يﺎﻬﻧاﺪﻧد داﺪﻌﺗ ﻲﮕﺘﺴﺒﻤﻫ ﻲﺳرﺮﺑ
ﻪﺘﻓر ﺖﺳد زا ﺎﺑ ،نﺎﻫد ﺖﻣﻼﺳ زا ﻲﺼﺧﺎﺷ ناﻮﻨﻋ ﻪﺑ
ﻛ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﺖﻴﻓﺮﻇ ﺑ ﻞ
ﻲﻜﻳﺮﺤﺗﺮﻴﻏ ﻞﻣﺎﻛ قاﺰ
نﺎﮔﺪﻨﺴﻳﻮﻧ
: ﻲﻠﻴﻠﺟﺮﻴﻣ ﺲﮔﺮﻧ ﻲﻧﺎﻛدرا نﺎﻳﺮﺋﺎﺣ ﺪﻤﺣا ،1
ﻲﻘﻓﺎﺑ يﺮﻇﺎﻧ ﻪﺴﻴﻔﻧ ،2
3
1 . رﺎﻳدﺎﺘﺳا
، ﺺﻴﺨﺸﺗ و نﺎﻫد يﺎﻬﻳرﺎﻤﻴﺑ ﺶﺨﺑ
، دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد
2 . رﺎﻴﺸﻧاد
، ﺮﮕﻧ ﻪﻌﻣﺎﺟ ﻲﻜﺷﺰﭙﻧاﺪﻧد ﺶﺨﺑ
، دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد
3 . لﻮﺌﺴﻣ هﺪﻨﺴﻳﻮﻧ :
ﻲﻣﻮﻤﻋ ياﺮﺘﻛد هرود يﻮﺠﺸﻧاد
، دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد
ﻦﻔﻠﺗ سﺎﻤﺗ : 09133587697
[email protected] Email:
ﺖﺷاﺪﻬﺑ عﻮﻠﻃ
ﻲﺸﻫوﮋﭘ ﻲﻤﻠﻋ ﻪﻣﺎﻨﻫﺎﻣ ود دﺰﻳ ﺖﺷاﺪﻬﺑ هﺪﻜﺸﻧاد ﻢﻫدﺰﻴﺳ لﺎﺳ
هرﺎﻤﺷ : ﻢﺸﺷ
ﺪﻨﻔﺳا و ﻦﻤﻬﺑ 1393
ﻞﺴﻠﺴﻣ هرﺎﻤﺷ :
48
لﻮﺻو ﺦﻳرﺎﺗ :
17 / 4 / 1393
شﺮﻳﺬﭘ ﺦﻳرﺎﺗ :
16 / 9 / 1393 هﺪﻴﻜﭼ
ﻪﻣﺪﻘﻣ : ﺖﻴﻔﻴﻛ ﺖﻓا رد ﻲﻳاﺰﺴﺑ ﺶﻘﻧ نﺎﻫد ﺖﻣﻼﺳ ﻦﺘﻓر ﺖﺳد زا ﺪﻨﻛ ﻲﻣ ﺎﻔﻳا ﻪﻌﻣﺎﺟ داﺮﻓا ﻲﮔﺪﻧز
. يﺎﻫ ﻲﻧاﺮﮕﻧ
،ندﺮﮔ و ﺮﺳ يﺎﻫ ﻲﻤﻴﺧﺪﺑ ﻪﺑ ﻼﺘﺑا ﺮﻄﺧ ﺮﺑ ﺎﻬﻧاﺪﻧد نداد ﺖﺳد زا و ﻒﻴﻌﺿ ﻲﻧﺎﻫد ﺖﺷاﺪﻬﺑ ءﻮﺳ ﺮﻴﺛﺎﺗ زا ﺮﻴﺧا ﺖﺳا هدﻮﺸﮔ ناﺪﻧد و نﺎﻫد ﺖﺷاﺪﻬﺑ تﺎﻘﻴﻘﺤﺗ رد يﺪﻳﺪﺟ هزﻮﺣ .
ﺖﻴﻓﺮﻇ طﺎﺒﺗرا ﻲﺳرﺮﺑ فﺪﻫ ﺎﺑ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ
ﻞﻣﺎﻛ قاﺰﺑ ﻞﻛ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﺖﻓﺮﮔ مﺎﺠﻧا ﻪﺘﻓر ﺖﺳد زا يﺎﻬﻧاﺪﻧد داﺪﻌﺗ ﺎﺑ ﻲﻜﻳﺮﺤﺗ ﺮﻴﻏ
.
ﻲﺳرﺮﺑ شور :
ﻪﻌﻟﺎﻄﻣ ﻦﻳا رد دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻜﺷﺰﭙﻧاﺪﻧد هﺪﻜﺸﻧاد ﻚﻴﻨﻴﻠﻛ ﻪﺑ ﻦﻴﻌﺟاﺮﻣ ﻦﻴﺑ زا
90 ﺮﻔﻧ
ﺐﻠﻃواد ﻲﻨﺳ دوﺪﺣ ﺎﺑ 30
ﺎﺗ 49 ﺪﻧدﻮﻤﻧ ﺖﻛﺮﺷ لﺎﺳ .
ﻪﻧﻮﮔﺮﻫ ﺪﻗﺎﻓ ﻪﻛ داﺮﻓا ﻦﻳا رد ﻪﺘﻓر ﺖﺳد زا يﺎﻬﻧاﺪﻧد داﺪﻌﺗ
ﺴﻴﺳ يرﺎﻤﻴﺑ
ﺎﻬﻧآ زا ﻲﻛﺮﺤﺗﺮﻴﻏ قاﺰﺑ ﻪﻧﻮﻤﻧ و هﺪﺷ ﺖﺒﺛ ،ﺪﻧدﻮﺑ تﺎﻴﻧﺎﺧد فﺮﺼﻣ ﻪﻘﺑﺎﺳ و ،ﻲﻧﺎﻫد ﻪﻌﻳﺎﺿ ،ﻚﻴﻤﺘ
ﺪﻳدﺮﮔ يروآ ﻊﻤﺟ .
ﻪﺘﻓر ﺖﺳد زا يﺎﻬﻧاﺪﻧد داﺪﻌﺗ ﺎﺑ نآ ﻪﻄﺑار و ﻦﻴﻴﻌﺗ ﺎﻫ ﻪﻧﻮﻤﻧ رد ﻞﻛ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﺖﻴﻓﺮﻇ
ﺖﻓﺮﮔ راﺮﻗ يرﺎﻣآ ﻞﻴﻠﺤﺗ درﻮﻣ .
