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    Effect of periodontal disease on oxidative stress markers in patients with atherosclerosis
    (Springer Heidelberg, 2022) Sari, Aysegul; Davutoglu, Vedat; Bozkurt, Emrullah; Taner, Ibrahim Levent; Erciyas, Kamile
    Objectives The aim of this study was to investigate the effect of periodontal inflammation on oxidative stress in patients with atherosclerosis by considering serum and saliva total antioxidant status (TAS), total oxidant status (TOS), and oxidative stress index (OSI). Materials and methods In the study, there were 4 groups, with 20 individuals in each group. These groups consisted of individuals who had periodontitis with atherosclerosis (group A-P), were periodontally healthy with atherosclerosis (group A-C), were systemically healthy with periodontitis (group P), and were systemically and periodontally healthy (group C). Clinical periodontal parameters were recorded. PISA values were calculated. Atherosclerosis severity was determined by the Gensini score. The ratio of TAS/TOS resulting in the OSI levels of the serum and saliva samples was examined biochemically. Results Group A-P serum TAS and group C saliva OSI values were lower than those of the other groups (p < 0.05). Group A-P serum TOS and OSI values were higher than those of the other groups (p < 0.05). Groups A-C and P serum TOS and OSI values were higher than those of group C (p < 0.05). In the multivariate linear regression analysis, group A-P and PISA values were independently associated with serum TOS and OSI values (p < 0.05). Group A-P, group P, and PISA values were independently associated with saliva OSI values (p < 0.05). Conclusions Periodontitis and atherosclerosis may have systemic oxidative stress-increasing effects. The coexistence of periodontitis and atherosclerosis increases oxidative stress beyond that seen in either condition alone. Periodontitis can be associated with increased systemic TOS and OSI values in patients with atherosclerosis.
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    Effect of periodontitis on oxidative stress parameters in patients with rheumatic heart valve disease
    (Pergamon-Elsevier Science Ltd, 2021) Sari, Aysegul; Davutoglu, Vedat; Bozkurt, Emrullah; Tarakcioglu, Mehmet; Erciyas, Kamile
    Objective: The aim of this study was to evaluate the effects of periodontitis on oxidative stress parameters by investigating serum and gingival crevicular fluid (GCF) total antioxidant capacity (TAOC), total oxidant status (TOS), and oxidative stress index (OSI) values in patients with rheumatic heart valve disease (RHVD). Materials and methods: The study population comprised 76 patients, who were divided into four groups: chronic periodontitis with RVHD (RV-CP), periodontally healthy with RVHD (RV-C), systemically healthy with chronic periodontitis (CP), and systemically and periodontally healthy (C). Demographic, periodontal, and echocardiographic parameters were measured. Serum and GCF oxidative stress parameters were evaluated based on the OSI. Results: Similar serum oxidative stress parameters were found in all study groups (P >= 0.05). The GCF TAOC values of the C group were significantly higher than those of the other groups (P = 0.001). The GCF OSI values of the C group were significantly lower than those of the other groups (P = 0.001). The GCF TOS and OSI values of the RV-CP group were significantly higher than those of the CP and C groups (P = 0.001). The GCF TOS value of the RV-C group was significantly higher than those of the CP and C groups (P = 0.001). Conclusions: Altered local oxidative stress profile was associated with the presence of periodontitis. Rheumatic heart valve disease may increase oxidative stress in individuals with chronic periodontitis.
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    Evaluation of effects of periodontal diseases on social anxiety level
    (Cumhuriyet Üniversitesi, 2019) Sarı, Ayşegül; Şenyurt, Süleyman Ziya; Üstün, Kemal; Kul, Seval; Erciyas, Kamile
    Objectives: The aim of this study was to determine the level of social anxiety in patients with periodontal disease, and to examine its relationship with the clinical characteristics of periodontal disease. Materials and Methods: This study investigated 200 patients in a cross-sectional design. Sociodemographic data, clinical periodontal parameters and patient complaints were recorded. Patients were divided into four groups according to their clinical periodontal index values: chronic periodontitis (CP), aggressive periodontitis (AP), gingivitis (G), and periodontally healthy (PH). Social anxiety levels of the patients were assessed based on the Liebowitz Social Anxiety Scale (LSAS). Results: A negative relationship was observed between LSAS scores and age, a positive relationship was observed with education level (p0.05). The Liebowitz total score and total anxiety, socially related anxiety and total avoidance levels of patients with halitosis complaints were found significantly higher (p0.05). LSAS scores for patients with complaints of aesthetics and mobility were significantly higher for all seven sub-items (p0.05). Total avoidance and performance avoidance values were significantly higher in patients with complaints of gingival bleeding (p0.05). All of the LSAS scores were higher in the AP and CP groups compared to the PH group and higher in the AP group than in the CP and G groups (p0.05). In the G group, the performance-related avoidance level was significantly higher than in the PH group (p0.05). Conclusions: Periodontal diseases may negatively affect the psychological and emotional states of dental patients.
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    Periodontal hastalık, ateroskleroz ve oksidatif stres ilişkisi: derleme
    (Erciyes Üniversitesi, 2020) Sarı, Ayşegül; Erciyas, Kamile; Taner, İbrahim Levent
    Peridontal hastalıklar dişin destek dokularında enflasyonla ve yıkımla karakterize enfeksiyöz hastalıklardır. Periodontal hastalığın ilerlemesinde, bakteriyel kolonizasyona karşı gelişen immünolojik reaksiyonlar önemli rol oynamaktadır. Periodontal hastalıklar ile kardiovasküler hastalıkların temel etkeni olan ateroskleroz arasındaki direk nedensel ilişki tam olarak belirlenememesine karşın, her iki hastalığı ilişkilendiren farklı patolojik mekanizmalar ve ortak risk faktörleri mevcuttur. Aterosklerotik plakların periodontal patojenlerle enfeksiyonu, periodontal enflamasyonun kronik sistemik enflamasyon yoluyla aterojenik etki oluşturmasıher iki hastalığın olası ilişkisini açıklayan olası mekanizmalardandır. Serbest radikaller ile koruyucu antioksidan sistem arasındaki dengenin bozulması sonucu meydana gelen oksidatif stresin, son yıllarda her iki hastalığın başlaması ve ilerlemesiyleilişkili enflamatuar bir belirteç olduğu üzerinde durulmaktadır. Bu derlemede periodontal hastalık, ateroskleroz ve oksidatif stres arasındaki ilişkinin ele alınması amaçlanmıştır.