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Prevalence of systemic risk factors in chronic periodontitis patients at Haji regional public hospital in East Java Province: a cross-sectional study
Abstract
Introduction: Periodontal disease is a chronic inflammatory disease that affects the tooth-supporting tissues and is often associated with various systemic disorders. Understanding this relationship is essential for comprehensive dental management. The aim of this study was to determine the prevalence of systemic risk factors among patients with chronic periodontitis at Haji Regional Public Hospital, East Java Province. Methods: A descriptive observational study with a cross-sectional design involving 108 patients diagnosed with chronic periodontitis. Data were collected from electronic medical records and analyzed descriptively using cross-tabulation. Results: The majority of patients were older adults (51.9%) and female (59.3%). A total of 78.7% had systemic conditions, the most common being hypertension and diabetes mellitus. Conclusion: Most chronic periodontitis patients had systemic conditions, particularly among older adults. These findings emphasize the importance of an interdisciplinary approach in periodontal care.
Prevalensi faktor risiko sistemik pada pasien periodontitis kronis di Rumah Sakit Umum Daerah Haji Provinsi Jawa Timur: Studi cross sectional
Pendahuluan: Penyakit periodontal merupakan penyakit inflamasi kronis yang memengaruhi jaringan penyangga gigi dan sering kali berhubungan dengan berbagai gangguan sistemik. Memahami hubungan ini sangat penting untuk penatalaksanaan kedokteran gigi yang komprehensif. Penelitian ini bertujuan untuk mengetahui prevalensi faktor risiko sistemik pada pasien dengan periodontitis kronis di Rumah sakit Umum Daerah Haji Provinsi Jawa Timur. Metode: Penelitian observasional deskriptif dengan desain potong lintang yang melibatkan 108 pasien yang didiagnosis dengan periodontitis kronis. Data dikumpulkan dari dokumentasi medis elektronik dan dianalisis secara deskriptif menggunakan tabel krostab. Hasil: Mayoritas pasien berusia lanjut (51,9%) dan berjenis kelamin perempuan (59,3%). Sebanyak 78,7% memiliki kondisi sistemik, yang paling umum adalah hipertensi dan diabetes melitus. Simpulan: Sebagian besar pasien dengan periodontitis kronis memiliki kondisi sistemik, terutama pada kelompok usia lanjut. Temuan ini menekankan pentingnya pendekatan interdisipliner dalam perawatan periodontal.
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Newman MG, Takei HH. Newman and Carranza's Clinical Periodontology. Elsevier. 13th edition. 2019. p. 548-561.
Belibasakis GN, Mylonakis E, Jin L, Giannobile WV. Periodontal microbiology and microbial etiology of periodontal diseases: Historical concepts and contemporary perspectives. Periodontol 2000. 2023. https://doi.org/10.1111/prd.12473
Zhang Z, Li X, Qi Y, Huang Q. Role of Porphyromonas gingivalis outer membrane vesicles in periodontal and systemic disease. Front Cell Infect Microbiol. 2021;10:585917. https://doi.org/10.3389/fcimb.2020.585917
Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018 Jun;89 Suppl 1:S159-S172. doi: 10.1002/JPER.18-0006. Erratum in: J Periodontol. 2018 Dec;89(12):1475. doi: 10.1002/jper.10239. PMID: 29926952. https://doi.org/10.1002/jper.10239
Van Dyke TE, Bartold PM, Reynolds EC. The nexus between periodontal inflammation and dysbiosis. Front Immunol. 2020;11:511. https://doi.org/10.3389/fimmu.2020.00511
Kementerian Kesehatan Republik Indonesia. Laporan Nasional Riskesdas 2018. Jakarta: Badan Litbangkes; 2018.