ﺎﻫ ﻪﺘﻓﺎﻳ : نﻮﻣزآ ﺞﻳﺎﺘﻧ ANOVA
ﻪﺘﻓر ﺖﺳد زا يﺎﻫ ناﺪﻧد ﻦﻴﮕﻧﺎﻴﻣ ﻪﻛ داد نﺎﺸﻧ 59
/ 1 37± / 2 ﻦﻴﮕﻧﺎﻴﻣ و
قاﺰﺑ لﺎﺗﻮﺗ ناﺪﻴﺴﻛا ﻲﺘﻧآ 9
/ 4 23± / 13 ﺖﺳا . ود ﻦﻴﺑ يراد ﻲﻨﻌﻣ سﻮﻜﻌﻣ ﻪﻄﺑار ﻪﻛ دﻮﺑ نآ زا ﻲﻛﺎﺣ ﺞﻳﺎﺘﻧ
ﺖﺷاد دﻮﺟو يﺮﻴﮔ هزاﺪﻧا درﻮﻣ ﺺﺧﺎﺷ )
337 / 0
=- وr 001 /
=0 .(P
يﺮﻴﮔ ﻪﺠﻴﺘﻧ :
ﻧاﻮﺗ ﻲﻣ ﺎﻬﻧاﺪﻧد نداد ﺖﺳد زا ﻚﺴﻳر ﺶﻳاﺰﻓا و قاﺰﺑ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﺖﻴﻓﺮﻇ ﺶﻫﺎﻛ ﻪﺑ ﺮﺠﻨﻣ ﺪ
ددﺮﮔ نﺎﻫد نﺎﻃﺮﺳ ﻪﻠﻤﺟ زا ﺎﻬﻳرﺎﻤﻴﺑ ﻲﺧﺮﺑ عﻮﻗو .
يﺪﻴﻠﻛ يﺎﻫ هژاو
نﺎﻃﺮﺳ ،ناﺪﻧد نداد ﺖﺳد زا ،ﻲﻜﻳﺮﺤﺗ ﺮﻴﻏ ﻞﻣﺎﻛ قاﺰﺑ ،قاﺰﺑ ﻞﻛ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﺖﻴﻓﺮﻇ:
نﺎﻫد
لﺎﺳ رد ﻲﻧﺎﻬﺟ ﺖﺷاﺪﻬﺑ نﺎﻣزﺎﺳ ﻪﻣﺎﻨﺳﺎﺳا ﺐﻳﻮﺼﺗ زا ﺲﭘ 1946
،
زا يا هزﺎﺗ ﻒﻳﺮﻌﺗ
"
ﻲﺘﺳرﺪﻨﺗ
"
ﺪﺷ ﻪﺋارا ﺖﺷاﺪﻬﺑ نﺎﻴﻟﻮﺘﻣ ﻪﺑ .
ﻦﻳا رد
ﺖﻴﻌﺿو ﻪﺑ ،يرﺎﻤﻴﺑ ناﺪﻘﻓ ﺖﻴﻌﺿو يﺎﺟ ﻪﺑ ﻲﺘﺳرﺪﻨﺗ ﻒﻳﺮﻌﺗ
ﺪﺷ قﻼﻃا ﻲﻋﺎﻤﺘﺟا و ﻲﺣور ،ﻲﻤﺴﺟ ﻞﻣﺎﻛ ﺖﻣﻼﺳ )
1 ( . مﻮﻬﻔﻣ ﻦﻳا
ﻨﻣ ،هزﺎﺗ
ﺖﻴﻔﻴﻛ ﻒﻳﺮﻌﺗ ياﺮﺑ يﺪﻳﺪﺟ يﺎﻫرﺎﻴﻌﻣ ﻦﻳوﺪﺗ ﻪﺑ ﺮﺠ
ﺪﺷ ﻲﮔﺪﻧز .
ﺮﺑ ﺮﺛﻮﻣ ﻞﻣاﻮﻋ ﻪﻠﻤﺟ زا ،نﺎﻫد هﺮﻔﺣ ﺖﻣﻼﺳ زوﺮﻣا
دﻮﺷ ﻲﻣ بﻮﺴﺤﻣ ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ .
رد ﻖﻓاﻮﺗ درﻮﻣ و هﺪﻤﻋ رﺎﻴﻌﻣ ود
يﺎﻬﺘﻓﺎﺑ ﺖﻣﻼﺳ ﺺﺧﺎﺷ ،نﺎﻫد هﺮﻔﺣ ﺖﻣﻼﺳ ﺢﻄﺳ ﻦﻴﻴﻌﺗ
ﺐﻴﺗﺮﺗ ﻪﺑ ﻪﻛ ﺪﻨﺷﺎﺑ ﻲﻣ ﻲﻧاﺪﻧد ﺖﻣﻼﺳ ﺺﺧﺎﺷ و ناﺪﻧد هﺪﻧراد ﻪﮕﻧ يرﺎﺼﺘﺧا تارﺎﺒﻋ ﺎﺑ CPITN
The Community )
Periodontal Index of Need (
DMF و Decay, Missing, )
Filling ( ﺪﻧﻮﺷ ﻲﻣ هﺪﻧاﻮﺧ .
يﺎﻬﻳرﺎﻤﻴﺑ ﻦﻳﺮﺗ ﻊﻳﺎﺷ ﺺﺧﺎﺷ ود ﻦﻳا
ﻓﺎﺑ و ﻪﺜﻟ يﺎﻬﻳرﺎﻤﻴﺑ و ﻲﻧاﺪﻧد ﻲﮔﺪﻴﺳﻮﭘ ﻲﻨﻌﻳ ،نﺎﻫد هﺮﻔﺣ
ﻪﮕﻧ ﺖ
ﺪﻧا ﻪﺘﻓر ﻪﻧﺎﺸﻧ ار ناﺪﻧد هﺪﻧراد .
ﻪﺘﺳد ود ﻦﻳا ﺮﻴﺛﺎﺗ ﻦﻳﺮﺗزرﺎﺑ ﻪﭼ ﺮﮔا
ﺖﺳا دﺮﻓ ﻲﻳﺎﺒﻳز و ﻢﻠﻜﺗ ،ﻪﻳﺬﻐﺗ رد لﺎﻜﺷا ﺐﻴﺳآ -
دﻮﺧ ﻪﺑﻮﻧ ﻪﺑ ﻪﻛ
دﻮﺷ ﻲﻣ ﻼﺘﺒﻣ دﺮﻓ ﻲﻧاور و ﻲﻣﻮﻤﻋ ﺖﻣﻼﺳ نﺎﺼﻘﻧ ﻪﺑ ﺮﺠﻨﻣ -
ﺎﻬﺒﻴﺳآ زا ﻪﺘﺳد ﻦﻳا ﻪﺑ ﺮﻴﺧا يﺎﻬﻟﺎﺳ رد ﺰﻴﻧ يﺮﮕﻳد بﺮﺨﻣ يﺎﻫﺪﻣﺎﻴﭘ هداد ﺖﺒﺴﻧ
ﻪﺑ نﺎﻫد هﺮﻔﺣ ﺖﻣﻼﺳ ﻪﻠﺌﺴﻣ ﻪﺑ يا هزﺎﺗ شﺮﮕﻧ ﻪﻛ هﺪﺷ
ﺖﺳا هدروآ هاﺮﻤﻫ .
