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Poster presentations: Epidemiology 2020

P790 Dental caries occurrence among patients with inflammatory bowel disease (IBD)

D. Piątek1, S. Jarmakiewicz-Czaja2, I. Korona-Głowniak3, A. Malm3, J. Sztembis4, R. Filip5

1Medical University of Lublin, Department of Conservative Dentistry with Endodontics, Lublin, Poland, 2Medical College of Rzeszow University, Institute of Health Sciences, Rzeszow, Poland, 3Medical University of Lublin, Department of Pharmaceutical Microbiology, Lublin, Poland, 4Clinical Hospital No.2 Rzeszow- affiliated to University of Rzeszow, Department of Internal Medicine- Endocrinology and Nephrology, Rzeszow, Poland, 5Medical College of Rzeszow University, Department of Gastroenterology with IBD Unit of Clinical Hospital No.2- Poland, Rzeszow, Poland

Background

Inflammatory bowel disease (IBD), including patients’ diet, way of treatment and general health may have an impact on teeth condition. Due to multifactorial nature of caries that its linked to susceptibility of hard tooth tissues, cariogenic microorganisms and presence of fermentable carbohydrates, the course of disease can be modified at many levels. The aim of the study was to assess dental caries experience in adult patients with Crohn’s disease (CD) and ulcerative colitis (UC).

Methods

The study involved 224 individuals: 98 with diagnosed CD, 75 with UC and 51 of control group (CG) with mean age 34.7. The complete assessment of the hard tooth tissues based on the DMFT index (decayed D, missing M, filled F teeth) was performed.

Results

There were no statistically significant differences between the examined groups in terms of DMFT index values, however, a statistically significant difference was found in the number of teeth with caries (D) (mean 3.99, 3.05 and 1.96 for CD, UC and CG respectively; H=13.55 p < 0.05). All groups had higher mean D values in men than women, and achieved the highest mean value in CD group (4.78) compared with UC (3.68) and healthy controls (2.06)(H=8.71 p < 0.05). The results of D values for CG obtained in our study confirm the literature data for healthy population aged 35–44 in Poland (mean D~2). The number of lost teeth (M) in the studied population was high and amounted to 5.47, 5.25 and 3.94 for the examined groups, respectively. A thorough analysis showed that in the group of men the difference in the M value was statistically significant at 5.83, 5.94 and 1.11 for CD, UC and CG respectively (H=15.84 p < 0.05). Statistically significant differences (H=6.21 p < 0.05) were observed in the number of filled teeth (F), without secondary caries, which highest value was recorded in CG (10.76) and the lowest in the CD group (8.93).

Conclusion

The highest D and M values were observed in patients with CD, especially in men, which proves the intensity and activity of dental caries disease in this group.