Periodontite Severa como um indicador para diagnóstico precoce de Síndrome Metabólica

• Ano de defesa: 2010
• Autor(a) principal: Amarante, Débora Cristina Rodrigues do
• Orientador(a): Fischer, Ricardo Guimarães
• Banca de defesa: Figueredo, Carlos Marcelo da Silva , Andrade Junior, Antonio Carlos Canabarro , Bittencourt, Marília da Silva Pereira , Gonçalves, Lucio de Souza , Soares, André Luis Velloso Caúla
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Odontologia
• Departamento: Centro Biomédico::Faculdade de Odontologia
• País: BR
• Palavras-chave em Português: Doença periodontal; Periodontite; Síndrome metabólica; Resistência insulínica; Obesidade; Circunferência da cintura; Resistência à insulina
• Palavras-chave em Inglês: Periodontal disease; Periodontitis; Metabolic syndrome; Insulin resistance; Obesity; Waist circunference
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA::PERIODONTIA
• Link de acesso: http://www.bdtd.uerj.br/handle/1/13957

Periodontitis and Metabolic Syndrome (MS) may be associated with systemic inflammation and insulin resistance, and a relationship between them may exist. The purpose of this study was to investigate the periodontal status of non-diabetic patients with MS, and determine whether the periodontal status is consistent with the values of the metabolic components of MS. We examined 165 non-diabetic patients with MS and 64 non-diabetic patients without MS (patients without MS were divided into two groups: group periodontal healthy and group with Severe Periodontitis). It were used the most recent definition by International Diabetes Federation in 2005. Patients with MS, excluded edentulous individuals, were 14,8% periodontally healthy, 40,7% with Moderate Periodontitis and 44,4% with Severe Periodontitis. Between the metabolic components of the MS group, only the Body Mass Index(BMI) of the individuals with non-severe Periodontitis was significantly higher than the Severe Periodontitis and edentulous individuals. The Severe Periodontitis extension and severity in patients with or without MS were similar. Patients with MS and Severe Periodontitis have glycemic, waist circumference, systolic blood pressure and BMI significantly greater than patients without MS with Severe Periodontitis. The group without MS and with Severe Periodontitis showed significantly different HDL and waist circumference values than periodontally healthy without MS group. In conclusion, Severe Periodontitis is similar in individuals with or without MS. Patients with Severe Periodontitis without diagnostic of MS should be encouraged to their primary care physician for blood glucose tests.