The Relationship between Oral Hygiene Index and Gastric Helicobacter Pylori Positivity

• Main Authors: Tolga Önder, Turgut Anuk, Cihan Heybeli
• Format: Article
• Language: English
• Published: Dicle University Medical School 2016-03-01
• Series: Dicle Medical Journal
• Subjects: Endoscopy; helicobacter pylori
• Online Access: http://www.diclemedj.org/upload/sayi/59/Dicle%20Med%20J-02920.pdf
• ISSN: 1300-2945; 1308-9889

Objective: Helicobacter pylori (HP) is a bacterial patho­gen that leads to gastroduodenal inflammation, gastric and duodenal ulcer and atrophic gastritis. Colonization of bacteria can be shown by using rapid-urease test during endoscopy. There are conflicting data about the route of transmission and reservoir. It’s thought to be transmitted primarily by oral route. Many studies showed results sup­porting that the presence of bacteria in dental plaques has effects on gastric colonization and eradication. There are data about the potential inhibitory effect of oral flora on HP. We aimed to analyze the association of simplified oral hygiene index -a possible representation of a healthy oral flora- with HP positivity. Methods: Patients undergoing upper gastrointestinal system endoscopy for symptoms of dyspepsia were as­sessed by a dentist for the simplified oral hygiene index (OHI). Patients were classified as good, poor and bad groups based on oral hygiene index scale. Pre-pyloric biopsy materials were assessed using rapid-urease test. Oral hygiene indexes were analyzed retrospectively, groups were compared for HP positivity. Results: 66 patients (30 females, 45.5%) were included. Mean age of patients was 34.17±14.7 years. 11 (16.7%), 29 (43.9%) and 26 (39.4%) patients were classified as in good, poor and bad hygiene index groups, respectively. In patients with good OHI gastric HP positivity was less frequent. Conclusion: Decreased frequency in gastric HP may be observed with maintaining an ideal oral hygiene.