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Periodontal Status among Patients with and Without Chronic Obstructive Pulmonary Disease
Shristi Kafle1, Shital Adhikari2, Erika Shrestha1
1Department of Periodontology and Oral Implantology, Chitwan Medical College and Teaching Hospital, Bharatpur, Chitwan, Nepal.
Patients with Chronic Obstructive Pulmonary Disease (COPD) exhibit significantly poorer oral hygiene and periodontal health compared to non-COPD individuals. This highlights the critical need for integrated oral care strategies in COPD management.
Area of Science:
- Oral health research
- Pulmonary medicine
- Systemic disease links
Background:
- Established link between oral and systemic health.
- Oral pathogens and inflammation may exacerbate systemic inflammation and chronic diseases like COPD.
- This study investigates the bidirectional relationship between oral health and COPD.
Purpose of the Study:
- To provide evidence supporting integrated prevention and treatment approaches for oral health and COPD.
- To evaluate periodontal status in COPD patients compared to a non-COPD group.
Main Methods:
- Comparative cross-sectional study of 97 COPD patients and 97 age-matched non-COPD caregivers.
- Assessment of periodontal status using Oral Hygiene Index-Simplified (OHI-S), Gingival Bleeding Index (GBI), Periodontal Index for Risk of Infectiousness (PIRI), probing pocket depth (PPD), and clinical attachment loss (CAL).
- Non-probability consecutive sampling and data analysis using SPSS version 27.0.
Main Results:
- COPD patients demonstrated significantly worse periodontal health across all measured indices compared to non-COPD participants (P < 0.001).
- Mean scores for OHI-S, GBI, PIRI, PPD, and CAL were significantly higher in the COPD group.
- Non-COPD participants exhibited superior oral hygiene and periodontal health.
Conclusions:
- COPD patients present with poorer oral hygiene, increased gingival bleeding, and compromised periodontal health.
- Emphasizing proper oral hygiene practices is crucial for preventing oral and periodontal diseases in COPD patients.
- Findings underscore the importance of integrating oral health management into COPD care strategies.
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