Louwe, M.S. (2018) Dental Caries Determinants and Prevalence in Patients with Inflammatory Bowel Disease; A Case Control Study. thesis, Dentistry.
Full text available on request.Abstract
Introduction: Previous studies have reported an increased caries prevalence in patients with IBD, that dietary habits are propound to have caused. However, data on caries determinants in relation to caries prevalence in patients with IBD do not yet exist. Furthermore, no research on the Decayed-, Missing-, Filled Surfaces (DMFS) by patients with IBD using a large sample size with an age-, gender- and Socio Economical Status (SES) matched control group has yet been done. Therefore the aim of this study was to compare caries prevalence and caries determinants in patients with Inflammatory Bowel Disease (IBD) with a control group from the general population. Material and methods: A total of 109 patients with IBD (of which 57 had Crohn’s disease (CD) and 52 had ulcerative colitis (UC)) were matched according to age-, gender- and socioeconomic status to a control group of 109 participants in a larger epidemiologic study on oral health in The Netherlands (n=1.579). Clinical (dental caries and oral hygiene scores) and non-clinical (demographics, dietary and smoking habits, oral health behavior and dental anxiety) data were collected. The clinical examinations were visual and tactile using a dental probe and mirror. The assessment of (un)treated dental carious lesions was scored according to the DMFS, and the plaque according to the simplified oral hygiene index. The non-clinical data was collected through a questionnaire. Results: Whilst patients with IBD reported to have a higher tooth brushing frequency, more dental plaque was found in this group compared to the control group from the general population. No significant differences were found in DMFS score as a whole. However, IBD patients had significantly more untreated caries lesions than their control group. Moreover, patients with Crohn’s disease had significant less missing teeth. Regarding the eating habits, patients with IBD do not have an increased eating frequency. Discussion: A possible difference in the results might be explained by the fact that de IBD group and the control group originate out of different studies, and therefore out of different populations. This may cause for differences in the clinical examination. The groups were not matched on race. Neither were the duration and earnestness of the diseases taken into account, nor the use of medication. Furthermore, the “M” component of the DMFS could have led to an overestimation of the caries prevalence within the IBD group. Patients with IBD might have lost more teeth due to the disease periodontitis, which is claimed to occur more frequent in patients with IBD. Conclusion: The DMFS is not increased in patients with IBD, even though we found more dental plaque in this group. We draw the conclusion that within this study the caries prevalence is not elevated in patients with IBD. This is contradictory with previously published studies.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Dullemen, dr. H.M. van and Sluis, dr. L.W.M. van der |
| Faculty: | Medical Sciences |
| Date Deposited: | 23 Nov 2021 12:51 |
| Last Modified: | 23 Nov 2021 12:51 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2829 |
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