Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
Ufa, Ufa, Russian Federation
UDK 616.31 Стоматология. Заболевания ротовой полости и зубов
Subject. Iron deficiency anemia (IDA) occurs in all age and social groups of the population, not only in various pathological but also physiological conditions. Objectives. To study the oral condition in patients with iron deficiency anemia (IDA). Methodology. questionnaires were used to determine concomitant pathology and manifest symptoms of anemia. The diagnosis of IDA, non-carious lesions, dental caries and its complications, periodontal diseases and diseases of the oral mucosa, lips, tongue were established by ICD-10 (C) according to WHO. Dental status was determined by indices (KPU, OHI-S, PMA, PBI, PI) and radiographic data. Results. According to the questionnaires, IDA symptoms were detected in 49.1% of patients with periodontal diseases aged 18 to 70 years. Paresthesia of the tongue occurred mainly in women in 84.4% of cases, angular cheilitis was 2.5 times more common in females than in males, atrophic and desquamative glossitis 42.1 and 35.1%, respectively, viral stomatitis 37.8% and candidal stomatitis in 53.3% of females suffered from, midline lip fissure was 4.7 times more common in males than in females. The KPU index increased with age from 9.5 at 18–30 years to 22.2 in individuals over 50 years old. On average, the OHI-S level was 2.71 units, PBI – 1.47 units, PMA – 43.70%; PI – 2.21 units. Gingivitis was diagnosed in 26.3% of individuals with IDA and periodontitis in 73.7% of patients, respectively. Conclusions. For early detection of IDA symptoms in individuals with periodontal diseases, it is necessary to conduct a comprehensive assessment of the dental status, a questionnaire on sideropenic and anemic signs, and a general blood test.
inflammatory diseases of the periodontium, oral mucosa, lips, tongue, dental indices, iron deficiency anemia
1. Abramkina E.S., Petrova T.G., Pospelova T.I. Izmenenie sostoyaniya vkusovogo analizatora u bol'nyh zhelezodeficitnoy anemiey na fone terapii preparatami zheleza. Institut Stomatologii. 2013;4(61):66-67. [E.S. Abramkina, T.G. Petrova, T.I. Pospelova. Changes in the state of the taste analyzer in patients with iron deficiency anemia during therapy with iron preparations. Institute of Dentistry. 2013;4(61):66-67. (In Russ.)]. DOIhttps://doi.org/10.25636/PMP.1.2018.1.51
2. Bogdanov A.N., Scherbak S.G., Pavlovich D.A. Anemii v pozhilom i starcheskom vozraste. Vestnik Severo-Zapadnogo gosudarstvennogo medicinskogo universiteta im. I.I. Mechnikova. 2018;10(2):19. [A.N. Bogdanov. Anemia in the elderly and senile age. Bulletin of the North-Western State Medical University. I.I. Mechnikova. 2018;10(2):19. (In Russ.)]. DOI:https://doi.org/10.17816/mechnikov201810219-26).
3. Hovasova N.O., Vorob'eva N.M., Naumov A.V., Tkacheva O.N. Vliyanie anemii na 5-letnyuyu vyzhivaemost' lic starcheskogo vozrasta i dolgozhiteley. Lechebnoe delo. 2022;2:100-109. [N.O. Khovassova, N.M. Vorobyova, A.V. Naumov, O.N. Tkacheva. The impact of anemia on 5-year survival of elderly people and long-livers. General Medicine. 2022;2:100-109. (In Russ.)]. https:/DOI:https://doi.org/10.24412/2071-5315-2022-12812\
4. Eliseeva A.S., Egorushkina E.V., Lidohova O.V. Zhelezodeficitnye anemii molodogo vozrasta. Tendencii razvitiya nauki i obrazovaniya. 2023;97-9:38-41. [A.S. Eliseeva, E.V. Egorushkina, O.V. Lidokhova. Iron deficiency anemia in young people. Trends in the development of science and education. 2023;97-9:38-41. (In Russ.)]. doi:https://doi.org/10.18411/trnio-05-2023-482.
