Περίληψη:
Background:Previous reports have demonstrated a higher prevalence of
dental caries and periodontal disease in adults with inflammatory bowel
disease (IBD), but similar data in children and adolescents do not
exist. The aim of the study was to evaluate the status of dental caries,
oral hygiene, gingival status and periodontal treatment needs of
children with IBD.Methods:In this case-control study, 55 children on
remission from a single outpatient IBD clinic, aged 4 to 18 years (12.27
3.67 yr) and 55 matched systemically healthy controls of a dental
practice were assessed prospectively. The evaluation included medical
history, dental questionnaire in both groups, and previous and current
medical therapy of children with IBD. Additionally, the decayed,
missing, and filled tooth (dmf-t or DMF-T), simplified gingival, plaque
control record and community periodontal treatment needs indices were
evaluated.Results:Children with IBD compared with controls had a
statistically significant (P < 0.001) higher dmf-t (2.95 versus 0.91) or
DMF-T (5.81 versus 2.04) index and a higher gingival inflammation
(simplified gingival, 40% versus 24%) although the respectively dental
plaque index showed no significant difference (plaque control record,
42% versus 41%). Also, the community periodontal treatment needs was
significantly higher compared with controls (P < 0.001); most of the
patients with IBD needed treatment of gingivitis (47% versus 4%), and
none of them had healthy periodontium (0% versus 69%).Conclusions:The
results of this case-control study demonstrate a higher frequency of
dental caries, more clinical signs of gingival inflammation, and
increased periodontal treatment needs in children and adolescents with
IBD despite similar oral hygiene status.
Συγγραφείς:
Koutsochristou, Vassiliki
Zellos, Aglaia
Dimakou, Konstantina
and Panayotou, Ioanna
Siahanidou, Sultana
Roma-Giannikou,
Eleftheria
Tsami, Alexandra
