Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Oct;8(5):1028-1034.
doi: 10.1002/cre2.609. Epub 2022 Jun 15.

Inflammatory bowel disease and periodontitis: A retrospective chart analysis

Nazia Abrol  1 , Sharon M Compton  1 , Daniel Graf  1 , Pallavi Parashar  1 , Giseon Heo  1 , Monica P Gibson  1
Affiliations

Inflammatory bowel disease and periodontitis: A retrospective chart analysis

Nazia Abrol et al. Clin Exp Dent Res. 2022 Oct.

Abstract

Objectives: This study examined the variation in prevalence of periodontitis among different sexes, age groups, smoking status, and oral hygiene adherence in patients affected by either Crohn's disease (CD) or ulcerative colitis (UC).

Materials & methods: This study was a retrospective chart analysis that collected data from the School of Dentistry's Oral Health Clinic at the University of Alberta, Edmonton, Canada. Patients' electronic health records between the years of 2013 and 2019 were analyzed. Multiple keywords such as IBD, CD, UC, and periodontal disease with various spelling combinations were used for searching and gathering pertinent data, which was then further assessed. After applying the inclusion and exclusion criteria, a total of 80 patient charts were included. These patient charts were thoroughly screened to gather information such as age, sex, smoking status, and a variety of periodontal parameters. Collected data were analyzed using SPSS software by using Pearson's χ2 , Pearson's correlation, and Mann-Whitney U-test.

Results: IBD had an impact on the severity of periodontitis in patients between the ages of 50 and 64 years with higher odds ratio (OR). Biological sex or history of smoking in IBD patients did not have higher odds of developing periodontitis. Plaque score derived from this retrospective study was used to estimate the patient's oral hygiene status and showed no impact. Also, prevalence of periodontitis did not differ between UC and CD. We anticipated some of these findings because of the retrospective nature of the study.

Conclusions: Within the limitation of the retrospective study, IBD patients in the 50-64 age group years showed a higher odds ratio for a greater prevalence of periodontitis. Thus, a closer periodontal recall and evaluation in these patients is recommended for early diagnosis and preventive care. It is advised that periodontists work closely with gastroenterologists to maintain periodontal health in IBD-affected individuals.

Keywords: Crohn's disease; inflammatory bowel disease; periodontitis; ulcerative colitis.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Albandar, J. M. , Susin, C. , & Hughes, F. J. (2018). Manifestations of systemic diseases and conditions that affect the periodontal attachment apparatus: Case definitions and diagnostic considerations. Journal of Periodontology, 89(Suppl. 1), S183–S203. - PubMed
    1. Beck, J. D. (1994). Methods of assessing risk for periodontitis and developing multifactorial models. Journal of Periodontology, 65(5 Suppl)., 468–478. - PubMed
    1. Bergström, J. , Eliasson, S. , & Dock, J. (2000). A 10‐year prospective study of tobacco smoking and periodontal health. Journal of Periodontology, 71(8), 1338–1347. - PubMed
    1. Billings, M. , Holtfreter, B. , Papapanou, P. N. , Mitnik, G. L. , Kocher, T. , & Dye, B. A. (2018). Age‐dependent distribution of periodontitis in two countries: findings from NHANES 2009 to 2014 and SHIP‐TREND 2008 to 2012. Journal of Periodontology, 89(Suppl 1), S140–S158. - PMC - PubMed
    1. Borrell, L. N. , & Talih, M. (2012). Examining periodontal disease disparities among U.S. adults 20 years of age and older: NHANES III (1988–1994) and NHANES 1999–2004. Public Health Reports, 127(5), 497–506. - PMC - PubMed

Publication types