بررسي ارتباط بين بيماريهاي پريودنتال و بيماريهاي مزمن كبدي

Relation between periodontal diseases and chronic liver disease

Background & Aim: Chronic liver diseases especially cirrhosis may cause different complications in patients, such as periodontal disease. The purpose of the present case - control study was to examine the effect of chronic liver diseases on the periodontium. Methods & Materials: The experimental group consisted of 60 patients with diagnosed chronic liver disease. 60 systemically healthy subjects formed the control group. Age, gender, level of education, socio - economic level and cigarette smoking were not statistically different between the two study groups. (P>0.05) The Ramfjord index teeth were recorded for plaque index (PI), clinical attachment loss (CAL), and gingival bleeding (GB). Results: CAL in the test group was significantly greater than the control group (P<0.05) which showed that the hepatic patients were 3.3 times more at risk of moderate to severe attachment loss than the healthy subjects (Odds ratio = 3.3), however, mean PI and GB were not statistically different between the study groups (P>0.05). Conclusion: Patients with chronic liver disease demonstrated more CAL than the healthy subjects with the same PI and GB. Thus liver disease might be assumed as a risk factor for periodontal diseases.