نﺎﻫد هﺪﻧراد ﻪﮕﻧ يﺎﻬﺘﻓﺎﺑ يرﺎﻤﻴﺑ ،لﺎﺜﻣ ناﻮﻨﻋ ﻪﺑ
ﺪﻨﻧاد ﻲﻣ نﺪﺑ ﻒﻠﺘﺨﻣ يﺎﻬﻣاﺪﻧا رد ﺐﻴﺳآ ﺐﺒﺴﻣ ار )
2 ( . طﺎﺒﺗرا
ﺖﻈﻠﻏ ﺮﻴﻴﻐﺗ و ﻲﺒﻠﻗ ﻪﺘﻜﺳ ﺮﻄﺧ ﺮﺑ لﺎﺘﻧدﻮﻳﺮﭘ يﺎﻬﺘﻓﺎﺑ بﺎﻬﺘﻟا ﻚﻳدﺰﻧ ﻲﻗوﺮﻋ ﻲﺒﻠﻗ يﺎﻬﻳرﺎﻤﻴﺑ ياﺮﺑ هﺪﻨﻫد راﺪﺸﻫ يﺎﻬﺼﺧﺎﺷ )
5 - 3 ( ؛
عﻮﻧ ﺖﺑﺎﻳد ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﻴﺑ رد ﺪﻨﻗ لﺮﺘﻨﻛ ﮓﻨﺗﺎﮕﻨﺗ طﺎﺒﺗرا 2
و ﻪﺑ ﻼﺘﺒﻣ نﺎﻣﺰﻤﻫ ﻪﻛ يﺮﺘﺴﺑ نارﺎﻤﻴﺑ رد ﻲﻧﻮﻣﻮﻨـﭘ يﻻﺎﺑ عﻮﻗو و
،ﺪﻨﺷﺎﺑ ﻲﻣ لﺎﺘﻧدﻮﻳﺮﭘ بﺎﻬﺘـﻟا )
9
، 8 ( هﺪﺷ ﻪﺘﺧﺎﻨﺷ ﻼﻣﺎﻛ يﺎﻫ ﻪﻧﻮﻤﻧ زا
ﺪﻨﺷﺎﺑ ﻲﻣ ﺎﻫ ﺐﻴﺳآ ﻦﻳا .
ﺖﻓا ﻪﻛ ﺪﻧا هداد نﺎﺸﻧ ﻲﻜﺷﺰﭘ تﺎﻌﻟﺎﻄﻣ ﻦﻳﺮﺗ هزﺎﺗ ﺎﺘﺳار ﻦﻴﻤﻫ رد ﻲﺷﺮﻔﮕﻨﺳ لﻮﻠﺳ نﺎﻃﺮﺳ عﻮﻗو ﺮﻄﺧ نﺎﻫد ﺖﺷاﺪﻬﺑ SCC)
( ،نﺎﻫد
ﺪﻫد ﻲﻣ ﺶﻳاﺰﻓا ار يﺮﻣ و ﻖﻠﺣ )
13 - 10 ( .
ياﺮﺑ ﻲﻋﻮﻨﺘﻣ تﺎﻘﻴﻘﺤﺗ
ﻲﻔﻠﺘﺨﻣ يﺎﻫ ﻪﻴﺿﺮﻓ و ﺖﺳا مﺎﺠﻧا لﺎﺣ رد ﻲﻫاﺮﻤﻫ ﻦﻳا ﺖﻠﻋ كرد ﺖﺳا ﻪﺘﻓﺮﮔ راﺮﻗ ﻪﺟﻮﺗ درﻮﻣ و هﺪﺷ حﺮﻄﻣ .
ﺶﻘﻧ ،نﺎﻴﻣ ﻦﻳا رد
نﺎﻫد ﻆﻓﺎﺤﻣ ﺪﺳ ﻦﻴﻟوا ناﻮﻨﻋ ﻪﺑ قاﺰﺑ دﺮﻜﻠﻤﻋ ﻞﻣاﻮﻋ ﺮﺑاﺮﺑ رد
راﺮﻗ مﺎﻬﺑا زا يا ﻪﻟﺎﻫ رد نﺎﻨﭽﻤﻫ ﻲﻄﻴﺤﻣ نﺎﺳر ﺐﻴﺳآ
دراد ) 15
، 14 ( . رد ﻮﻴﺗاﺪﻴﺴﻛا يﺎﻫ ﺐﻴﺳآ هﺪﺷ ﺖﺑﺎﺛ ﺶﻘﻧ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ
ﺸﺑ هﺪﺷ ﻪﺘﺧﺎﻨﺷ ضاﺮﻣا ﻲﺧﺮﺑ ﻲﻳاز يرﺎﻤﻴﺑ ﺪﻨﻳآﺮﻓ ﻪﻴﺿﺮﻓ ﻪﻠﻤﺟ زا ،ﺮ
ﺶﻘﻧ ،نﺎﻫد نﺎﻃﺮﺳ و نﺎﻫد ﺖﺷاﺪﻬﺑ طﺎﺒﺗرا ﻪﻴﺟﻮﺗ رد ﻞﻤﺘﺤﻣ يﺎﻫ
قاﺰﺑ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﺖﻴﻓﺮﻇ زا ﻦﺘﺳﺎﻛ رد ﺖﻧﻮﻔﻋ و بﺎﻬﺘﻟا
ﺖﺳا ) 18 - 16 ( . يﺎﻬﻟﺎﻜﻳدار ﺮﻓﺎﺑ ﻚﻳ ناﻮﻨﻋ ﻪﺑ قاﺰﺑ ﻪﻛ ﻢﻴﻧاد ﻲﻣ
هﺪﻨﻧﺎﺷﻮﭘ يﺎﻬﺘﻓﺎﺑ ﻪﺑ ﻮﻴﺗاﺪﻴﺴﻛا يﺎﻬﺒﻴﺳآ ﻊﻓد رد ﻲﻳاﺰﺴﺑ ﺶﻘﻧ ،دازآ دراد نﺎﻫد .
هدﺎﻣ رد ﺮﻳﺬﭘﺎﻧ ﺖﺸﮔﺮﺑ ﺺﻳﺎﻘﻧ دﺎﺠﻳا ﺎﺑ دازآ يﺎﻬﻟﺎﻜﻳدار
ﺑ لﺎﻤﺘﺣا ،نﺎﻫد طﺎﺨﻣ يﺎﻬﻟﻮﻠﺳ ﻚﻴﺘﻧژ ار ﺎﻬﻟﻮﻠﺳ نﺪﺷ ﻢﻴﺧﺪ
ﺪﻨﻫد ﻲﻣ ﺶﻳاﺰﻓا )
20
، 19 ( . ﻪﻧﻮﮔ ﻦﻳا ﻢﺴﻴﻧﺎﮔرا رد ﺮﻳﺬﭘ ﺶﻨﻛاو يﺎﻫ
ﺪﻴﻟﻮﺗ ﺎﻴﺣا و نﻮﻴﺳاﺪﻴﺴﻛا يﺎﻫ ﺶﻨﻛاو لﺎﺒﻧد ﻪﺑ ًﺎﺗﺪﻤﻋ هﺪﻧز يﺎﻫ ﺪﻧﻮﺷ ﻲﻣ .
