Is There Any Association Between Oral Hygiene and the Development of Tonsillitis or Tonsillar Hyperplasia

Abstract

Background: The number of recurrent tonsillitis and tonsillar hyperplasia requiring tonsillectomies, annually is huge. Poor oral hygiene has been linked with the occurrence of these tonsillar diseases. 
 Objective: To determine the association between poor oral hygiene and tonsillitis and/or tonsillar hyperplasia.
 Methodology: This was a study of association between oral hygiene and tonsillitis and/or tonsillar enlargement determined by correlating the Oral hygiene index scores (OHIS) and Decay Missing and Filled Teeth (DMFT) of subjects with complaint of sore throat with development of tonsillitis or tonsillar hyperplasia. A corresponding number of subjects with no symptoms of sore throat were used as control.
 Results: A total of 80 subjects with sore throat were recruited into the study, comprising 49(61.3%) females and 31(38.7%) males with age ranging from 16 to 32 years. The control group comprised 45(56.3%) females and 35(43.7%) males with age ranging from 16 to 48 years.. OHIS of the test group was poorer than that of the control. Erythema (redness) of the tonsil was significantly correlated with OHIS in the test group but not in the control.
 Conclusion: Poor oral hygiene seems to have an association with tonsillar infection and so the, otolaryngologists managing tonsillar infection should consider inter-disciplinary approach in the management of tonsillar diseases.

Radiographic Detection of the Relationship between Tonsilloliths and Dental Plaque-Related Pathologies in a Series of Digital Panoramic Radiographs

“…We observed that the mean age of the TT group was significantly higher than TC. This result may be associated with the frequent occurrence of chronic tonsillar inflammation in older adults because of the risk factors like smoking and poor oral hygiene [21, 22]. Oral bacteria in secretions in contact with tonsillar epithelium may adhere to the mucosal surface and may stimulate cytokine production by mucosal epithelium [23].…”

Characteristics of Age and Oral Hygiene Status on Palatine Tonsil Size in Chronic Tonsillitis Patients

“…[26], [27] Sebanyak 3 artikel memiliki desain studi case control retrospektif dan 1 artikel dengan desain studi clinical trial. [8], [28]- [30]…”

“…Bakteri Moraxella catarrhalis merupakan bakteri yang sering ditemukan pada saluran pernapasan bagian atas (nasofaring) yang berdekatan dengan tonsil. [28] Kansu et al (2017) mengutarakan bakteri Actinomyces lebih menonjol pada pasien dewasa dengan hipertropi tonsil. Bakteri Actinomyces merupakan bakteri yang sering ditemukan pada daerah orofaring yang merupakan tempat tonsil palatina palatina.…”

“…[27] Hal ini berkaitan dengan adanya kolonisasi bakteri yang sering terdeteksi pada kripta tonsil palatina antara lain seperti Moraxella catarrhalis, Actinomyces, Streptococcus pneumoniae, Staphylococcus aureus, Haemophilus influenza. [28] Beberapa studi menyatakan bahwa usia berhubungan dengan faktor pembesaran ukuran tonsil palatina pada tonsilitis kronik. Penelitian Triola et al (2020) mengutarakan terdapat hubungan antara usia dengan ukuran tonsil pada pasien tonsilitis kronik, pada subjek usia 11-20 tahun terdapat ukuran T3 sebanyak 33 orang (56,30%).…”