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Dental and periodontal disease in patients with inflammatory bowel disease

Authors :: Nanne K. H. de Boer
Bilgin Kalender
Tymour Forouzanfar
Jan G.A.M. de Visscher
Henk S. Brand
C X W Tan
Maxillofacial Surgery (VUmc)
Oral Biochemistry
Maxillofacial Surgery (AMC + VUmc)
Oral and Maxillofacial Surgery / Oral Pathology
Gastroenterology and hepatology
Amsterdam Gastroenterology Endocrinology Metabolism
AMS - Tissue Function & Regeneration
Source :: Tan, C X W, Brand, H S, Kalender, B, de Boer, N K H, Forouzanfar, T & de Visscher, J G A M 2021, ' Dental and periodontal disease in patients with inflammatory bowel disease ', Clinical Oral Investigations, vol. 25, no. 9, pp. 5273-5280 . https://doi.org/10.1007/s00784-021-03835-6, Clinical Oral Investigations, 25(9), 5273-5280. Springer Verlag, Tan, C X W, Brand, H S, Kalender, B, De Boer, N K H, Forouzanfar, T & de Visscher, J G A M 2021, ' Dental and periodontal disease in patients with inflammatory bowel disease ', Clinical Oral Investigations, vol. 25, no. 9, pp. 5273-5280 . https://doi.org/10.1007/s00784-021-03835-6, Clinical Oral Investigations
Publication Year :: 2021
Abstract: Objectives Although bowel symptoms are often predominant, inflammatory bowel disease (IBD) patients can have several oral manifestations. The aim of this study was to investigate the prevalence of dental caries and periodontal disease in patients with Crohn’s disease (CD) and ulcerative colitis (UC) compared to an age and gender-matched control group of patients without IBD. Material and methods The DMFT (Decayed, Missing, Filled Teeth) scores and the DPSI (Dutch Periodontal Screening Index) of 229 IBD patients were retrieved from the electronic health record patient database axiUm at the Academic Centre for Dentistry Amsterdam (ACTA) and were compared to the DMFT scores and DPSI from age and gender-matched non-IBD patients from the same database. Results The total DMFT index was significantly higher in the IBD group compared to the control group. When CD and UC were analyzed separately, a statistically significant increased DMFT index was observed in CD patients but not in UC patients. The DPSI did not differ significantly between the IBD and non-IBD groups for each of the sextants. However, in every sextant, IBD patients were more frequently edentulous compared to the control patients. Conclusion CD patients have significantly more dental health problems compared to a control group. Periodontal disease did not differ significantly between IBD and non-IBD groups as determined by the DPSI. Clinical relevance It is important that IBD patients and physicians are instructed about the correlation between their disease and oral health problems. Strict oral hygiene and preventive dental care such as more frequent checkups should be emphasized by dental clinicians.