COVID-19’da Ağız Sağlığı Durumu

Year 2022, , 497 - 502, 20.09.2022

Gulfidan Uzan , Zeynep Tekdemir , Bedriye Kar , Mehmet Sönmez

https://doi.org/10.33631/sabd.1069510

Abstract

Amaç: Çin'in Wuhan kentinde 2019 yılının sonlarında koronavirüs hastalığı salgını (COVID-19) ortaya çıkmış ve yalnızca Çin'de değil, tüm dünyadaki ülkelerde de büyük bir halk sağlığı sorunu haline gelmiştir. Ağır akut solunum hastalığı (Severe Acute Respiratory Syndrome causing Coronavirus) (SARS-CoV-2)’nin ağız ve burun yoluyla bulaştığı ve en çok solunum sistemini etkilediği düşünülmektedir. Ağız sağlığı durumunun enfeksiyon oluşumunu ne şekilde etkilediği ise bilinmemektedir. Bu amaçla bu çalışmada COVID-19 olan ve olmayan kişilerde ağız sağlığı durumunun incelenmesi amaçlandı.
Gereç ve Yöntemler: Çalışmaya COVID-19 tanısı almış 101 hasta ile, COVID-19 tanısı almamış 72 gönüllü dahil edildi. Akciğer görüntülemeleri yapıldıktan sonra tüm hastalara ağız sağlığını değerlendirmek için hazırlanan anket soruları sorulup skorlandı. COVID-19 olan ve olmayan gruplar toplam ağız sağlığı skorları ve parametreleri ile radyolojik tutulum açısından karşılaştırıldı.
Bulgular: Hasta ve kontrol gruplarının yaş ortalamaları benzer idi. COVID-19 olan hastaların toplam ağız sağlığı skor değerleri, kontrol grubuna göre olumlu yönde daha yüksekti (p=0,011). COVID-19 grubunda diş fırçalama (p=0,045) ve diş hekimine gitme (p=0,015) oranı istatistiksel olarak anlamlı derecede yüksek iken, diş kaybı (p=0,008) ve ağız kokusu varlığı (p<0,001) istatistiksel olarak anlamlı derecede düşük olarak saptandı.
Sonuç: COVID-19 olanlarda ağız sağlığının iyi olmasının ağızda anaerobik florayı azaltabileceğini, bunun da asit üretiminin daha az olmasına neden olabileceği ve böylece ağızdaki yüksek pH’ın da virüsün solunum yoluna yerleşmesini kolaylaştırabileceği düşünüldü.

Keywords

COVID-19, ağız sağlığı, pnömoni

Supporting Institution

Yok

Project Number

Yok

Thanks

Prof Dr Cihadiye Elif Öztürk

Oral Health Condition in COVID-19

Abstract

Aim: The outbreak of coronavirus disease (COVID-19) emerged in the Chinese city of Wuhan in late 2019 and has become a major public health problem not only in China but also in countries around the world. It is thought that SARS-CoV-2, which causes the disease, is transmitted through the mouth and nose and mostly affects the respiratory system. How oral health condition affects he infection process is not known. In this study, we aimed to examine and compare the oral health condition of people with and without COVID-19.
Material and Methods: 101 patients diagnosed as COVID-19 and 72 patients without COVID-19 diagnosis were included in the study. After lung imaging, all patients were asked to complete a questionnaire and their oral health condition were scored. Groups with and without COVID-19 were compared in terms of total oral health scores and given parameters and radiolgical involvement.
Results: The mean age of both groups were similar. The total scores of patients with COVID-19 were higher than the control group. In the COVID-19 positive group, the rate of tooth brushing and regular dentist visiting history were statistically significantly higher, and the presence of tooth loss and presence of halitosis were statistically significantly lower.
Conclusion: It was thought that good oral health in those with COVID-19 may cause less anaerobic flora and less acid production in the mouth, and this high pH may make it easy for the virüs to attachment in the respiratory tract.

Keywords

COVID-19, oral health, pneumonia

Project Number

Yok

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