Relationship between increased body weight and oral health in children

Abstract

Backgraund/Aim. Increased body weight in childhood may have negative effects on many tissues and organs in the body. The aim of this study was to determine whether the state of oral health in children with increased body mass is different from the children with normal body weight. Methods. The study included 190 children, aged 6 to 15 years. Assessment of nutritional status of subjects was performed by the use of Body Mass, and the respondents were divided into a group of increased body weight children (IWC) and a group of normal body weight children (NWC). Hard dental tissue state of health was assessed by the decayed, missing and filled teeth (DMFT) index. The gingival health was assessed using gingival index (GI). Community Periodontal Index (CPI) was used for the assessment of periodontal tissue. The oral hygiene was assessed using the Simplified Debris (Plaque) Index Greene-Vermilion. Results. Average DMFT value in the IWC group was 5.01 ± 2.4, and in the NWC 4.43 ± 2.0; (p > 0.05). GI values in the IWC group was 0.64 ± 0.37, while in the NWC group it was 0.55 ± 0.35 (the difference was not statistically significant). Average CPI index values were 1.33 ± 0.49 in the IWC group and 0.77 ± 0.61 in the NWC group and statistically significant differences were observed concerning periodontal tissue state of health. The GV index values in the IWC group were 1.01 ± 0.49, and in the NWC group 0.89 ± 0.45; it was not statistically significant. Conclusion. Results of this research do not indicate that children with increased body weight have more affected teeth. However, they have a worse condition of periodontal tissue in comparison to normal weight children.

Uvod/Cilj. Povećana telesna masa u dečijem uzrastu može negativno da utiče na mnoga tkiva i organe u organizmu čoveka. Cilj ove studije bio je da se ustanovi da li se stanje oralnog zdravlja dece sa povećanom telesnom masom razlikuje u odnosu na decu koja imaju normalnu telesnu masu. Metode. U studiju je bilo uključeno190 dece, uzrasta od 6 do 15 godina. Procena stepena uhranjenosti ispitanika izvršena je pomoću Indeksa telesne mase, a ispitanici su podeljeni u grupu dece sa povećanom telesnom masom i decu sa normalnom telesnom masom. Stanje zdravlja tvrdih zubnih tkiva ocenjeno je pomoću KEP indeksa (ukupan broj karoiznih, ekstrahovanih i plombiranih zuba). Stanje zdravlja gingive procenjeno je pomoću loe Gingivalnog indeksa (GI). Za procenu parodontalnih tkiva upotrebljen je Community Periodontal Index (CPI). Stanje oralne higijene utvđeno je uz pomoć Plak indeksa po Greene-Vermilion- u. Rezultati. U grupi djece sa povećanom telesnom masom prosečna vrednost indeksa KEP bila je 5,01 ± 2,4 a kod dece sa normalnom telesnom masom 4,43 ± 2,0; ova razlika nije bila statistički značajna. Vrednost GI u grupi gojazne dece bila je 0,64 ± 0,37, a u grupi dece sa normalnom telesnom masom 0,55 ± 0,35; ni ova razlika nije bila statistički značajna. Prosečne vrednosti CPI u grupi gojazne dece bila je 1,33 ± 0,49, a u grupi dece sa normalnom telesnom masom 0,77 ± 0,61 što je bilo statistički značajno (p lt 0.05). Vrednosti plak-indeksa nisu bile statistički značajno različitie u obe ispitivane grupe dece. Zaključak. Rezultati istraživanja ne ukazuju da deca sa povećanom telesnom masom imaju više obolelih zuba. Međutim, ona imaju teži stepen obolenja parodontalnih tkiva u odnosu na decu koja imaju normalnu telesnu masu.