[ evaluation of periodontium in patient's with spastic parapareseis related to HTLVI virus]

ABSTRACT

HTLVI virus is one of human's retroviruses which is the cause of T Lymphocytes Leukemia and spastic parpareseis or HTLVI associated myelopathy and some other inflammatory diseases, in some patients. Regarding that HTLVI is an endemic virus in Khorasan and the lack of studies and researches about its intraoral clinical signs, we decided to study periodontal status in patients with HTLVI associated Spastic Paraparesis. This was a case- control study with easy sampling that performed on about 30 patients [10 men and 20 women] with the mean age of 42 years in Mashhad dental school in 2004. Patients, whose HTLV1 involvement had been proved, took part in this study. Patients were chosen among people refered to neurology Department of Mashhad Ghaem hospital. Periodontal state, gingival disease, pocket depth, presence of leukoplakia, gingival linear erythema, candida infection, ANUG, NUP, were studied and three indices including Debris, Calculus Index [Green and Vermelion] and Gingival Index [Loe and silness] were recorded. In the view of Debris, Calculus and gingival indices, there were significant differences between control and case groups but there were no significant differences between two groups in pocket depth, leukoplakia, candida infection, ANUG and NUP. The patients with HAM/TSP have higher plaque, calculus and inflammation, compered to the healthy individuals. To eliminate Plaque and prevent of gingival disease, good oral hygiene is recommended