Association between moderate to severe psoriasis and periodontitis in a Scandinavian population
Identifieur interne : 001C70 ( Main/Exploration ); précédent : 001C69; suivant : 001C71Association between moderate to severe psoriasis and periodontitis in a Scandinavian population
Auteurs : Rasa Skudutyte-Rysstad [Norvège] ; Ellen Margrethe Slevolden [Norvège] ; Bj Rn Frode Hansen [Norvège] ; Leiv Sandvik [Norvège] ; Hans Ragnar Preus [Norvège]Source :
- BMC Oral Health [ 1472-6831 ] ; 2014.
Abstract
The aim of the present study was to compare the prevalence of periodontitis and alveolar bone loss among individuals with psoriasis and a group of randomly selected controls.
Fifty individuals with psoriasis and 121 controls completed a structured questionnaire, and were examined clinically and radiographically. Oral examination included numbers of missing teeth, probing pocket depth (PPD), clinical attachment level (CAL), presence of dental plaque and bleeding on probing, as well as alveolar bone loss from radiographs. Questionnaires requested information on age, gender, education, dental care, smoking habits, general diseases and medicament use. For adjustment for baseline differences between psoriasis individuals and controls the propensity score based on gender, age and education was computed using multivariate logistic regression. A subsample analysis for propensity score matched psoriasis individuals (n = 50) and controls (n = 50) was performed.
When compared with controls, psoriasis individuals had significantly more missing teeth and more sites with plaque and bleeding on probing. The prevalence of moderate and severe periodontitis was significantly higher among psoriasis individuals (24%) compared to healthy controls (10%). Similarly, 36% of psoriasis cases had one or more sites with radiographic bone loss ≥3 mm, compared to 13% of controls. Logistic regression analysis showed that the association between moderate/severe periodontitis and psoriasis remained statistically significant when adjusted for propensity score, but was attenuated when smoking was entered into the model. The association between psoriasis and one or more sites with bone loss ≥3 mm remained statistically significant when adjusted for propensity score and smoking and regularity of dental visits. In the propensity score (age, gender and education) matched sample (n = 100) psoriasis remained significantly associated with moderate/severe periodontitis and radiographic bone loss.
Within the limits of the present study, periodontitis and radiographic bone loss is more common among patients with moderate/severe psoriasis compared with the general population. This association remained significant after controlling for confounders.
Url:
DOI: 10.1186/1472-6831-14-139
PubMed: 25427764
PubMed Central: 4280688
Affiliations:
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Dermatology Department, Oslo University Hospital-Rikshospitalet, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>The Dermatology Department, Oslo University Hospital-Rikshospitalet, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Hansen, Bj Rn Frode" sort="Hansen, Bj Rn Frode" uniqKey="Hansen B" first="Bj Rn Frode" last="Hansen">Bj Rn Frode Hansen</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Sandvik, Leiv" sort="Sandvik, Leiv" uniqKey="Sandvik L" first="Leiv" last="Sandvik">Leiv Sandvik</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Preus, Hans Ragnar" sort="Preus, Hans Ragnar" uniqKey="Preus H" first="Hans Ragnar" last="Preus">Hans Ragnar Preus</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region 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sort="Slevolden, Ellen Margrethe" uniqKey="Slevolden E" first="Ellen Margrethe" last="Slevolden">Ellen Margrethe Slevolden</name><affiliation wicri:level="3"><nlm:aff id="Aff5">The Dermatology Department, Oslo University Hospital-Rikshospitalet, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>The Dermatology Department, Oslo University Hospital-Rikshospitalet, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Hansen, Bj Rn Frode" sort="Hansen, Bj Rn Frode" uniqKey="Hansen B" first="Bj Rn Frode" last="Hansen">Bj Rn Frode Hansen</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Sandvik, Leiv" sort="Sandvik, Leiv" uniqKey="Sandvik L" first="Leiv" last="Sandvik">Leiv Sandvik</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Preus, Hans Ragnar" sort="Preus, Hans Ragnar" uniqKey="Preus H" first="Hans Ragnar" last="Preus">Hans Ragnar Preus</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author></analytic><series><title level="j">BMC Oral Health</title><idno type="eISSN">1472-6831</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The aim of the present study was to compare the prevalence of periodontitis and alveolar bone loss among individuals with psoriasis and a group of randomly selected controls.</p></sec><sec><title>Methods</title><p>Fifty individuals with psoriasis and 121 controls completed a structured questionnaire, and were examined clinically and radiographically. Oral examination included numbers of missing teeth, probing pocket depth (PPD), clinical attachment level (CAL), presence of dental plaque and bleeding on probing, as well as alveolar bone loss from radiographs. Questionnaires requested information on age, gender, education, dental care, smoking habits, general diseases and medicament use. For adjustment for baseline differences between psoriasis individuals and controls the propensity score based on gender, age and education was computed using multivariate logistic regression. A subsample analysis for propensity score matched psoriasis individuals (n = 50) and controls (n = 50) was performed.</p></sec><sec><title>Results</title><p>When compared with controls, psoriasis individuals had significantly more missing teeth and more sites with plaque and bleeding on probing. The prevalence of moderate and severe periodontitis was significantly higher among psoriasis individuals (24%) compared to healthy controls (10%). Similarly, 36% of psoriasis cases had one or more sites with radiographic bone loss ≥3 mm, compared to 13% of controls. Logistic regression analysis showed that the association between moderate/severe periodontitis and psoriasis remained statistically significant when adjusted for propensity score, but was attenuated when smoking was entered into the model. The association between psoriasis and one or more sites with bone loss ≥3 mm remained statistically significant when adjusted for propensity score and smoking and regularity of dental visits. In the propensity score (age, gender and education) matched sample (n = 100) psoriasis remained significantly associated with moderate/severe periodontitis and radiographic bone loss.</p></sec><sec><title>Conclusions</title><p>Within the limits of the present study, periodontitis and radiographic bone loss is more common among patients with moderate/severe psoriasis compared with the general population. 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uniqKey="Tonetti M">MS Tonetti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seymour, Ra" uniqKey="Seymour R">RA Seymour</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Norvège</li></country><region><li>Østlandet</li></region><settlement><li>Oslo</li></settlement></list><tree><country name="Norvège"><region name="Østlandet"><name sortKey="Skudutyte Rysstad, Rasa" sort="Skudutyte Rysstad, Rasa" uniqKey="Skudutyte Rysstad R" first="Rasa" last="Skudutyte-Rysstad">Rasa Skudutyte-Rysstad</name></region><name sortKey="Hansen, Bj Rn Frode" sort="Hansen, Bj Rn Frode" uniqKey="Hansen B" first="Bj Rn Frode" last="Hansen">Bj Rn Frode Hansen</name><name sortKey="Preus, Hans Ragnar" sort="Preus, Hans Ragnar" uniqKey="Preus H" first="Hans Ragnar" last="Preus">Hans Ragnar Preus</name><name sortKey="Sandvik, Leiv" sort="Sandvik, Leiv" uniqKey="Sandvik L" first="Leiv" last="Sandvik">Leiv Sandvik</name><name sortKey="Slevolden, Ellen Margrethe" sort="Slevolden, Ellen Margrethe" uniqKey="Slevolden E" first="Ellen Margrethe" last="Slevolden">Ellen Margrethe Slevolden</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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