DOI:
10.37988/1811-153X_2020_1_30Dental status of patients with chronic diseases of biliary system
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Abstract
Aim: to evaluate the status of the oral cavity in patients suffering from diseases of the biliary system. Materials and methods. Oral health examinations were performed on 230 patients aged from 35 to 52 years with periodontitis, among which the control (I) group consisted of 50 patients with inflammatory diseases of periodontal disease without comorbidities, the comparison group (II) of 80 patients with chronic cholecystitis, and the main III group consisted of 100 patients with chronic calculus cholecystitis . There were determined the prevalence and intensity of caries (DMFT index), and prevalence of periodontal diseases and the need for help (CPITN index, 1980). The rate of salivation was determined by the following method: subjects were asked to collect saliva into a graduated tube for 5 minutes. The volume was divided on 5 and obtained the value of the rate of salivation in ml/min. Results. The deepest bone pockets around the teeth were observed in the III examination group — 21.0±4.1%, the patients with dental calculus prevailed — 35.0±4.8%, against 18.0±5.4 and 13.8±3.8%, the values recorded in the I and II group, respectively. The number of sextants without inflammatory changes was low — 0.97±0.09 in the III group, as in the II group — 0.84±0.10. The prevalence of dental caries was found to be maximum in the III group — 92.9±4.9%. The volume of non-stimulated saliva in the context of chronic calculus cholecystitis ranged from 0.71±0.02 ml/min, which was the lowest across all groups. Conclusion. The development of pathology of the biliary tract observed comparatively pronounced changes in the oral cavity.
Key words:
oral health, chronic cholecystitis, salivaFor Citation
References
- Global Burden of Disease Study Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990—2013: a systematic analysis for the Global Burden of Disease Study 2013. — Lancet. — 2015; 386 (9995): 743—800.
- Vahrushev Ja.M., Hohlacheva N.A. Gallstone disease: epidemiology, risk factors, clinical features, prevention. — Russian Archives of Internal Medicine. — 2016; 3 (29): 30—5 (In Russ.).
- Vjalov S.S. Cholestasis syndrome: tactics of diagnosis and management of patients. — Effective Pharmacotherapy. — 2012; 28: 10—5 (In Russ.).
- Smirnova S.V., Barilo A.A., Smol’nikova M.V. Hepatobiliary system diseases as predictors of psoriasis progression. — Annals of the Russian academy of medical sciences. — 2016; 71 (2): 102—8 (In Russ.).
- Ivanchenkova R.A. Chronic diseases of the biliary tract. — M.: Atmosfera, 2006: 308—338 (In Russ.).
- Brook I. Aerobic and anaerobic microbiology of biliary tract disease. — J Clin Microbiol. — 1989; 27 (10): 2373—5.
- Hu Z., Zhang Y., Li Z., Yu Y., Kang W., Han Y., Geng X., Ge S., Sun Y. Effect of Helicobacter pylori infection on chronic periodontitis by the change of microecology and inflammation. — Oncotarget. — 2016; 7 (41): 66700—12.
- Shen H., Ye F., Xie L., Yang J., Li Z., Xu P., Meng F., Li L., Chen Y., Bo X., Ni M., Zhang X. Metagenomic sequencing of bile from gallstone patients to identify different microbial community patterns and novel biliary bacteria. — Sci Rep. — 2015; 5: 17450.
- Aberg F. et al. Association between dental infections and the clinical course of chronic liver disease. — Hepatol Res. — 2014; 44: 349—53.
- Gurav A.N. The association of periodontitis and metabolic syndrome. — Dent Res J (Isfahan). — 2014; 11: 1—10. PMCID: PMC3955301.
- Sanz M., D’Aiuto F., Deanfeld J., Fernandez-Avilés F. European workshop in periodontal health and cardiovascular disease—scientic evidence on the association between periodontal and cardiovascular diseases: A review of the literature. — Eur Heart J. — 2010; 12 (suppl. 2010): B3—12.