Balneo Research Journal (May 2020)
Clinicoradiologic aspects of periodontal diseases in patients with gluten-related disorders
Abstract
Introduction. The frequency of celiac disease (CD) and non celiac gluten sensivity (NCGS) varies in different geographical area and has gradually increased. CD and has high clinical inhomogeneity. Although it has been suggested that the patient with gluten-related disorders present different oral manifestations. The association between oral manifestation and CD, NCGS is controversial. Often in patients with gluten related disorders in the oral cavity can be found: aphthous stomatitis, desquamative glossitis, angular cheilitis, gingivitis, enamel hypoplasia, xerostomia etc. However in literature there are only few investigation of the association between gluten related disorders and periodontal diseases. Material and method. The study included 50 patients with existing periodontal pathology in patients with CD or NCGS aged 18 to 50 years. According to inclusion criteria patient were divided into two main groups (depending on the type of gluten related disorder): I (n=25) patients with CD, II (n=25) with NCGS. Periodontitis was defined according to the standardized procedure. Modified papillary bleeding index (MPBI), Fedorov-Volodkina hygiene index, PMA (papillary-marginal-alveolar index), periodontal probing depth (PD), bone mineral density (BMD) were obtained. Results and discussions. Participants of the I study group had a mean age ± SD 41.03 ± 8.3 years, II - 40.38 ±8.1. During the study it was found that in the structure of periodontal diseases general periodontitis were diagnosed predominantly. The mean value of MPBI in the patients with CD was 0.21±0.25 and in patients with NCGS 0,24±0.34. The Fedorov-Volodkina hygiene index in patients with celiac disease was 1.48±0.3 and with NCGS - 1.51±0.2. Depth of periodontal pockets in patients of I group was 3.25±1.71 mm., II - 2.88±1.64 mm. The mean PMA index in patients of I group was 28.9%±15.0, II – 24.88%±14.1. The mean value of BMD in patients with CD range from 1200 to 1300 HU. In patients with NCGS 1100 - 1250 HU. Conclusions. The results of this study demonstrate a set of clinicoradiological features of periodontal disease in patient with CD and NCGS. The statistical analysis of the received clinical and radiological data did not reveal statistical differences between the studied groups (p≥0.05).
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