78.
  • Swidsinski A, Dörffel Y, Loening-Baucke V et al. Acute appendicitis is characterised by local invasion with Fusobacterium nucleatum/necrophorum. Gut. 2011;60:34-40.
  • Swidsinski A, Dörffel Y, Loening-Baucke V et al. Mucosal invasion by fusobacteria is a common feature of acute appendicitis in Germany, Russia and China. Saudi J Gastroenterol. 2012;18:55-58.
  • Barker DJP, Osmond C, Golding J, Wadsworth MEJ. Acute appendicitis and bathrooms in three samples of British children. Br Med J (Clin Res Ed). 1988;296(6627):956-958.
  • Barker DJ, Liggins A. Acute appendicitis in nine British towns. Br Med J (Clin Res Ed). 1981;283(6299):1083-1085.
  • Barker DJ. Acute appendicitis and dietary fibre: an alternative hypothesis. Br Med J (Clin Res Ed). 1985;290(6475):1125-1127.
  • Barker DJ, Morris JA, Simmonds SJ, Oliver RH. Appendicitis epidemic following introduction of piped water to Anglesey. J Epidemiol Community Health. 1988;42(2):144-148.
  • Trowell HC. Non-infective disease in Africa. Edward Arnold, London. 1960;481.
  • Burkitt DP, Trowell HC. Appendicitis in refined carbohydrate food and disease. Ν York Acad Press Ine. 1975;87-97.
  • Sulu B. Demographic and epidemiologic features of acute appendicitis. appendicitis-a collection of essays from around the world. Rijeka: InTech. 2012;169-178.
  • Abeş M, Petik B, Kazıl S. Nonoperative treatment of acute appendicitis in children. J Pediatr Surg. 2007;42(8):1439-1442.
  • Gardikis S, Giatromanolaki A, Kambouri K, Tripsianis G, Sivridis E, Vaos G. Acute appendicitis in preschoolers:a study of two different poppulations of children. Ital J Pediatr. 2011;37(1):35.
  • Budhi I. B, Azka R, Yudhani RD. Describing the role of personal hygiene on non-complicated pediatric appendicitis patients. Highlights on Medicine and Medical Science. 2021;16, 91-95.
  • Rothrock SG, Pagane J. Acute appendicitis in children:emergency department diagnosis and management. Ann Emerg Med. 2000;36(1):39-51.
  • Sakellaris G, Tilemis S, Charissis G. Acute appendicitis in preschool-age children. Eur J Pediatr. 2005;164(2):80-83.
  • Attin T, Hornecker E. Tooth brushing and oral health: how frequently and when should tooth brushing be performed? Oral Health Prev Dent. 2005;3(3):135-140.
  • Lieffers JR, Vanzan AGT, Rover de Mello J, Cammer A. Nutrition care practices of dietitians and oral health professionals for oral health conditions: a scoping review. Nutrients. 2021;13(10):3588.
There are 47 citations in total.

Details

Primary Language English
Subjects General Surgery, Endodontics
Journal Section Research Articles
Authors

Semih Sağlık 0000-0002-4224-9272

Enver Ay 0009-0004-0064-3206

Veysel Bakır 0009-0001-4831-5592

Necip Nas 0000-0002-0927-5217

Early Pub Date October 26, 2023
Publication Date October 27, 2023
Published in Issue Year 2023 Volume: 5 Issue: 4

Cite

AMA Sağlık S, Ay E, Bakır V, Nas N. The relationship between oral and dental health and appendicitis. Anatolian Curr Med J / ACMJ / acmj. October 2023;5(4):350-354. doi:10.38053/acmj.1318825

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