Stöhr J, Barbaresko J, Neuenschwander M, Schlesinger S. Bidirectional association between periodontal disease and diabetes mellitus. Sci Rep. 2021;11(1):13686. https://doi.org/10.1038/s41598-021-93062-6
Sanz M, Marco Del Castillo A, Jepsen S, Gonzalez-Juanatey JR, D'Aiuto F, Bouchard P,, et al. Periodontitis and cardiovascular diseases: Consensus report. Global Heart. 2020;15(1):1-16. https://doi.org/10.5334/gh.400
Miyata Y, Yamashita H, Iida T, Kanda S, Matsuo T, Arakawa S, et al. Periodontal disease in patients receiving dialysis. Int J Mol Sci. 2019;20(15):3805. https://doi.org/10.3390/ijms20153805
Kadatane SP, Satariano M, Massey M, Mongan K, Raina R. The role of inflammation in CKD. Cells. 2023;12(12):1581. https://doi.org/10.3390/cells12121581
Hajishengallis G. Interconnection of periodontal disease and comorbidities: Evidence, mechanisms, and implications. Periodontol 2000. 2022;89(1):9-18. https://doi.org/10.1111/prd.12430
Bui FQ, Almeida-da-Silva CLC, Huynh B, Trinh A, Liu J, Woodward J,, et al. Association between periodontal pathogens and systemic disease. Biomed J. 2019;42(1):27-35. https://doi.org/10.1016/j.bj.2018.12.001
Kinane DF, Stathopoulou PG, Papapanou PN. Periodontal diseases. Nat Rev Dis Primers. 2017 Jun 22;3:17038. doi: 10.1038/nrdp.2017.38. PMID: 28805207. https://doi.org/10.1038/nrdp.2017.38
Chapple IL, Bouchard P, Cagetti MG, et al. Interaction of systemic health and oral diseases. J Dent Res. 2017;96(3):318-26.
Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim). 2017;11(2):72-80.
Su X, Jin K, Zhou X, Zhang Z, Zhang C, Li Y, et al. Association between sex hormones and periodontitis among American adults: A cross-sectional study. Front Endocrinol. 2023;14:1125819. https://doi.org/10.3389/fendo.2023.1125819
Del Pinto R, Ferri C, Giannoni M, Cominelli F, Pizarro TT, Pietropaoli D. Meta-analysis of oral microbiome reveals sex-based diversity in biofilms during periodontitis. JCI Insight. 2024;9(17):e171311. https://doi.org/10.1172/jci.insight.171311
Aquino-Martinez R, Hernandez-Vigueras S. Severe COVID-19 lung infection in older people and periodontitis. J Clin Med. 2021;10(2):279. https://doi.org/10.3390/jcm10020279
Pirih FQ, Monajemzadeh S, Shin SY, Kookal KK, Sinacola R, Hwang J, et al. Association between metabolic syndrome and periodontitis. Periodontol 2000. 2021;87(1):50-75. https://doi.org/10.1111/prd.12379
Borsa L, Dubois M, Sacco G, Lupi L. Link between periodontal disease and Alzheimer's: A systematic review. Int J Environ Res Public Health. 2021;18(17):9312. https://doi.org/10.3390/ijerph18179312
Zhong Y, Kang X, Bai X, Pu B, Smerin D, Zhao L, et al. Oral-gut-brain axis: Influence of microbes linking periodontitis and stroke. CNS NeurosciTher. 2024;30(12):e70152. https://doi.org/10.1111/cns.70152
Ibraheem WI, Bhati AK, Ageeli FM, Sufyani RA, Darraj MA, Ageeli EO, et al. Association between asthma and periodontitis. Bioinformation. 2024;20(1):59-64. https://doi.org/10.6026/973206300200059
Brasil-Oliveira R, Cruz ÁA, Souza-Machado A, Pinheiro GP, Inácio DDS, Sarmento VA, et al. Oral health-related quality of life in individuals with severe asthma. J Bras Pneumol. 2020;47(1):e20200117. https://doi.org/10.36416/1806-3756/e20200117
Al Hazmi B. Leukemia and periodontal health. J Pak Dent Assoc. 2021;30(1):61-5. https://doi.org/10.25301/JPDA.301.61
Pereira LL, Amorim DVS, Sampaio WB, Azevêdo TAC, Cardoso VBP, Lemos FB, et al. Factors associated with periodontitis in HIV patients. Int J Dent. 2023;2023:9929835. https://doi.org/10.1155/2023/9929835
Ramos Peña DE, Arce RM. Periodontitis and HIV: An interplay of inflammation and dysbiosis. Clin Oral Investig. 2024;28(1):321-30.
Slots J. Periodontitis: Facts, fallacies and the future. Periodontol 2000. 2022;90(1):7-23. https://doi.org/10.1111/prd.12221
Sampson V, Kamalja K, Jones R. The impact of periodontal inflammation on systemic oxidative stress. J Clin Periodontol. 2023;50(4):505-514.
Gul SS, Griffiths GS, Stafford GP. Salivary biomarkers in periodontal disease and systemic inflammation. Clin Exp Dent Res. 2022;8(3):393-402.
Loos BG, Van Dyke TE. The role of the host immune response in periodontitis susceptibility. Nat Rev Immunol. 2020;20:5-20.
DOI: https://doi.org/10.24198/jkg.v37i3.64891
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