Elevated DMFT index in patients with inflammatory bowel disease

Abstract

The aim of this study was to appraise the presence of decayed, filled, missed teeth (DFMT) and the oral conditions about the oral mucosa in patients with inflammatory bowel disease (IBD) and compare them with healthy patients. Ninety nine patients with Crohn’s disease (CD), eighty with Ulcerative Colitis (UC) and seventy four control patients (C) were examinated. The intra-oral examination registered the DMFT index, the plaque index and the oral soft tissue lesions. The average age, in years, was 38,99 (± 12,90); 43,33 (± 13,21) and 40,28 (± 12,87) for CD, UC and C, respectively. A high prevalence of DMFT was showed in DC (p= 0.016) and UC ( < 0,0001) groups compared to C group. The mean percentage of plaque was smaller in CD group 44,04 (DP± 30,49) than in C group 54,10 (DP ±26,4), p= 0,017; but there weren´t differences at percentage of plaque between UC and C groups. In relation to the total oral lesions, there was significant difference in CD (p= 0.041) and UC (p= < 0.0001) towards C group, being pyostomatitis vegetans the significant difference lesion between the groups. It was concluded that when the inflammatory bowel disease (DC and UC) are considered separately, a high DMFT index is observed in relation to control group; and patients with intestinal involvement show more oral lesions than the control groups patients, thus when the lesions are observed separated, the pyostomatitis vegetans is the only one that shows significant prevalence in those groups.