Prevalence of periodontitis and DMFT index in patients with Crohn's disease and ulcerative colitis.
OBJECTIVE
To compare the prevalence of periodontal disease and the decayed, missing and filled teeth (DMFT) index in patients with Crohn's disease (CD) and ulcerative colitis (UC) with those without these diseases.


METHODS
Ninety-nine CD (39.0 SD+/-12.9 years), 80 UC (43.3 SD+/-13.2) and 74 healthy controls (40.3 SD+/-12.9) were compared for DMFT index and presence of periodontitis. Probing pocket depth (PPD), clinical attachment loss (CAL), bleeding on probing (BOP), plaque and DMFT index were measured on all subjects. The presence of periodontitis was defined as having CAL > or =3 mm in at least four sites in different teeth.


RESULTS
Significantly more patients with UC (90.0%; p<0.001) and CD (81.8%; p=0.03) had periodontitis than controls (67.6%). Among smokers, UC patients had significantly more periodontitis. CD had a greater mean DMFT score (18.7 versus 13.9; p=0.031) compared with controls and UC had greater median PPD (2.2 versus 1.7 mm; p<0.0001) than controls. Among non-smokers, CD (2.4 mm; p<0.0001) and UC showed deeper pockets (2.3 mm; p<0.0001) compared with controls (1.5 mm). UC had a greater mean DMFT score (15.3 versus 12.1; p=0.037) compared with controls.


CONCLUSIONS
CD and UC patients had higher DMFT and prevalence of periodontitis than controls, but smoking was an effect modifier.
Brito
Fernanda
F
Departament of Periodontology, Faculty of Odontology, Rio de Janeiro State University, Rio de Janeiro, Brazil. fernanda.brito.s@hotmail.com
de Barros
Fabiana Cervo
FC
Zaltman
Cyrla
C
Carvalho
Ana Teresa Pugas
AT
Carneiro
Antonio Jose de Vasconcellos
AJ
Fischer
Ricardo Guimarães
RG
Gustafsson
Anders
A
Figueredo
Carlos Marcelo de Silva
CM
D000328:Adult; D016022:Case-Control Studies; D003093:Colitis, Ulcerative / Q000150:complications*; D003424:Crohn Disease / Q000150:complications*; D004245:DMF Index; D003731:Dental Caries / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D010512:Periodontal Index; D010518:Periodontitis / Q000150:complications*; D012907:Smoking