يزﺎﺴﻛﺎﭘ رد ﻲﻨﻤﻳا ﻢﺘﺴﻴﺳ راﻮﺧ هﺰﻳر يﺎﻬﻟﻮﻠﺳ دﺮﻜﻠﻤﻋ
ﺪﻴﻟﻮﺗ يﺎﻬﻟﺎﺜﻣ ﻦﻳﺮﺗ هﺪﺷ ﻪﺘﺧﺎﻨﺷ زا ،اﺰﻳرﺎﻤﻴﺑ يﺎﻫ ﻢﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ ﺪﺷﺎﺑ ﻲﻣ هﺪﻧز ﻂﻴﺤﻣ رد نﮋﻴﺴﻛا دازآ يﺎﻫ ﻪﻧﻮﮔ )
21 (.
ﺎﺑ ﻲﮕﻨﺗﺎﮕﻨﺗ طﺎﺒﺗرا ،گرﺰﺑ ﻪﻌﻟﺎﻄﻣ ﺪﻨﭼ رد ﺎﻬﻧاﺪﻧد نداد ﺖﺳد زا ﺖﺳا هداد نﺎﺸﻧ ﻲﻧﺎﻗﻮﻓ شراﻮﮔ هﺎﮕﺘﺳرد يﺎﻬﻧﺎﻃﺮﺳ )
24 - 22 ( .
ﺖﺳد زا ﻦﻴﺑ طﺎﺒﺗرا ﻦﻴﻴﻌﺗ فﺪﻫ ﻪﺑ ﺪﻳراد ور ﺶﻴﭘ رد ﻪﻛ يا ﻪﻌﻟﺎﻄﻣ ﺖﻴﻓﺮﻇ و ناﺪﻧد نداد ﺖﺳا ﻪﺘﻓﺮﮔ مﺎﺠﻧا قاﺰﺑ ﻞﻛ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ
.
ﻲﺳرﺮﺑ شور
رد
،ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ 90
هﺪﻜﺸﻧاد ﻚﻴﻨﻴﻠﻛ ﻪﺑ ﻦﻴﻌﺟاﺮﻣ زا ﺮﻔﻧ
دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻜﺷﺰﭙﻧاﺪﻧد
) ﻞﻣﺎﺷ 42 دﺮﻣ و 48 نز ( 30 ﺎﺗ 49
ﻲﻨﺳ ﻦﻴﮕﻧﺎﻴﻣ ﺎﺑ 58
/
±5 76 / 37 ﺪﻨﺘﺷاد ﺖﻛﺮﺷ .
ﺪﻧﺪﺷ دراو ﻪﻌﻟﺎﻄﻣ ﻪﺑ ﻲﻟاﻮﺘﻣ و نﺎﺳآ شور ﻪﺑ ﺎﻫ ﻪﻧﻮﻤﻧ .
و فﺪﻫ
ﻖﻴﻘﺤﺗ مﺎﺠﻧا شور
ﻪﻣﺎﻧ ﺖﻳﺎﺿر و ﺪﺷ هداد ﺢﻴﺿﻮﺗ ﻦﻴﺒﻠﻃواد ياﺮﺑ
ﺪﻳدﺮﮔ ﺬﺧا نﺎﺸﻳا زا ﻪﻧﺎﻫﺎﮔآ .
تﻻﻮﺼﺤﻣ هﺪﻨﻨﻛ فﺮﺼﻣ داﺮﻓا
ﻪﺑ ﻼﺘﺒﻣ ﻪﻛ يداﺮﻓا و ،نﺎﻫد مﺮﻧ ﺖﻓﺎﺑ تﺎﻌﻳﺎﺿ ﻪﺑ نﺎﻳﻼﺘﺒﻣ ،ﻲﻧﺎﺧد ﺪﻧﺪﺷ ﻪﺘﺷاﺬﮔ رﺎﻨﻛ ﻪﻌﻟﺎﻄﻣ زا ﺪﻧدﻮﺑ نﺎﻫد ﻲﻜﺸﺧ .
ﺲﭙﺳ ﺗ داﺪﻌ
ﻣ نارﺎﻤﻴﺑ ﻪﺘﻓر ﺖﺳد زا يﺎﻬﻧاﺪﻧد ﺪﺷ جرد و ﻪﺒﺳﺎﺤ
. ﻪﻧﻮﻤﻧ ﻪﻣادا رد
شور ﻪﺑ ﻲﻜﻳﺮﺤﺗ ﺮﻴﻏ ﻞﻣﺎﻛ قاﺰﺑ Spitting
ﺪﻳدﺮﮔ يروآ ﻊﻤﺟ .
زا
دﻮﺑ هﺪﺷ ﻪﺘﺳاﻮﺧ نﺎﮔﺪﻨﻨﻛ ﺖﻛﺮﺷ 90
زا ﻪﻧﻮﻤﻧ ﻦﺘﻓﺮﮔ زا ﻞﺒﻗ ﻪﻘﻴﻗد
ﺪﻨﻳﺎﻤﻧ ﺰﻴﻫﺮﭘ نﺪﻴﻣﺎﺷآ و ندرﻮﺧ .
ﻲﻣ ﻪﺘﺳاﻮﺧ ﺲﭙﺳ
رد ﻪﻛ ﺪﺷ
ﺖﻟﺎﺣ ) rest position (
نداد ترﻮﻗ رﺎﺑ ﻚﻳ لﺎﺒﻧد ﻪﺑ و ﻪﺘﻓﺮﮔ راﺮﻗ
ﺪﻨﻳﺎﻤﻧ ﻪﻴﻠﺨﺗ ﺶﻳﺎﻣزآ ﻪﻟﻮﻟ ﻪﺑ ار نﺎﻫد رد هﺪﺷ ﻊﻤﺟ قاﺰﺑ ،نﺎﻫد بآ ﺎﻫ ﻪﻧﻮﻤﻧ ﻲﻣﺎﻤﺗ ياﺮﺑ ﻪﻨﻳﺎﻌﻣ ﻂﻳاﺮﺷ و يﺮﻴﮔ ﻪﻧﻮﻤﻧ نﺎﻣز و ﻞﺤﻣ دﻮﺑ نﺎﺴﻜﻳ .
ﻪﺑ ،ﻞﻘﺘﻨﻣ ﻲﻤﻴﺷﻮﻴﺑ هﺎﮕﺸﻳﺎﻣزآ ﻪﺑ ﺦﻳ ﻚﺳﻼﻓ رد ﻲﻗاﺰﺑ يﺎﻫ ﻪﻧﻮﻤﻧ تﺪﻣ 10 رود ﺎﺑ ﻪﻘﻴﻗد 2500
) ﻪﻘﻴﻗد رد رود (
ﻪﺑ و هﺪﺷ ژﻮﻴﻔﻳﺮﺘﻧﺎﺳ
ﺗﺮﺗ ﻦﻳا ﺪﺷ اﺪﺟ ﺎﻫ يﺮﺑد و ﻂﻠﺧ زا قاﺰﺑ ﺐﻴ .
