Oral health status and dental treatment needs of psoriatic patients with different therapy regimes

Abstract

The aim of the study was to investigate the dental treatment requirements and oral health status of psoriatic patients with different severities of the disease, managed by different methods, including biological therapies. Methods One hundred and twenty‐seven patients diagnosed with psoriasis were enrolled in this study. All subjects completed a general medical history and a Dermatology Life Quality Index (DLQI) questionnaire. The severity of the disease was assessed using the Psoriasis Area and Severity Index (PASI) scale and a DLQI questionnaire. In order to evaluate the oral health status, the following techniques were used: Approximal Plaque Index (API), the Community Periodontal Index (CPI) and the Decayed, Missing and Filled Teeth (DMFT) index. Results Patients treated with biologicals presented a significantly lower mean CPI index and required no surgical interventions. Subjects managed with topical therapy had significantly more decayed teeth and higher treatment needs. Only 11.3% of patients did not require dental intervention. Conclusions The study revealed a high need for dental interventions in patients with psoriasis. The type of treatment used may affect the oral health status of patients. However, further investigations are required to explain the significantly lower CPI value in the group treated with biologicals.

Oral Lesions and Oral Health-Related Quality of Life in Adult Patients with Psoriasis: A Retrospective Chart Review

“…Instead, the prevalent alterations observed in psoriasis patients by Olejnik et al included fissured tongue (approximately 40%), beyond white-coated tongue (approximately 25%), and linea alba (approximately 20%) [ 3 ]. Fissured tongue also emerged as the most prevalent abnormality observed in individuals with psoriasis in the cross-sectional study by Altemir et al [ 12 ], showing an overall prevalence ranging from 14% to 47% among psoriasis subjects across various populations.…”

“…Denture-related stomatitis was also diagnosed in about 7% of participants [ 3 ]. Indeed, psoriasis-associated oral mucosal lesions are considered primarily localized on the tongue [ 3 ], along with a significantly higher incidence of angular cheilitis and denture-related stomatitis in psoriasis patients compared to the general population, as also found by Costa et al [ 1 ]. The latter proposed that Candida spp.…”

“…Higher scores on the DLQI indicate a greater compromise in the quality of life, with a score exceeding 10 suggesting a severe impact on the patient’s life due to their skin condition [ 7 ]. In detail, DLQI score categorized the impact of the disease on the quality of life into none (0–1 score), small (2–5 score), moderate (6–10 score), very large (11–20 score), and extremely large (21–30 score) [ 3 ]. Developed by Finlay AY and Khan GK in 1994, the DLQI has been widely utilized in global clinical trials and research endeavors exploring the quality of life and disease burden associated with various dermatological conditions.…”

“…Psoriasis is now recognized as a systemic disease [ 3 ]. Numerous comorbidities exacerbate the burden of psoriasis [ 4 ].…”

Periodontal Disease in Patients with Psoriasis: A Systematic Review

“…Interestingly, patients under treatment with biologics showed a significantly lower community periodontal index (CPI) and required no surgical treatment. Conversely, patients managed with topical medications had significantly more decayed teeth, as well as greater dental-treatment needs [ 36 ].…”