Periodontal Health Status of Adolescents with Hashimoto Thyroiditis

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Yetkin Ay Z., Tekneci A., Tan A., Işık A. R., Pirgon M. Ö.

Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, cilt.13, sa.1, ss.30-39, 2022 (TRDizin)

Özet

Objective: Possible mechanisms regarding the relationship between Hashimoto’ thyroiditis (HT) and periodontal disease were suggested to be the autoimmune mechanisms. The aim is to report the oral and periodontal health status of a sample of adolescents with HT; and to investigate the correlations between the clinical periodontal and metabolic parameters of the adolescents with/without HT. Material- Method: Sixty adolescent girls aged between 12-18 years (mean±SD: 15.03±2.05 years) have participated. The study population was comprised of HT (n = 30) and control (C, n = 30) groups. In addition to the endocrinologic evaluations (metabolic parameters) and intra- and extra-oral examinations, periodontal examination including the recording of percentage of bleeding on probing (BOP %), gingival index (GI), plaque index (PI), and pocket depth (PD) was made. Results: Except the significantly higher anti-thyroid peroxidase (Anti-TPO) values in HT group than the C group (P = 0.001), none of the metabolic parameters have shown significant differences (P > 0.05). All of the subjects had gingivitis. The periodontal parameters were found not significantly different (P > 0.05). Salivary flow rate (SFR) has negative significant correlation with Anti-TPO (r = -0.367, P = 0.046), and cortisol has negative significant correlation with pocket depth (PD) (r = -0.378, P = 0.040). Conclusions: Significant correlations between gingival index (GI) and fT4, and PD and fT4 have led us to consider that the periodontal inflammation might relate to HT. The adolescence period should also kept in mind; which results in exaggerated host response to the dental plaque, and projected with the presence of gingivitis in the whole study population.