ﺮﻠﭙﻤﺳ ﻪﻠﻴﺳو ﻪﺑ ﺲﭙﺳ 250
ﻞﺒﻗ زا ﻪﻛ ﻲﻜﻴﺘﺳﻼﭘ يﺎﻫ ﻪﻟﻮﻟ ﻪﺑ هﺪﻣآ ﺖﺳد ﻪﺑ قاﺰﺑ ،اﺪﻧﻻ ﮔﺪﻛ ﺬ رد و ﺖﻓﺎﻳ لﺎﻘﺘﻧا ،دﻮﺑ هﺪﺷ يرا رﺰﻳﺮﻓ
) يﺎﻣد ﺎﺑ 30° - ( ﺎﺗ
ﺪﻳدﺮﮔ هﺮﻴﺧذ يﺮﻴﮔ ﻪﻧﻮﻤﻧ هرود نﺎﻳﺎﭘ .
قاﺰﺑ ﻞﻛ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﺖﻴﻓﺮﻇ TAOC)
( شور ﻪﺑ Antibody
Sandwich ELISA ﻲﻫﺎﮕﺸﻳﺎﻣزآ ﺖﻴﻛ ﻂﺳﻮﺗ
CK-E90253
HANGZHO EASTBIOPHARM CO, LTD.) (
هﺪﻴﺠﻨﺳ
ﺪﺷ . هﺪﻣآ ﺖﺳد ﻪﺑ يﺎﻫ هداد )
ﺖﻴﻓﺮﻇ و ﻪﺘﻓر ﺖﺳد زا يﺎﻫ ناﺪﻧد داﺪﻌﺗ
قاﺰﺑ يﺎﻫ ناﺪﻴﺴﻛا ﻲﺘﻧآ ﻲﻠﻛ (
راﺰﻓا مﺮﻧ ﻂﻴﺤﻣ رد SPSS.17
يرﺎﻣآ نﻮﻣزآ ﻂﺳﻮﺗ ANOVA
ﺖﻓﺮﮔ راﺮﻗ ﻞﻴﻠﺤﺗ درﻮﻣ .
ﺎﻫ ﻪﺘﻓﺎﻳ
زا 90 ﻲﺳرﺮﺑ درﻮﻣ ﻪﻧﻮﻤﻧ 42
دﺮﻣ ) 46 / 67 (%
و 48 نز ) 53 / 35 (%
ﺎﺑ
ﻲﻨﺳ ﻦﻴﮕﻧﺎﻴﻣ 58
/
±5 76 / 37 ﻲﻨﺳ هزﺎﺑ رد ﻪﻛ ﺪﻧدﻮﺑ 30
ﺎﺗ 49 لﺎﺳ
ﺪﻨﺘﻓﺮﮔ راﺮﻗ .
ﻪﺘﻓر ﺖﺳد زا يﺎﻫ ناﺪﻧد ﻦﻴﮕﻧﺎﻴﻣ
59 /
±1 37 / 2 ﻦﻴﮕﻧﺎﻴﻣ و TAOC
9 / 4 23± / 13 ﺖﺳا هﺪﻣآ ﺖﺳد ﻪﺑ .
نﻮﻣزآ سﺎﺳا ﺮﺑ ANOVA
و ﻪﺘﻓر ﺖﺳد زا يﺎﻬﻧاﺪﻧد داﺪﻌﺗ ﻦﻴﺑ
دﻮﺟو يراد ﻲﻨﻌﻣ سﻮﻜﻌﻣ ﻪﻄﺑار ،قاﺰﺑ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﻞﻛ ﺖﻴﻓﺮﻇ ﺖﺷاد r) . 337 / 0 - r = و 001 / 0 P= .(
لوﺪﺟ 1 : ﺎﺑ ﻪﺘﻓر ﺖﺳد زا يﺎﻫ ناﺪﻧد ﺺﺧﺎﺷ ﻲﮕﺘﺴﺒﻤﻫ ﺐﻳﺮﺿ
قاﺰﺑ ﻞﻛ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﺖﻴﻓﺮﻇ TAOC)
(
Missing
TAOC -0.416
P value -0.000
ﺖﻴﻓﺮﻇ و نﮋﻴﺴﻛا دازآ يﺎﻬﻟﺎﻜﻳدار ﺪﻴﻟﻮﺗ ناﺰﻴﻣ ﻦﻴﺑ لدﺎﻌﺗ مﺪﻋ ﺪﻨﻧاﻮﺧ ﻲﻣ ﻮﻴﺗاﺪﻴﺴﻛا سﺮﺘﺳا ار ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﻢﺘﺴﻴﺳ ﻲﻋﺎﻓد .
دﺎﺠﻳا ﺐﺒﺳ ﻲﺗﺎﻴﺣ يﺎﻬﻟﻮﻜﻟﻮﻣ ﻪﺑ ندز ﻪﻣﺪﺻ ﺎﺑ ﻮﻴﺗاﺪﻴﺴﻛا سﺮﺘﺳا ﺖﺸﮔﺮﺑ يﺎﻬﺒﻴﺳآ هﺎﮔ و ﻦﻣﺰﻣ بﺎﻬﺘﻟا ددﺮﮔ ﻲﻣ ﻲﻟﻮﻠﺳ ﺮﻳﺬﭘﺎﻧ
) 25 ( .
سﺮﺘﺳا ﺶﻘﻧ نﻮﻣاﺮﻴﭘ ﻲﻋﻮﻨﺘﻣ و دﺪﻌﺘﻣ تﺎﻌﻟﺎﻄﻣ ﺮﻴﺧا ﻪﻫد ود رد
مﺎﺠﻧا ﻚﻴﻤﺘﺴﻴﺳ يﺎﻬﻳرﺎﻤﻴﺑ ﺖﻓﺮﺸﻴﭘ و يﺮﻴﮔ ﻞﻜﺷ رد ﻮﻴﺗاﺪﻴﺴﻛا
ﺖﺳا ﻪﺘﻓﺮﮔ .
هﺪﻨﻨﻛ دﺎﺠﻳا ﻲﻠﺻا ﻞﻣﺎﻋ ناﻮﻨﻋ ﻪﺑ نآ ﺶﻘﻧ ﻪﭼ ﺮﮔا
و ،هﺪﺸﻧ ﺪﻴﻳﺎﺗ ﻲﻨﺷور ﻪﺑ هﺪﺷ ﻲﺳرﺮﺑ يﺎﻫ يرﺎﻤﻴﺑ ﻪﺑ نآ ﺮﻴﺛﺎﺗ ﻲﻟ
ﻪﺑ ﺦﺳﺎﭘ و ،ﺖﻓﺮﺸﻴﭘ ،يﺮﻴﮔ ﻞﻜﺷ رد ﻪﻄﺳاو ﻞﻣﺎﻋ ﻚﻳ ناﻮﻨﻋ
،ﻲﺒﻠﻗ ﻲﻤﻜﺴﻳا ،نﻮﺧرﺎﺸﻓ ،ﺖﺑﺎﻳد ﻪﻠﻤﺟزا ﻲﻳﺎﻫ يرﺎﻤﻴﺑ نﺎﻣرد
رﺎﻜﻧا ﻞﺑﺎﻗ ﻲﻤﺴﻴﺗﺎﻣور يﺎﻬﻳرﺎﻤﻴﺑ عاﻮﻧا و ﻲﺴﻔﻨﺗ ﻦﻣﺰﻣ يﺎﻬﻳرﺎﻤﻴﺑ ﺖﺴﻴﻧ ) 26 ( .
