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. 2018 Jun 20;10(1):1-7.
doi: 10.15171/japid.2018.001. eCollection 2018.

Relationship between periodontal variables and disease severity in patients with chronic obstructive pulmonary disease

Amir Moeintaghavi  1 , Shahrzad Mohammadzadeh Lari  2 , Farid Shiezadeh  3 , Zakieh Mohammadian  4 , Shamim Tajik  5 , Nahid Nasrabadi  3
Affiliations

Relationship between periodontal variables and disease severity in patients with chronic obstructive pulmonary disease

Amir Moeintaghavi et al. J Adv Periodontol Implant Dent. .

Abstract

Background: The present study investigated the relationship between certain periodontal variables and severity of disease in COPD patients.

Methods: The present cross-sectional study included 50 patients suffering from COPD. Lung function examination, forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC, SpO2, and Modified Medical Research Council (MMRC) Dyspnea Scale were performed. Periodontal clinical examination index included probing depth (PD), attachment loss (AL), gingival index (GI) and plaque index (PI). A quality of life validated index, the COPD assessment test (CAT index), was also calculated.

Results: The FEV1 and FVC indices showed a significant negative correlation with PI and AL variables only. The COPD assessment test (CAT) index showed a significant but positive correlation with PI and AL variables only. The SpO2 index presented a significant negative correlation with GI and AL variables. The FEV1/FVC ratio was found to have a negative correlation with PD and AL variables. It is worth noting that MMRC exhibited no significant relationship with any of the periodontal variables. The only variable that was significantly different (P=0.022) among the three smoking groups was the FVC index. The FVC value was significantly higher in the group of subjects who smoked more than 10 cigarettes per day versus the non-smoking group (P=0.017).

Conclusion: Based on the findings of this study, in view of the relationship between periodontal variables and respiratory indices in the course of COPD, early treatment of periodontal diseases, might considerably reduce the severity of COPD.

Keywords: COPD; FEV1; Periodontal pocket depth; periodontal disease; periodontal parameters.

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Conflict of interest statement

The authors declare no competing interests with regards to the authorship and/or publication of this article.

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