5. Natarov A.A., Letnikova L.I., Shkatova Ya.S., Tokmachev R.E., Saurina O.S. Sravnitel'nyy analiz zabolevaemosti anemicheskim sindromom v central'nom federal'nom okruge. Nauchno-prakticheskiy recenziruemyy zhurnal "Sovremennye problemy zdravoohraneniya i medicinskoy statistiki". 2019;4. [A.A. Natarov, L.I. Letnikova, Ya.S. Shkatova, R.E. Tokmachev, O.S. Saurina. Comparative analysis of the incidence of anemic syndrome in the central federal district. Scientific and practical peer-reviewed journal "Modern Problems of Healthcare and Medical Statistics". 2019;4. (In Russ.)]. DOIhttps://doi.org/10.24411/2312-2935-2019-10095.
6. Norbutaev A.B., Melibaev B.A., Nazarova N.Sh. Rol' soderzhaniya zheleza v razvitii zabolevaniy parodonta i slizistoy obolochki polosti rta. Vestnik nauki i obrazovaniya. 2020;21-1(99):84-91. [A.B. Norbutaev, B.A. Melibaev, N.Sh. Nazarova. The role of iron content in the development of periodontal diseases and oral mucosa. Bulletin of Science and Education. 2020;21-1(99):84-91. (In Russ.)]. DOI:https://doi.org/10.24411/2312-8089-2020-12103
7. Polyakova O.A., Klepikova M.V., Litvinova S.N., Isaakyan Yu.A., Ostroumova O.D. Problema deficita zheleza i zhelezodeficitnoy anemii v obschemedicinskoy praktike. Profilakticheskaya medicina. 2022;25(12):127-134. [O.A. Polyakova, M.V. Klepikova, S.N. Litvinova, Yu.A. Isaakyan, O.D. Ostroumova. The problem of iron deficiency and iron deficiency anemia in general medical practice. Preventive medicine. 2022;25(12):127-134. (In Russ.)]. DOIhttps://doi.org/10.17116/profmed202225121127.
8. Saginor D.M., Fayzullaeva A.A., Yankovaya T.N. Chastota vstrechaemosti zhelezodeficitnoy anemii u zhenschin reproduktivnogo vozrasta s ginekologicheskoy patologiey. Smolenskiy medicinskiy al'manah. 2023;3:223-225. [D.M. Saginor, A.A. Fayzullaeva, T.N. Yankovaya. Frequency of occurrence of iron deficiency anemia in women of reproductive age with gynecological pathology. Smolensk Medical Almanac. 2023;3:223-225. (In Russ.)]. https:/ DOIhttps://doi.org/10.46393/27132129_2022_4_16
9. Smyshlyaeva A.V., Leushina E.I. Izmeneniya v polosti rta pri anemicheskom sindrome. Mezhdunarodnyy studencheskiy nauchnyy vestnik. 2018;4-2:313-316. [A.V. Smyshlyaeva, E.I. Leushina. Changes in the oral cavity in anemic syndrome. International Student Scientific Bulletin. 2018;4-2:313-316. (In Russ.)]. https://eduherald.ru/ru/article/view?id=18523
10. Cappellini M.D., Musallam K.M., Taher A.T. Iron deficiency anemia revisited // J. Internal Med. – 2019. https://doi.org/10.1111/joim.13004.
11. Kawabata H., Tamura T., Tamai S., Fujibayashi A., Sugimura M. Intravenous ferric derisomaltose versus saccharated ferric oxide for iron deficiency anemia associated with menorrhagia: a randomized, open-label, active-controlled, noninferiority study // International Journal of Hematology. – 2022;116(5):647-658. https://doi.org/10.1007/s12185-022-03485-8
12. Cappellini M.D., Santini V., Braxs C., Shander A. Iron metabolism and iron deficiency anemia in women // Fertility and Sterility. – 2022;118:607-614. DOI:https://doi.org/10.1016/j.fertnstert.2022.08.014.
13. Mahmoud A.H., Elkhouly N., Helmy M., Shady H.A. Comparison between iron compounds as oral treatment for iron deficiency anemia during pregnancy // Menoufia Medical Journal. – 2022;35(2):754. DOIhttps://doi.org/10.4103/mmj.mmj196_21.
14. WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations. Geneva: World Health Organization. 2020. Accessed November 04. 2022. https://www.who.int/publications/i/item/9789240000124