Condição oral em pacientes com doença inflamatória intestinal

• Autor(a) principal: Barros, Fabiana Cervo de
• Data de Publicação: 2007
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/14146
• topic: Periodontitis; DMFT Index; Doença de Crohn; Ulcetarive colitis; Periodontite; Índice de CPOD; Doença de Crohn; Retocolite ulcerativa; CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA

The aim of this study was to appraise the prevalence of periodontitis and the presence of decayed, filled, missed teeth in patients with Crohn s Disease (CD) and Ulcerative Colite (UC) and compare them with healthy patients (C). As a secondary aim, we evaluated the oral mucosa in the three groups. Ninety nine CD (39.0 DP± 12.9 years), eighty UC (43.3 ± 13.2 years) patients and seventy four C subjects (40,3 ± 12,9 years) were used in the study. The periodontal conditions were examined using the plaque visible index, gingival bleeding on probing, the probing depth on probing (PDP) and the attachment level (AL). The patients that showed at least four sites with AL &#8805;3 were considered having periodontitis. The dental conditions were investigated using the DMFT index (decayed, missing and filled teeth index). The oral mucosa conditions were evaluated by the presence of the oral lesions. The percentage of plaque was significantly lower in CD group (44.0 ± 30.49) than in C group (54.1 ± 26.4), p= 0.017. The gingival bleeding on probing was significantly lower in CD group (22.5 ± 18.0) compared with C group (29.2 ± 22.1), p= 0.038. The number of sites with PDP &#8805; 4mm was significantly lower in CD group (5.4 ± 6.6) compared with C group (12.9 ± 17.7), p= 0.02. The percentage of patients with periodontitis was significantly higher in UC (92.6%, p= 0.004) and DC (91.9%, p=0.019) groups, compared with C group (79.7%). The DMFT index was significantly higher in UC (16.4 ± 6.6; p< 0.0001) and CD (15.1 ± 7.3; p= 0.016) groups when compared with C group (12.5 ± 6.8). They observed significantly more oral lesions in UC (28.7%; p < 0.0001) and CD (17.2%; p= 0.0041) when compared to C group (6.7%). Thus, it was concluded that Crohn s Disease and Ulcerative Colitis patients show a higher prevalence of periodontitis and higher DMFT index than the controls. There is an increased attachment loss in Ulcerative Colitis group compared to DC group. Furthermore, the patients with Bowel disease show more oral lesions than the control group.