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In An Evaluation by Merchant
In An Evaluation by Merchant
Dalam evaluasi oleh Merchant, [4] implikasi klinis dari penelitian oleh Hutter [2]
dikatakan terbatas karena potensi sisa pembaur oleh merokok, kegagalan untuk
menunjukkan hubungan antara perokok non atau masa lalu, dan kegagalan untuk
menyesuaikan menopause Status pada wanita. Untuk menyingkirkan kelemahan ini,
hanya laki-laki dilibatkan dalam penelitian ini. Selanjutnya, perokok baik dulu dan
sekarang dikeluarkan untuk menghilangkan efek pengganggu dari merokok.
Wanita :
In India, anemia is more prevalent in females because of poor nutrition,
increased menstrual losses, high incidence of tropical and intestinal infections,
and other miscellaneous factors. Iron deficiency anemia is the most common
type of anemia seen in India. Females are also prone to hormonal imbalance
during puberty, during the reproductive phase, and toward menopausal age. The
microbial flora and host immune response are altered leading to exaggerated
response of the periodontal tissues to local factors. [27] Therefore, to eliminate
bias, only male patients were included in the study. [8]
Rokok :
Smokers were also excluded from the study. Various studies [28],[29],[30] have
evaluated the PPD, CAL, PI, GI, and radiographic bone measurements of
smokers and non-smokers, and found a positive correlation between smoking
and these clinical parameters. Studies also indicate elevated concentrations of
TNF and IL-6 as a consequence of smoking. [31]
Pengobatan jangka panjang :
The change in hemoglobin and RBC values in our study is
statistically highly significant but not as high as observed in
anemia due to other inflammatory conditions like rheumatoid
arthritis[13] and multiple myeloma.[14] This might be due to the
reason that the other diseases are more severe inflammatory
conditions than periodontitis. So anemia resulting from
periodontitis is relatively mild. This also might be the reason why
few studies[3] failed to find any relation between hematocrit
indices and periodontal status.