ناﻮﻨﻋ ﻪﺑ ،ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﻢﺘﺴﻴﺳ ﺖﻳﻮﻘﺗ ﺐﺒﺳ ﻦﻴﻤﻫ ﻪﺑ
يﺮﻴﮕﺸﻴﭘ شور -
ﻪﻌﻣﺎﺟ ﺖﻣﻼﺳ نﺎﻴﻟﻮﺘﻣ ﻪﺟﻮﺗ درﻮﻣ ،ﻞﻤﻜﻣ ﻲﻧﺎﻣرد
دراد راﺮﻗ . ﻪﺻﺮﻋ ﻦﻴﻘﻘﺤﻣ يﺪﺟ ﻪﺟﻮﺗ درﻮﻣ هزوﺮﻣا ﻪﻛ ﻲﻳﺎﻬﻳرﺎﻤﻴﺑ ﻪﻠﻤﺟ زا
ﺪﺷﺎﺑ ﻲﻣ نﺎﻃﺮﺳ ،ﺖﺳا ﻪﺘﻓﺮﮔ راﺮﻗ ﺖﻣﻼﺳ و ﺖﺷاﺪﻬﺑ .
ﻲﻄﻳاﺮﺷ رد
ﻧد دﻮﺷ ﻲﻣ ﻲﻨﻴﺑ ﺶﻴﭘ ﻪﻛ
ﻪﺟاﻮﻣ نﺎﻃﺮﺳ ﻲﻣﺎﻧﻮﺳ ﻚﻳ ﺎﺑ يدوز ﻪﺑ ﺎﻴ
نﺎﻫد يﺎﻫ ﻲﻤﻴﺧﺪﺑ ﻦﻴﻳﺎﭘ ﻲﻬﮔآ ﺶﻴﭘ ،ﺪﺷ ﺪﻫاﻮﺧ ﻢﻏﺮﻴﻠﻋ–
ﻲﻧﺎﻣرد يﺎﻬﺘﻓﺮﺸﻴﭘ -
يرﺎﻤﻴﺑ ﻦﻳا ﻪﺑ ﻼﺘﺑا زا يﺮﻴﮕﺸﻴﭘ ﺖﻴﻤﻫا ﺮﺑ
ﺪﻳاﺰﻓا ﻲﻣ ﻚﻠﻬﻣ )
27،28 .(
زا ﻲﻜﻳ ،ﻲﻜﺷﺰﭘ تﺎﻳﺮﺸﻧ دﺎﻨﺘﺳا ﻪﺑ
ﺖﺷاﺪﻬﺑ ،ﻲﻧﺎﻗﻮﻓ شراﻮﮔ هﺎﮕﺘﺳد يﺎﻬﻧﺎﻃﺮﺳ عﻮﻗو رد ﺮﺛﻮﻣ ﻞﻣاﻮﻋ
ﻴﻌﺿ ﺪﺷﺎﺑ ﻲﻣ نﺎﻫد ﻒ .
ﻪﺑ ﺎﻬﻧاﺪﻧد نداد ﺖﺳد زا ﺪﺳر ﻲﻣ ﺮﻈﻧ ﻪﺑ
دراﺬﮔ ﻲﻣ ﺮﻴﺛﺎﺗ داﺪﻳور ﻦﻳا ﺮﺑ ﻢﻴﻘﺘﺴﻣﺮﻴﻏ ﺎﻳ ﻢﻴﻘﺘﺴﻣ ترﻮﺻ .
زا ﻪﻛ يا ﻪﻟﺎﻘﻣ ﻪﺑ
Abent لﺎﺳ رد نارﺎﻜﻤﻫ و 2008
ﺶﻘﻧ نﻮﻣاﺮﻴﭘ
د ﺎﻬﻧاﺪﻧد نداد ﺖﺳد زا و نﺎﻫد ﺖﺷاﺪﻬﺑ ﻪﺑ يﺮﻣ نﺎﻃﺮﺳ عﻮﻗو ر
دﻮﻤﻧ هرﺎﺷا ﺪﻧﺪﻧﺎﺳر پﺎﭼ .
درﻮﻣ ﻪﻌﻟﺎﻄﻣ ﻦﻳا -
يور ﺮﺑ ﻪﻛ يﺪﻫﺎﺷ
ﻒﻠﺘﺨﻣ يﺎﻫ ﺺﺧﺎﺷ ﻲﺳرﺮﺑ ﺎﺑ ﺪﺷ مﺎﺠﻧا نارﺪﻧزﺎﻣ ﺖﻴﻌﻤﺟ
لﻮﻠﺳ نﺎﻃﺮﺳ هﺪﺷ ﻪﺘﺧﺎﻨﺷ يﺎﻫرﻮﺘﻛﺎﻓ ﻚﺴﻳر ،نﺎﻫد ﺖﺷاﺪﻬﺑ
زا ﺶﻴﺑ ،ﺎﻫ ﻪﻧﻮﻤﻧ ﺪﻣآرد ﺢﻄﺳ ﻂﺳﻮﺘﻣ و ،ﻲﺷﺮﻔﮕﻨﺳ 280
رﺎﻤﻴﺑ
داد راﺮﻗ ﻲﺳرﺮﺑ درﻮﻣ ار ﻼﺘﺒﻣ .
و ﻢﻴﻘﺘﺴﻣ طﺎﺒﺗرا زا ﺖﻳﺎﻜﺣ ﺞﻳﺎﺘﻧ
عﻮﻗو ﺎﺑ هﺪﻳد ﺐﻴﺳآ و ﻪﺘﻓر ﺖﺳد زا يﺎﻬﻧاﺪﻧد داﺪﻌﺗ ﻦﻴﺑ راد ﻲﻨﻌﻣ ﺖﺷاد يﺮﻣ نﺎﻃﺮﺳ )
13 ( Zeng . ﺮﻣ ﺰﻴﻧ نارﺎﻜﻤﻫ و
ﻲﻜﻴﺗﺎﻤﺘﺴﻴﺳ رو
ﻞﻗاﺪﺣ نداد ﺖﺳد زا و هداد مﺎﺠﻧا ﻪﻨﻴﻣز ﻦﻳا رد دﻮﺟﻮﻣ تﻻﺎﻘﻣ ﺮﺑ
12 ﺲﻧﺎﺷ ﺶﻳاﺰﻓا ياﺮﺑ هﺪﻨﻫد راﺪﺸﻫ ﻪﻧﺎﺸﻧ و ﻪﻧﺎﺘﺳآ ﺪﺣ ار ناﺪﻧد
ﺪﻨﺘﺷاد مﻼﻋا ندﺮﮔ و ﺮﺳ نﺎﻃﺮﺳ ﻪﺑ ﻼﺘﺑا )
27 ( . ﻪﺑ ﻲﻧﻮﻨﻛ تﺎﻌﻟﺎﻄﻣ
ﺪﻧا ﻪﺘﺧادﺮﭘ نآ ﻲﻟﺎﻤﺘﺣا ﻞﻳﻻد و ﺮﻴﺛﺎﺗ ﻦﻳا عﻮﻧ ﻲﺳرﺮﺑ .
