Association between inflammatory bowel disease and periodontitis
- VernacularTitle:Кроны өвчин ба бүдүүн гэдэсний шархлаат үрэвслийн эмнэл зүйн үзүүлэлтийг шүдний тулгуур эдийн үрэвсэлтэй холбон судалсан нь
- Author:
Angar S
1
;
Oyunkhishig Kh
1
;
Davaadorj D
2
,
3
;
Bayarchimeg B
1
Author Information
1. Department of Periodontics and Endodontics, School of Dentistry, MNUMS
2. Department of Gastroenterology, School of Medicine, MNUMS
3. Department of Gastroenterology and Endoscopy, Ulaanbaatar Songdo Hospital
- Publication Type:Journal Article
- Keywords:
Clinical attachment loss, inflammatory bowel disease, oral-gut axis, periodontal disease, pocket depth
- From:
Mongolian Journal of Health Sciences
2025;87(3):76-81
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:Emerging evidence highlights a close relationship between the
oral and gut environments from both microbiological and immunological perspectives.
Consequently, a plausible bidirectional association between inflammatory
bowel disease (IBD) and periodontitis has been increasingly supported
by several studies. Recent epidemiological studies suggest that individuals with
IBD have a higher risk of periodontitis compared to non-IBD individuals.
Aim:This study aimed to investigate the prevalence and severity of periodontitis in
patients with Crohn’s disease (CD) and ulcerative colitis (UC), compared to a
control group without IBD.
Materials and Methods:A case-control study was
conducted involving 22 IBD patients (2 with CD and 20 with UC) and 44 ageand
sex-matched healthy controls from the Department of Gastroenterology
and Endoscopy, Ulaanbaatar Songdo Hospital. Periodontal evaluation included
diagnosis of periodontitis and assessment of full-mouth parameters: probing
pocket depth (PPD), clinical attachment loss (CAL), full-mouth bleeding
score (FMBS), and full-mouth plaque score (FMPS).
Results:The prevalence
of periodontitis was significantly higher in the IBD group (95.5%) compared
to controls (75%) (p = 0.042). A greater proportion of IBD patients presented
with stage III/IV periodontitis compared to controls (57.1% vs. 30.3%, p
= 0.044). Binary logistic regression analysis revealed that IBD patients had
approximately a fourfold increased likelihood of having stage III/IV periodontitis
(p = 0.012). Variables significantly associated with periodontitis in the total
sample included older age, presence of IBD, and higher FMPS and FMBS.
Conclusions:1. This study found a significant association between IBD and
periodontitis. 2. Patients with IBD were 4–6 times more likely to present with
advanced stages of periodontitis compared to healthy individuals, supporting
the importance of periodontal monitoring in this population.
- Full text:202505232310485931876-81.pdf
