P085 Oral Health Status of Ulcerative Colitis Patients: A Comparative Study

Francis, Delfin Lovelina

doi:10.1053/j.gastro.2017.11.129

Cited by 1 publication

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study performed by Brito and colleagues (10) , the first assessing carious lesions in UC patients, revealed a higher prevalence of caries in these patients compared to the control group, with significant statistical differences. Other previous studies also obtained similar outcomes that support our results (13,25) . We registered a significant higher DMFT score in non-smokers patients that could be explained by the higher mean age and by the inclusion of ex-smokers in this group.…”

Section: Discussionsupporting

confidence: 93%

“…The same trend was registered by Laranjeira et al (2015) in UC patients (25) . In previous studies, the higher risk of dental caries has been mainly attributed to altered dietary habits, but salivary and microbiological changes were also suggested (10,(13)(14)(15) .…”

Section: Discussionmentioning

confidence: 99%

“…According to previous studies, UC seems to be associated with oral mucosa lesions and oral symptoms, especially in the active phase of the disease (7,8,9) , and to a higher risk of periodontitis (10)(11)(12) . Regarding dental caries, previous studies have reported a higher Decayed, Missing and Filled Teeth (DMFT) index in patients with UC compared to healthy control subjects (10,12,13) . The higher risk of dental caries has been attributed to poor dietary habits, malabsorption and changes in salivary and microbiological conditions of the oral cavity (10,13,14,15) .…”

Section: Introductionmentioning

confidence: 99%

“…Regarding dental caries, previous studies have reported a higher Decayed, Missing and Filled Teeth (DMFT) index in patients with UC compared to healthy control subjects (10,12,13) . The higher risk of dental caries has been attributed to poor dietary habits, malabsorption and changes in salivary and microbiological conditions of the oral cavity (10,13,14,15) . UC patients are said to present changes in the diet, increasing meal frequency and intake of carbohydrates, which may increase the risk of dental caries (14) .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Are Cariogenic Bacteria the Major Risk Factor to Dental Caries in Patients With Ulcerative Colitis?

Rodrigues

Laranjeira

Nunes

et al. 2019

Arq. Gastroenterol.

View full text Add to dashboard Cite

BACKGROUND: High prevalence of dental caries in ulcerative colitis (UC) has been attributed to diet and changes in salivary environment. OBJECTIVE: We aimed to characterize the prevalence of dental caries, salivary flow rates, salivary buffering capacity and cariogenic bacteria counts of Mutans streptococci and Lactobacillus spp and to evaluate their relationship with drug therapy, disease activity and duration. METHODS: A cross-sectional study was performed with UC patients followed in a tertiary center. Participants were submitted to a questionnaire (including demographic data, oral hygiene, eating habits) and a clinical observation with assessment of plaque index and Decayed, Missing and Filled Teeth index. Unstimulated/stimulated saliva was collected. Medical records, disease activity (Partial Mayo Score) and disease duration were collected. Laboratory data included salivary flow rates, salivary buffering capacity (CRT® buffer) and cariogenic bacteria count (Mutans streptococci and Lactobacillus spp) in saliva using the CRT® bacteria test (results: high or low counts). RESULTS: Thirty UC patients were recruited. Oral hygiene routines were daily teeth brushing once or more (96.7%) and fluoride toothpaste (73.3%). Decayed, Missing and Filled Teeth index (mean 16.17±6.428) was not affected by the frequency of soft drinks, cakes, sweets and sugars between meals (P>0.2). Long-term disease showed a trend towards higher prevalence of caries (P=0.06). Most presented normal salivary flow rates, unstimulated (73.3%) and stimulated (60.0%), and high salivary buffering capacity (66.7%). Any association was found with age, gender, disease activity, disease duration and drug therapy. High Mutans streptococci and low Lactobacillus spp count were observed in 73.3% and 60% of patients, respectively. Patients with active disease (100%) and longer duration (88.9%) displayed higher Mutans streptococci count. CONCLUSION: The prevalence of dental caries observed in UC patients was significant and did not seem to be influenced by their eating habits. The high prevalence of Mutans streptococci count may be a major risk factor for dental caries and may be looked as part of the UC dysbiosis. Dental care of UC patients should be planned according with this microbiota variation.

show abstract

Section: Discussionsupporting

confidence: 93%