Zellos Aglaia, Koutsochristou Vassiliki, Dimakou Konstantina, Panayotou Ioanna, Siahanidou Sultana, Roma-Giannikou Eleftheria, Tsami Alexandra
First Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Spec Care Dentist. 2025 Jan-Feb;45(1):e13077. doi: 10.1111/scd.13077. Epub 2024 Oct 25.
Increased incidence of periodontal disease is described in adult patients with inflammatory bowel disease (IBD), implicating similarities in gut immunopathogenesis and periodontitis.
Evaluation of periodontal status and treatment needs of children with IBD in remission, according to disease phenotype, sex, age, and oral hygiene status, and compare them to age-matched healthy population of a dental practice.
Fifty-five children with IBD (mean age 12.27 ± 3.67 years) and 55 matched healthy controls of a dental practice (mean age 12.21 ± 3.96 years) were assessed with the simplified gingival index (GI-S) and the plaque control record (PCR) index and the community periodontal index of treatment needs (CPITNs). A dental questionnaire on therapy, oral hygiene, gum bleeding, and dental attendance was completed by participants.
Children with IBD in remission had higher gingival inflammation and periodontal treatment needs compared to controls. In patients with IBD, the CPITN was higher in older compared to younger children (59.37% vs. 47.83%) and in boys compared to girls (65% vs. 46.67%). Among controls, CPITN was also higher in older children (21.88% vs. 4.34%) and in boys (16% vs. 13.33%).
Older children and boys with IBD have more periodontal treatment needs, compared to controls, despite similar oral hygiene.
炎症性肠病（IBD）成年患者的牙周疾病发病率增加，这暗示了肠道免疫发病机制与牙周炎之间存在相似性。
根据疾病表型、性别、年龄和口腔卫生状况，评估缓解期IBD患儿的牙周状况和治疗需求，并将其与牙科诊所中年龄匹配的健康人群进行比较。
使用简化牙龈指数（GI-S）、菌斑控制记录（PCR）指数和社区牙周治疗需求指数（CPITN）对55名IBD患儿（平均年龄12.27±3.67岁）和牙科诊所的55名匹配健康对照者（平均年龄12.21±3.96岁）进行评估。参与者完成了一份关于治疗、口腔卫生、牙龈出血和看牙情况的牙科问卷。
与对照组相比，缓解期IBD患儿的牙龈炎症和牙周治疗需求更高。在IBD患者中，年龄较大的儿童（59.37%对47.83%）和男孩（65%对46.67%）的CPITN高于年龄较小的儿童和女孩。在对照组中，年龄较大的儿童（21.88%对4.34%）和男孩（16%对13.33%）的CPITN也较高。
与对照组相比，IBD患儿中年龄较大的儿童和男孩尽管口腔卫生情况相似，但牙周治疗需求更多。
