COMORBIDITIES & TOBACCO-USE AMONG PATIENTS ATTENDING A TEACHING PERIODONTOLOGY CLINIC.
Objectives: To estimate the frequency of non-communicable disorders and tobacco-use among adult-patients attending the undergraduate clinic of periodontology at Universidad Andres-Bello (UNAB), Santiago-Chile. Methods: The present study was approved by the Ethics-committee of UNAB. A descriptive cross-sectional analysis of the electronic medical/dental records of 300 patients attending the undergraduate clinic of periodontology (March 2017 - May 2018) was made. Only adult-patients with complete electronic-records & X-rays were included. Periodontal-status and tooth-loss was assessed according to initial periodontal-charts/radiographs. Periodontal diagnosis was defined according to the “Centers for Disease Control and Prevention” case-definition for periodontitis. Information regarding reported comorbidities was collected in the following categories: Diabetes, Cardiovascular-Disease (including Hypertension), Pregnancy&pregnancy-related complications, Respiratory-Disease, Renal-Disease, Rheumatoid Arthritis, Cognitive impairment, Obesity, Cancer, Psoriasis and “other”. Tobacco-use was assessed according to the “packs-per-year” index. All data was extracted in predefined tables and analyzed using PRISMA software.
Results: In total 152/300 patients (age: 39,8+14,8 years, 43,4% males) were included. Severe, Moderate and Mild/non-forms of periodontitis were present in 59,86%, 21,71% and 18% of individuals. Mean values for probing-depth and clinical-attachment loss were: 3,40+1,66mm and 3,39+2,25mm. Fifty patients (32,9%) presented comorbidities whereas fifty-five (36,2%) were smokers (average: 45,93+101,61 packs-per-year). Fifteen patients (9,86%) presented both. Main documented diseases by decreasing frequency were: Diabetes (11,84%), Cardiovascular-Diseases (9,87%), Obesity (4,61%), Renal-Diseases (2,63%), Rheumatoid-Arthritis (RA) (1,32%), Psoriasis (1,32%), Respiratory-Diseases (0,66%) and Cancer (0,66%).
Conclusions: This sample presented high prevalence of severe periodontal-disease in spite a young age. Main co-morbidities were Diabetes and Cardiovascular-diseases followed by Obesity and Renal-diseases. Almost 1/3 of the sample was smoker. Results reflect the medical complexity of the periodontal patient.
Olave, Franco
( Universidad Andrés Bello
, Santiago
, Chile
)
Johnson, Cristopher
( Universidad Andrés Bello
, Santiago
, Chile
)
Alvarado, Ariel
( Universidad Andrés Bello
, Santiago
, Chile
)
Briceño, Jorge
( Universidad Andrés Bello
, Santiago
, Chile
)
Fernandez, Alejandra
( Universidad Andrés Bello
, Santiago
, Chile
)
Jiménez, Constanza
( Universidad Andrés Bello
, Santiago
, Chile
)
NONE
This work was supported and funded by Dirección General de Investigación de Universidad Andrés Bello (DGI-UNAB), an operating grant provided by the faculty of Dentistry of UNAB.