[Evaluation of periodontal status in patients with liver cirrhosis].

Abstract

Objective: The aim of the study was to assess the dental status, including the condition of periodontal tissues, in patients with liver cirrhosis.

Material and methods: Based at the Federal State Autonomous Educational Institution of Higher Education of the First Moscow State Medical University named after I.M. Sechenov a dental examination of 52 patients with liver cirrhosis of various etiologies was conducted. The main diagnosis was established based on the results of biochemical blood parameters and ultrasound examination of the abdominal organs, according to which the patients had all 3 classes of liver cirrhosis according to Child-Pugh.

Results: Comparison of the periodontal index in groups depending on the severity of liver cirrhosis showed a significant difference between groups (p<0.05): the maximum was determined in patients with Child-Pugh C (59±0.14 percentage), the minimum - with Child-Pugh A (36.4±0.13 percentage). Comparison of periodontal pocket depth (PD index) in groups depending on the degree of severity showed a significant difference between groups (p<0.05): the maximum was determined in patients with Child-Pugh C (4.02 mm), the minimum - in Child-Pugh A (2.96 mm). Comparison of clinical loss of attachment (CAL index) in groups depending on the degree of severity showed a significant difference between groups (p<0.05): the maximum was determined in patients with Child-Pugh C (-4.1 mm), the minimum - at Child-Pugh A (-2.8 mm).

Conclusion: Based on the results of the study, the presence of a direct connection between periodontitis and the severity of liver cirrhosis could not be excluded.