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. 2024 Oct 5;28(10):573.
doi: 10.1007/s00784-024-05951-5.

Oral health in patients with inflammatory bowel disease: A cross-sectional survey in Sweden

Kristina Bertl  1   2 , Johan Burisch  3   4 , Nikolaos Pandis  5 , Björn Klinge  6   7 , Andreas Stavropoulos  8   9   10   11
Affiliations

Oral health in patients with inflammatory bowel disease: A cross-sectional survey in Sweden

Kristina Bertl et al. Clin Oral Investig. .

Abstract

Objectives: The aim of this cross-sectional survey was to assess oral health, including prevalence of periodontitis and rate of tooth loss, in a Swedish cohort of patients with inflammatory bowel disease (IBD).

Methods: A questionnaire on general anamnestic and socio-economic aspects, IBD diagnosis, and various oral health aspects was distributed online. The analyses focused on the comparison between patients diagnosed with ulcerative colitis (UC) or Crohn's disease (CD) as well as on factors associated with self-reported severe periodontitis and tooth loss.

Results: Analyses were based on answers from 786 patients; 415 with UC, 371 with CD, 74% female. In both disease entities, high prevalence of severe periodontitis (i.e., 38.5%) was reported, and about 19% of the population had less than 20 remaining teeth and 6.5% a poor oral health-related quality of life. CD patients tended to be more severely affected than UC patients (p > 0.05 in the adjusted analysis). Almost 90% of CD patients were aware of being entitled to a bi-annual governmental financial support for dental care due to IBD; however, 1 out of 4 UC patients did not. Furthermore, IBD patients largely believe that the interest of their physicians in any oral lesions due to IBD diagnosis is low.

Conclusions: Severe periodontitis and high rate of tooth loss are frequent in Swedish IBD patients.

Clinical relevance: Even though IBD patients receive bi-annually some special financial support for dental care, it seems this is still not sufficient and more preventive measures appear necessary.

Keywords: Crohn’s disease; Inflammatory bowel disease; Oral health; Survey; Ulcerative colitis.

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Conflict of interest statement

The authors declare no competing interests.

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References

    1. Chapple IL, Genco R, Working GOJEFPW (2013) Diabetes and periodontal diseases: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. J Clin Periodontol 40(Suppl 14):S106–S112. 10.1111/jcpe.12077 - PubMed
    1. Sanz M, Ceriello A, Buysschaert M et al (2018) Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the International Diabetes Federation and the European Federation of Periodontology. J Clin Periodontol 45:138–149. 10.1111/jcpe.12808 - PubMed
    1. Sanz M, Marco Del Castillo A, Jepsen S et al (2020) Periodontitis and cardiovascular diseases: Consensus report. J Clin Periodontol 47:268–288. 10.1111/jcpe.13189 - PMC - PubMed
    1. de Molon RS, Rossa C, Thurlings RM, Cirelli JA, Koenders MI (2019) Linkage of Periodontitis and Rheumatoid Arthritis: Current Evidence and Potential Biological Interactions. Int J Mol Sci 20:4541. 10.3390/ijms20184541 - PMC - PubMed
    1. Scher JU, Bretz WA, Abramson SB (2014) Periodontal disease and subgingival microbiota as contributors for rheumatoid arthritis pathogenesis: modifiable risk factors. Curr Opin Rheumatol 26:424–429. 10.1097/BOR.0000000000000076 - PMC - PubMed