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Periodontal status evaluation in patients with diagnosed IBD: Crohn's disease and ulcerative colitis Ocena stanu przyz bia u pacjentów z rozpoznanym NZJ: chorob Le niowskiego-Crohna i wrzodziej cym zapaleniem jelita grubego

Keywords: inflammatory bowel diseases , Crohn's disease , colitis ulcerosa , periodontitis , gingivitis

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Abstract:

Introduction: Non-specific inflammatory bowel diseases (IBD) and periodontitis are multifactorial diseases. The immune response plays a significant role in their onset and course. The aim of the study was to asses the periodontium in a group of patients diagnosed with non-specific IBD, including Crohn's disease and colitis ulcerosa (CU).Materials and methods: 75 patients hospitalized due to IBD were examined using a periodontal probeand a dental mirror; periodontal indexes including plaque index (PI) and bleeding on probing (BOP)pocket depths (PD) and clinical attachment loss (CAL) were measured. CAL was used for diagnosis of periodontitis. Additionally, the activity of a periodontal disease was assessed using the Offenbacher scale.Results: The average plaque index was 50.15%, average BOP 9.7%, average PD: 1.55 mm, average CAL: 0.45 mm. Chronic periodontitis was diagnosed in 96% of patients (72 individuals), of whom 27%had a generalized form of periodontitis, which occurred more often in the Crohn's disease group thanin the CU group. In 69% of patients a localized form was diagnosed. Three people were diagnosed ashealthy. The assessment of periodontium was performed with reference to gastroenterological diagnosis and applied immunotherapy.Conclusions: Periodontitis and gingivitis were more often present in the Crohn's disease group thanin the CU group. Compared to available research, the study group of patients demonstrated a higherplaque index but lower PD and BOP indexes.

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