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Longitudinal Analysis of Oral Health, Dental Plaque Microfilm and Salivary (IL-1β and TNF-Α) after Tonsillectomy Among Iraqi Adolescents | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 29, Issue 2, 2016, Pages 21-30 | ||
| Author | ||
| Zaid SH Ahmed | ||
| Abstract | ||
| Background: In general, the maturation of oral immune status of the upper aero-digestive tract are prominently depending on regional lymphoid tissues for both laryngeal and pharyngeal tonsils. Tonsillectomy would result in changes of the local immune defenses and causes both dental caries and periodontal diseases like gingivitis. Objective: To investigate the impact of the tonsillectomy on oral health, microbial structure dental plaque and salivary levels of both IL-1β and TNF -α. In addition, to detect relationship between cariogenic bacteria and dental caries grades among adolescents aged 14-16 years. Patients and Methods: The sample of thirty-five adolescents with Chronic Tonsillitis presenting for tonsillectomy were recruited. Caries experience was recorded according to Mühlemann (D1-4 MFD) Index. The determination of Chronic Tonsillitis performed through a clinical and histopathological examination after tonsillectomy. Dental microbial flora was cultured for semi-quantitative estimation of growth of aerobic and facultative organisms (preoperatively and at one month postoperatively). Results: Finding of this study revealed decreasing of quantity of Strep. mutans, Lactobacilus spp, Strept. salivarius, P. gingivalis and Actinomyces a after tonsillectomy. Moreover, direct relations between (D4 and DMFS) and Strep. mutans and Strep. mitis was significant pre-operatively. Similarly, direct relations between P. gingivalis and both Salivary IL-1β TNF-α and gingivitis postoperatively. Conclusion: The dental plaque of microbial structure act as reservoir for Chronic Tonsillitis among adolescents aged 14-16 years and it seems to be an association between declining in the acount of cariogenic bacteria and tonsillectomy among adolescents aged 14-16 years old. And there is feedback between Chronic Tonsillis and dental caries. | ||
| Keywords | ||
| Dental Caries; Adolescents; Chronic Tonsillitis; Oral Microflora; Dental Plaque | ||
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