Periodontitis prevalence in patients with ulcerative colitis and Crohn's disease - PPCC: A case-control study.


Journal

Journal of clinical periodontology
ISSN: 1600-051X
Titre abrégé: J Clin Periodontol
Pays: United States
ID NLM: 0425123

Informations de publication

Date de publication:
12 2022
Historique:
revised: 10 02 2022
received: 19 12 2021
accepted: 24 02 2022
pubmed: 6 7 2022
medline: 15 11 2022
entrez: 5 7 2022
Statut: ppublish

Résumé

The aim of this questionnaire-based case-control study was to assess whether self-reported oral health and periodontitis in patients with ulcerative colitis (UC) and Crohn's disease (CD) differ from those in matched controls without inflammatory bowel disease (IBD). A survey including questions on general anamnestic information, IBD diagnosis, and oral health was distributed online. Self-perceived overall health of teeth and gums, severe periodontitis, and tooth loss were defined as outcome parameters. Analyses were based on answers from 1108 patients with IBD and 3429 controls. Patients with IBD reported significantly worse oral health and more periodontal problems compared to controls. Regression analyses corrected for relevant confounders showed significantly increased odds for fair or poor self-perceived overall health of teeth and gums (odds ratio [OR] 2.147 and 2.736, respectively) and for severe periodontitis (OR 1.739 and 2.574, respectively) for patients with UC and CD compared to controls; patients with CD presented additionally 91% higher odds for having <20 remaining teeth. Patients with UC and CD have significantly increased odds for worse self-perceived oral health and severe periodontitis compared to controls, with the former being more severely affected and losing more teeth. It is strongly recommended that patients with IBD are kept under close surveillance to prevent periodontitis development and/or mitigate its progression.

Identifiants

pubmed: 35781889
doi: 10.1111/jcpe.13615
pmc: PMC9804609
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1262-1274

Subventions

Organisme : Eklund Foundation

Informations de copyright

© 2022 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.

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Auteurs

Kristina Bertl (K)

Department of Periodontology, Faculty of Odontology, University of Malmö, Malmö, Sweden.
Division of Oral Surgery, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria.

Johan Burisch (J)

Gastrounit, Medical Division, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.
Copenhagen Center for Inflammatory Bowel Disease in Children, Adolescents and Adults, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.

Nikolaos Pandis (N)

Department of Orthodontics and Dentofacial Orthopedics, School of Dental Medicine, University of Bern, Bern, Switzerland.

Corinna Bruckmann (C)

Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria.

Björn Klinge (B)

Department of Periodontology, Faculty of Odontology, University of Malmö, Malmö, Sweden.
Division of Oral Diseases, Department of Dental Medicine, Karolinska Institute, Stockholm, Sweden.

Andreas Stavropoulos (A)

Department of Periodontology, Faculty of Odontology, University of Malmö, Malmö, Sweden.
Division of Conservative Dentistry and Periodontology, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria.

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