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Periodontal status of liver transplant candidates and healthy controls
Author(s) -
Di Profio Bruna,
Inoue Gislene,
Marui Vanessa Costa,
França Bruno Nunes,
Romito Giuseppe Alexandre,
Ortega Karem Lopez,
Holzhausen Marinella,
Pannuti Claudio Mendes
Publication year - 2018
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1002/jper.17-0710
Subject(s) - medicine , bleeding on probing , gingival recession , clinical attachment loss , periodontal examination , cirrhosis , periodontitis , liver transplantation , dentistry , liver disease , gingival and periodontal pocket , gastroenterology , physical examination , case control study , transplantation
Background This study aimed to compare the periodontal status of liver transplant candidates (LTCs) with healthy controls. Methods Fifty liver transplant candidates (LTC group) and fifty patients without liver disease (control group) underwent a complete periodontal examination. The groups were matched according to sex, age, and smoking status. A structured questionnaire was applied to record demographic data, systemic health, and information related to liver disease. Full‐mouth complete periodontal examination of six sites per tooth was performed: gingival recession (GR), probing depth (PD), attachment loss (AL), bleeding on probing (BOP), and visible plaque index (VPI). The groups were compared in regard to periodontal clinical variables. Results Patients with cirrhosis had greater prevalence of periodontitis than healthy controls ( P < 0.001). In addition, they had greater mean percentage of sites with AL ≥3 mm ( P = 0.008) and AL ≥5 mm ( P = 0.023), greater mean AL ( P = 0.003), greater mean gingival recession ( P < 0.001), and more missing teeth than in the control group ( P = 0.02). Conclusion Liver transplant candidates presented greater prevalence, extent, and severity of periodontitis than matched control patients.