IADR Abstract Archives
Periodontal Disease and Oral Hygiene in Adults with Cystic Fibrosis
Objectives: 1. Conduct a clinical examination to determine the prevalence of periodontal diseases among adult Cystic Fibrosis (CF) patients in Cork University Hospital
2. Evaluate the oral hygiene practices and oral hygiene levels among the same group of adult CF patients
3. Analyse the potential associations between periodontal disease prevalence/oral hygiene levels and variables such as medication use and comorbidities within the study population
Methods: A case-control study with clinical examination of 92 adults with a diagnosis of CF was carried out in the adult CF unit in Cork University Hospital. A 40-item questionnaire was used to capture sociodemographic variables and medical and dental information. Two calibrated examiners carried out a periodontal assessment on participants, using the WHO-recommended CPI modified index, and oral hygiene status was measured using the Greene-Vermillion index. The results were compared with a population-based control group of similar profile.
Results: Oral Hygiene levels (plaque and calculus) were significantly poorer in people with CF; with a median plaque index of 0.83 (IQR 0.333-1.542) in the CF group compared to 0.5 (IQR 0.167-0.667) in the non-CF group. Calculus index in the CF group was 0.33 (IQR 0.17-0.83) compared to 0.33 (IQR 0.125-0.33) in the non-CF group. However, periodontal disease levels were significantly lower in the CF group. Gingivitis (BOP >10% sites) was seen in 67.4% of the CF group, compared to 83.7% of the non-CF group, RR 0.779 (95% CI 0.655-0.928). Mild-Moderate periodontitis (PPD 4-5mm) was seen in 15.2% of the CF group, compared to 31.5% of the non-CF group, RR 0.483 (95% CI 0.273-0.852). Severe periodontitis (PPD ≥ 6mm) was seen in 0% of the CF group, compared to 9.8% of the non-CF group.
Conclusions: In this study, adults with Cystic Fibrosis had poor oral hygiene practices, and high levels of plaque and calculus. Despite this finding, adults with CF had lower levels of clinical gingivitis and periodontitis than seen in a non-CF control group. Further study is required to examine the causes of this phenomenon.
2. Evaluate the oral hygiene practices and oral hygiene levels among the same group of adult CF patients
3. Analyse the potential associations between periodontal disease prevalence/oral hygiene levels and variables such as medication use and comorbidities within the study population
Methods: A case-control study with clinical examination of 92 adults with a diagnosis of CF was carried out in the adult CF unit in Cork University Hospital. A 40-item questionnaire was used to capture sociodemographic variables and medical and dental information. Two calibrated examiners carried out a periodontal assessment on participants, using the WHO-recommended CPI modified index, and oral hygiene status was measured using the Greene-Vermillion index. The results were compared with a population-based control group of similar profile.
Results: Oral Hygiene levels (plaque and calculus) were significantly poorer in people with CF; with a median plaque index of 0.83 (IQR 0.333-1.542) in the CF group compared to 0.5 (IQR 0.167-0.667) in the non-CF group. Calculus index in the CF group was 0.33 (IQR 0.17-0.83) compared to 0.33 (IQR 0.125-0.33) in the non-CF group. However, periodontal disease levels were significantly lower in the CF group. Gingivitis (BOP >10% sites) was seen in 67.4% of the CF group, compared to 83.7% of the non-CF group, RR 0.779 (95% CI 0.655-0.928). Mild-Moderate periodontitis (PPD 4-5mm) was seen in 15.2% of the CF group, compared to 31.5% of the non-CF group, RR 0.483 (95% CI 0.273-0.852). Severe periodontitis (PPD ≥ 6mm) was seen in 0% of the CF group, compared to 9.8% of the non-CF group.
Conclusions: In this study, adults with Cystic Fibrosis had poor oral hygiene practices, and high levels of plaque and calculus. Despite this finding, adults with CF had lower levels of clinical gingivitis and periodontitis than seen in a non-CF control group. Further study is required to examine the causes of this phenomenon.