DENTAL FOCAL INFECTIONS AND ALOPECIA AREATA
Serbian Medical Association Kragujevac district branch
Objective. The aim of this study was to examine the association of dental focal infections and alopecia areata in the adult population. Methods. The research was done in a medical institution, “Dermato-dento-medik Brcko dr Regoje”, and the Clinic for Dermatovenerology of University Clinical Center, Tuzla. The study included 63 patients which were treated surgically and medically according to the current therapeutic guidelines. All patients were divided into three groups. The first group of patients suffering from alopecia areata were treated only surgically, by removing the focus. In the second group there were patients who were treated by removing the focus and local dermatological therapy (most of them had periodontal disease). In the third group there were patients who were treated only with local dermatological therapy (most of them had gingival hyperplasia). Results. In total of 41 subjects the changes of alopecia areata had affected the hairy part, while 22 patients had changes on the chin. The difference in distribution, in relation to the expected even distribution, was statistically significant (2=5.7, df=1, p=0.017). However, the difference concerning the observed distribution of lesion in hairy parts and in other location between the three study groups was not statistically significant (2=0.2, df=1, p=0.676). Analysis of the outcomes of treatment for alopecia areata showed the highest effectiveness in the second group (n=21) because the hair growth appeared after 4 to 6 weeks after the initiation of the therapy. In the first group (n=20) the hair growth appeared within 6 to 8 weeks, and in the third group there was no hair growth during the monitoring period up to 8 weeks. Conclusion. Our study present novel data about relationships between dental focal infections and alopecia areata with outcomes after surgical and medical treatment, respectively.
alopecia areata; focal infection, dental; treatment