Polineni Swapnika, Gopinath Hima, Ramani Jami Rupa, Yadav Shikha, Aravindakshan Rajeev, Yerragudi Navaneeth, Prabhakaran Nagendran, Sreenivas Kalyan Deepak, Abraham Vineet Thomas
Department of Dentistry, All India Institute of Medical Sciences, Mangalagiri, Guntur District, Andhra Pradesh, India.
Department of Dermatology, All India Institute of Medical Sciences, Mangalagiri, Guntur District, Andhra Pradesh, India.
Indian J Dermatol Venereol Leprol. 2023 Feb 1:1-5. doi: 10.25259/IJDVL_331_2022.
Background Periodontitis can trigger and perpetuate inflammation in several chronic inflammatory diseases. The association of periodontitis with psoriasis has been investigated earlier, but data are incomplete and the influence of confounders has not been fully evaluated. We examined the relationship of dental and periodontal health parameters in patients with psoriasis and/or psoriatic arthritis. Methods This hospital-based cross-sectional analytical study was conducted in patients with chronic plaque psoriasis, psoriatic arthritis or both, and compared with controls. Dental and periodontal health parameters were assessed based on the WHO oral health assessment method. Multivariate logistic regression was done on variables with significant or near-significant values to find the association between periodontitis and psoriasis and/or psoriatic arthritis after adjusting for confounders. Results Psoriasis and/or psoriatic arthritis were independently and significantly associated with periodontal pockets ≥4 mm in depth. Limitations Causality and temporal relationship cannot be established as this was a cross-sectional study. As in all observational studies, the possibility of unmeasured or unknown confounders exists. Psoriatic arthritis was present only in a small subset of patients. Conclusion Patients with psoriasis and/or psoriatic arthritis have significant periodontal inflammation. This needs to be addressed by dental examination and intervention.
牙周炎可引发并持续存在于多种慢性炎症性疾病中。牙周炎与银屑病的关联已在早期进行过研究，但数据不完整，且混杂因素的影响尚未得到充分评估。我们研究了银屑病和/或银屑病关节炎患者的牙齿和牙周健康参数之间的关系。
本项基于医院的横断面分析研究在慢性斑块状银屑病、银屑病关节炎患者或两者兼有的患者中进行，并与对照组进行比较。根据世界卫生组织口腔健康评估方法评估牙齿和牙周健康参数。对具有显著或接近显著值的变量进行多变量逻辑回归，以在调整混杂因素后找出牙周炎与银屑病和/或银屑病关节炎之间的关联。
银屑病和/或银屑病关节炎与深度≥4毫米的牙周袋独立且显著相关。
由于这是一项横断面研究，无法确定因果关系和时间关系。与所有观察性研究一样，存在未测量或未知混杂因素的可能性。银屑病关节炎仅存在于一小部分患者中。
银屑病和/或银屑病关节炎患者存在显著的牙周炎症。这需要通过牙科检查和干预来解决。
