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. 2020 Oct;52(3):259-264.
doi: 10.5152/eurasianjmed.2020.20002.

Periodontal Status, Its Treatment Needs, and Its Relationship with Airflow Limitation and Quality of Life in COPD Patients

Nazli Javaheri  1 , Somaieh Matin  1 , Abbas Naghizadeh-Baghi  2 , Abolfazl Bagheri  3 , Ani Andreasian  4 , Hassan Ghobadi  5
Affiliations

Periodontal Status, Its Treatment Needs, and Its Relationship with Airflow Limitation and Quality of Life in COPD Patients

Nazli Javaheri et al. Eurasian J Med. 2020 Oct.

Abstract

Objective: Chronic obstructive pulmonary disease (COPD) is one of the most prevalent respiratory diseases in the world. There is an impressive relationship between periodontal status and airflow limitation in patients with COPD. Therefore, in this study, we aimed to investigate the periodontal status, its treatment needs, and its relationship with the severity of airway obstruction and quality of life in patients with COPD.

Materials and methods: In this case-control study, 36 healthy men (control group) and 35 men afflicted with COPD (case group) were investigated. On the basis of spirometry results and Global Initiative for Chronic Obstructive Lung Disease (GOLD) criteria, patients with COPD were further divided into 4 groups. The participants' quality of life was evaluated using COPD Assessment Test (CAT) questionnaire. Thereafter, both groups of participants were referred to a dentistry clinic so that the related specialist could investigate their periodontal health status. The relationship between the periodontal indices and the variables under study including GOLD stage, CAT score, Forced Expiratory Volume in first second and Forced Vital Capacity (FEV1/FVC) ratio, Forced Expiratory Volume in first second (FEV1), and the exacerbation rate were statistically analyzed using independent t-test, one-way analysis of variance, Tukey's test, and Pearson correlation coefficient.

Results: The results revealed that probing pocket depth (PDD), bleeding on probing (BOP), and loss of attachment (LOA) are negatively correlated with FEV1% (r=-0.53, p=0.001), (r=-0.62, p=0.001), and (r=-0.72, p=0.001) as well as FEV1/FVC ratio (r=-0.45, p=0.007), (r=-0.47, p=0.004), and (r=-0.61, p=0.001), respectively. The results showed that PDD, BOP, and LOA are positively correlated with CAT score (r=0.51, p=0.002), (r=0.47, p=0.004), and (r=0.71, p=0.001), respectively.

Conclusion: Periodontal problems are positively associated with COPD severity as determined by GOLD criteria and negatively associated with quality of life of patients with COPD.

Keywords: COPD; COPD assessment test; FEV1; Periodontal parameters; periodontal disease.

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Conflict of interest statement

Conflict of Interest: Authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Comparison of mean probing pocket depth in (a) 2 groups and (b) patients based on different GOLD stages
Figure 2
Figure 2
Comparison of mean bleeding on probing in (a) 2 groups and (b) patients based on different GOLD stages
Figure 3
Figure 3
Comparison of mean loss of attachment in (a) 2 groups and (b) patients based on different GOLD stages
See this image and copyright information in PMC

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