ﻪﻌﻟﺎﻄﻣ رد
ﻦﻳا زا ﻲﻜﻳ ناﻮﻨﻋ ﻪﺑ ،قاﺰﺑ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﺖﻴﻓﺮﻇ تاﺮﻴﻴﻐﺗ ،ﺮﺿﺎﺣ
اﺮﻗ ﻲﺳرﺮﺑ درﻮﻣ ﻲﻟﺎﻤﺘﺣا ﻞﻳﻻد ﺖﻓﺮﮔ ر
) 28 (.
نﺪﺑ ﻪﺑ جرﺎﺧ ﻂﻴﺤﻣ زا ﻪﻛ ﺖﺳا يداﻮﻣ هﺪﻧﺮﻳﺬﭘ ﻦﻳﺮﺘﮔرﺰﺑ نﺎﻫد ﺪﻧﻮﺷ ﻲﻣ دراو .
ﺑ ،نآ ﺮﺑ هوﻼﻋ و عﻮﻨﺘﻣ ﻲﺑوﺮﻜﻴﻣ رﻮﻠﻓ ﻦﺘﺷاد ﺎ
ﻪﻴﻠﻋ ﺮﺑ ﻲﻨﻤﻳا يﺎﻬﻟﻮﻠﺳ ﺖﻴﻟﺎﻌﻓ و بﺎﻬﺘﻟا ﺐﺒﺳ هﺎﮔ ﻪﻛ هدﺮﺘﺴﮔ سﺮﺘﺳا مواﺪﻣ ضﺮﻌﻣ رد ،ددﺮﮔ ﻲﻣ از ﺖﻧﻮﻔﻋ يﺎﻫ ﻢﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ دراد راﺮﻗ ﻮﻴﺗاﺪﻴﺴﻛا .
ﻞﺑﺎﻘﻣ رد ﻲﻋﺎﻓد ﺪﺳ ﻦﻳﺮﺗﺮﺛﻮﻣ و ﻦﻴﻟوا قاﺰﺑ
ﺖﺳا ﺎﻫ ﺐﻴﺳآ ﻞﻴﺒﻗ ﻦﻳا )
30
، 29 ( . يﺎﻬﻟﺎﻜﻳدار يزﺎﺳ ﻲﺜﻨﺧ ﻲﻳﺎﻧاﻮﺗ
ﺪﻨﻧﺎﻣ ﻲﻳﺎﻬﻟﻮﻜﻟﻮﻣﻮﻴﺑ و ﺎﻫ ﻢﻳﺰﻧآ رﻮﻀﺣ ﻪﻄﺳاو ﻪﺑ ،نﮋﺴﻴﻛا :
،هروا ،زاﺪﻴﺴﻛاﺮﭘ ،زاﺪﻴﺴﻛاﺮﭘ نﻮﻴﺗﺎﺗﻮﻠﮔ ،زﺎﺗﻮﻤﺳد ﺪﻴﺴﻛاﺮﭘﻮﺳ
ﻦﻴﻣﺎﺘﻳو و ث ﻦﻴﻣﺎﺘﻳو ا
ﺪﺷﺎﺑ ﻲﻣ ي )
31 ( . هداد نﺎﺸﻧ تﺎﻌﻟﺎﻄﻣ ﻪﻛ ﺪﻧا
قاﺰﺑ ﺪﻴﻟﻮﺗ ﻒﻠﺘﺨﻣ ﻊﺑﺎﻨﻣ )
و ﻲﻋﺮﻓ دﺪﻏ ،ﻲﻠﺻا دﺪﻏ ﺖﻔﺟ ﻪﺳ
ﻪﺜﻟ رﺎﻴﺷ تﺎﺤﺷﺮﺗ (
تاﺮﻴﻴﻐﺗ و ﺪﻧراد ﻲﺗوﺎﻔﺘﻣ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﺖﻴﻓﺮﻇ
ﻲﺗوﺎﻔﺘﻣ ﺮﻴﺛﺎﺗ قاﺰﺑ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﻲﻳﺎﻧاﻮﺗ ﺮﺑ ﺪﻧاﻮﺗ ﻲﻣ ﻚﻳ ﺮﻫ دراﺬﮕﺑ ) 32 (.
ﻟﺎﻄﻣ ﻦﻳا رد يور ﻪﻛ ﻪﻌ
90
ﻲﻜﺷﺰﭙﻧاﺪﻧد ﻚﻴﻨﻴﻠﻛ ﻪﺑ هﺪﻨﻨﻛ ﻪﻌﺟاﺮﻣ
ﺎﺑ ﻪﺘﻓر ﺖﺳد زا يﺎﻬﻧاﺪﻧد داﺪﻌﺗ ﺶﻳاﺰﻓا ،ﺖﻓﺮﻳﺬﭘ ترﻮﺻ هﺪﻜﺸﻧاد
نﺎﺸﻧ يراد ﻲﻨﻌﻣ ﻲﮕﺘﺴﺒﻤﻫ قاﺰﺑ مﺎﺗ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﺖﻴﻓﺮﻇ ﺶﻫﺎﻛ داد .
ﺖﻴﻓﺮﻇ ﻪﺑ ﻪﻛ ﻲﻬﺑﺎﺸﻣ رﺎﻛ ﻦﺘﻓﺎﻳ ياﺮﺑ ﺎﻣ يﺎﻫﻮﺠﺘﺴﺟ
يﺎﻬﻧاﺪﻧد داﺪﻌﺗ و قاﺰﺑ ﻲﻧاﺪﻴﺴﻛا ﻲﺘﻧآ ﻲﺑ دزادﺮﭙﺑ ﻪﺘﻓر ﺖﺳد زا
ﻲﻗﺎﺑ دﺮﻓ ﻪﺑ ﺮﺼﺤﻨﻣ دﻮﺧ عﻮﻧ رد ار ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ و ﺪﻧﺎﻣ ﻪﺠﻴﺘﻧ ﺖﺷاﺬﮔ . ﺶﻘﻧ ناﻮﺘﺑ ﺪﻳﺎﺷ ﻪﻌﻟﺎﻄﻣ ﻦﻳا زا ﻞﺻﺎﺣ ﻪﺠﻴﺘﻧ ﻪﻴﺟﻮﺗ رد
دﻮﺧ ﻪﻛ قاﺰﺑ ﺢﺷﺮﺗ ﻚﻳﺮﺤﺗ رد ار نﺪﻳﻮﺟ ﻲﻜﻴﻧﺎﻜﻣ كﺮﺤﻣ
ﺖﺴﻧاد ﻢﻴﻬﺳ ار ﺖﺳا ﺮﮕﻳﺪﻜﻳ ﺎﺑ ﺎﻬﻧاﺪﻧد لدﺎﻌﺘﻣ سﺎﻤﺗ مﺰﻠﺘﺴﻣ .
