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P373. Profiles of dental caries and periodontal disease in individuals with or without inflammatory bowel disease (IBD)

V. Koutsochristou1, A. Tsami2, K. Dimakou3, I. Panayotou3, E. Roma-Giannikou3, 1Private Dentist, Private, Athens, Greece, 2Dental Shcool University of Athens, Periodology, Athens, Greece, 3St Sofia University Children Hospital, Pediatric Gastroenterology, Athens, Greece

Background

Previous reports have demonstrated a higher prevalence of dental caries and periodontal disease in adult patients with inflammatory bowel disease (IBD). The aim was to evaluate the status of dental caries, oral hygiene, gingival status and periodontal treatment needs of children and adolescents with IBD in Greece.

Methods

In the present case–control study, 55 children with IBD and 55 matched healthy controls of a dental practice, aged 4–18 years (12.27±3.67 years), were assessed. The evaluation included medical history, duration of IBD, previous and current treatment for IBD, as well as the history of oral soft-tissue alterations and a dental questionnaire that included information about oral hygiene habits, symptoms of periodontal disease and dental attendance. Additionally, the decayed, missing and filled tooth (dmf-t or DMF-T) index, the simplified gingival index (GI-S), the plaque control record (PCR) index and the community periodontal index of treatment needs (CPITN) were evaluated in each patient and in the controls.

Results

Children and adolescents with IBD compared with controls, had a higher statistically significant dmf-t (2.95 versus 0.91, p < 0.001) or DMF-T index (5.81 versus 2.04, p < 0.001). Also, in patients with IBD the mean number of tooth surfaces with gingival inflammation was statistically significantly higher (GI-S index, 40.24% versus 24.95%, p < 0.001) compared to controls, despite that the respectively mean number of tooth surfaces with dental plaque showed no significant difference (PCR index, 42.29% versus 41.96%). Compared to controls, the periodontal treatment needs of children and adolescents with IBD were higher; most of them needed treatment of gingivitis (47.83% versus 4.34% in controls, p < 0.001) and none of the subjects with IBD had healthy periodontium (0% versus 69.56%, p < 0.001).

Conclusion

The results of this case–control study demonstrate a higher frequency of dental caries and periodontal disease in children and adolescents with IBD, but oral hygiene status showed no distinct difference between cases and controls.