د يا هرﺎﭘ ناﺪﻘﻓ ﻪﺑ و نژﻮﻠﻛا رد لدﺎﻌﺗ مﺪﻋ دﺎﺠﻳا ﻞﻴﻟد ﻪﺑ ﺎﻬﻧاﺪﻧ
ﻲﻧاﺪﻧد ﻲﺑ ﻪﻴﺣﺎﻧ روﺎﺠﻣ يﺎﻬﻧاﺪﻧد ﺶﺧﺮﭼ و ﻲﻳﺎﺟ ﻪﺑ ﺎﺟ نآ لﺎﺒﻧد
هﺪﻧﻮﺟ ﻲﻋﺮﻓ و ﻲﻠﺻا تﻼﻀﻋ ﻲﺿﺎﺒﻘﻧا يﻮﮕﻟا رد ﺮﻴﻴﻐﺗ ﺐﺒﺳ
ﺪﺷ ﺪﻫاﻮﺧ )
34
، 33 ( . ﻢﺳﺎﭙﺳا و تﻼﻀﻋ ﻪﻳﺎﭘ ﻲﺿﺎﺒﻘﻧا يوﺮﻴﻧ ﺮﻴﻴﻐﺗ ﺎﺑ
ﻗﺎﻌﺘﻣ يﺎﻫ و ﻪﺘﻓﺮﮔ راﺮﻗ رﺎﺸﻓ ﺖﺤﺗ ﻲﻗاﺰﺑ دﺪﻏ يرﺎﺠﻣ ﻪﻧﺎﻫد ،نآ ﺐ
دﻮﺷ ﻲﻣ دوﺪﺴﻣ ﻲﺘﺣ و دوﺪﺤﻣ نﺎﻫد ﻪﺑ قاﺰﺑ جوﺮﺧ ﺮﻴﺴﻣ .
ﻦﻳﺪﺑ
قاﺰﺑ ﻲﺟوﺮﺧ ﺖﻓا ﺎﺑ ،نژﻮﻠﻛا لدﺎﻌﺗ ﻦﺘﻓر ﺖﺳد زا لﺎﺒﻧد ﻪﺑ ﺐﻴﺗﺮﺗ
ﻲﻠﺻا دﺪﻏ ﻲﻜﻓ ﺖﺤﺗ و ﺪﻴﺗورﺎﭘ دﺪﻏ ﺎﺻﻮﺼﺧ–
-
ﻢﻴﻫاﻮﺧ ﻪﺟاﻮﻣ
دﻮﺑ ) 35 ( . ار ﻚﻳژﻮﻟﻮﻴﺑ ﻊﻳﺎﻣ ﻦﻳا ﺖﻴﻓﺮﻇ ،قاﺰﺑ ﻲﺟوﺮﺧ ﺶﻫﺎﻛ
ﺖﺒﺴﻧ يﺮﺗ ﻦﻴﻳﺎﭘ ﺢﻄﺳ ﻪﺑ نﮋﻴﺴﻛا دازآ يﺎﻫ ﻪﻧﻮﮔ يروآ ﻊﻤﺟ ياﺮﺑ راﺪﻘﻣ ﻪﺑ داد ﺪﻫاﻮﺧ لﺰﻨﺗ نآ لﻮﻤﻌﻣ .
ﻲﺘﻧآ ﺖﻴﻓﺮﻇ ﺮﺑ ﺎﻬﻧاﺪﻧد نداد ﺖﺳد زا ﺮﻴﺛﺎﺗ هﺪﻨﻫد نﺎﺸﻧ ﻪﻌﻟﺎﻄﻣ ﻦﻳا دﻮﺑ ﻞﻣﺎﻛ قاﺰﺑ ﻲﻧاﺪﻴﺴﻛا .
يﺎﻫ ﺖﻳدوﺪﺤﻣ ﺖﻠﻋ ﻪﺑ ﻪﭼ ﺮﮔا
زا ﺎﻫ ﻪﻧﻮﻤﻧ داﺪﻌﺗ ،ﻲﻧﺎﻣز و يدﺎﺼﺘﻗا 90
ﺮﻈﻧ ﻪﺑ ﺎﻣا ،ﺖﻓﺮﻧ ﺮﺗاﺮﻓ ﺮﻔﻧ
ﻴﺸﻛ يﺎﻬﻧاﺪﻧد داﺪﻌﺗ ﻦﻴﺑ ﻲﻘﻄﻨﻣ طﺎﺒﺗرا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺪﺳر ﻲﻣ ،هﺪﺷ هﺪ
ﺮﻄﺧ و ،نﮋﻴﺴﻛا دازآ يﺎﻬﻟﺎﻜﻳدار ﺎﺑ قاﺰﺑ ﻪﻠﺑﺎﻘﻣ ناﻮﺗ ﺶﻫﺎﻛ ﺖﻴﻔﻴﻛ ءﺎﻘﺗرا رد نﺎﻜﺷﺰﭙﻧاﺪﻧد ﺶﻘﻧ ،نﺎﻫد نﺎﻃﺮﺳ ﻪﺘﻓﺎﻳ ﺶﻳاﺰﻓا ﺪﺑﺎﻴﺑ يا هزﺎﺗ دﺎﻌﺑا ،ﻲﻜﺷﺰﭙﻧاﺪﻧد يﺎﻫ ﻚﻴﻨﻠﻴﻛ ﻪﺑ ﻦﻴﻌﺟاﺮﻣ ﻲﮔﺪﻧز .
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Investigating Correlation Between the Number of Missed Teeth, as an Oral Health Index, and the Total Antioxidant Capacity of Unstimulated Whole Saliva
Mirjalili N (DDS,MS)1, Haerian-Ardakani A (DDS, Ph.D)2, Nazeri-Bafghi N(MD)3
1. Assistant professor, Department of Oral Medicine, Shahid-Sadoughi University of Medical Sciences, Yazd, Iran
2.Associate professor, Department of Community-based Oral Health, Shahid-Sadoughi University of Medical Sciences, Yazd, Iran
3.Corresponding Author: MD student, Shahid-Sadoughi University of Medical Sciences, Yazd, Iran
Abstract
Introduction: Oral health problems comprise a significant negative influence on the quality of life among the affected individuals. Recent concerns about the correlation between poor oral hygiene and subsequent tooth loss, and the risk of oral cancer incidence have introduced a new field of study with regards to the community health. The present study aimed to investigate the correlation between total antioxidant capacity of unstimulated whole saliva and the number of missing teeth.
Methods: Ninety patients of Shahid-Sadoughi dental clinic, with the age rane of 30 to 49 years, volunteered to participate into this study. Their missed teeth were counted and samples of unstimulated whole saliva were obtained from all cases. The scores of total antioxidant capacity of saliva samples and missing teeth were statistically analyzed.
Results: According to ANOVA test, the tow measured indexes showed a negative and statistically meaningful correlation to each other (r=0.337, P=0.001)
Conclusion: Tooth loss can lead to reduced total antioxidant capacity of saliva that may subsequently result in increased risk of some diseases, such as oral cancer.
Keywords: Total antioxidant capacity of saliva, Whole unstimulated saliva, Tooth loss, Oral cancer
