Assessment of periodontal status in patients with oral lichen planus.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Rma Arya, Rajinder Kumar Sharma, Nishi Tanwar, Ambika Gupta
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引用次数: 0

Abstract

Objective: Inflammatory pathogenesis is common to periodontitis and oral lichen planus. This study was conducted to assess and compare the periodontal status of patients with and without oral lichen planus.

Method and materials: 108 patients comprising 54 with oral lichen planus and 54 age-matched systemically healthy participants without oral lichen planus were selected. Periodontal parameters, ie Plaque Index, Gingival Index, bleeding on probing, probing pocket depth, clinical attachment level, and periodontal phenotype were measured.

Results: On comparing the test and control groups, statistically significant differences were observed in respect to Plaque Index (P = .00), Gingival Index (P = .00), and bleeding on probing (P = .00). A higher proportion of sites with deeper pockets was observed in the test group (P = .00). On comparison of various oral lichen planus subtypes, significant difference was observed in respect to Gingival Index (P = .00) and bleeding on probing (P = .00). A higher proportion of sites with deeper pockets (P = .01) and greater CAL (P = .00) was observed in the erosive/atrophic subgroup compared to the reticular group. However, the differences between the reticular (a less severe form of oral lichen planus) and control group in terms of Gingival Index (P = .94), Plaque Index (P = .05), bleeding on probing (P = .17), probing pocket depth (P = .56), and clinical attachment level (P = .23) were not statistically significant. Statistically significant differences were observed in terms of Gingival Index (P = .01) and bleeding on probing (P = .00) between thin and thick periodontal phenotypes in the oral lichen planus group. Statistically significant positive correlations in periodontal parameters with increased gingival involvement and severity were observed using Spearman rank correlation coefficient.

Conclusion: Significantly greater periodontal inflammation in the test group means there is a risk of greater attachment loss in future. Thus, increased attention towards periodontal health in these patients might reduce the rate of disease progression.

口腔扁平苔藓患者牙周状况的评估。
目的:炎症发病机制在牙周炎和口腔扁平苔藓(OLP)中很常见。本研究旨在评估和比较患有和不患有口腔扁平苔藓的患者的牙周状况。方法和材料:选择108名患者,包括54名患有OLP的患者和54名年龄匹配的无口腔扁平苔藓的系统健康参与者。牙周参数,即:;测量牙菌斑指数、牙龈指数、探查出血量、探查袋深度、临床附着水平和牙周表型。结果:在比较试验组和对照组时,在PI(p=0.00)、GI(p=0.000)和BOP(p=0.00,GI(p=0.00)和BOP(p=0.00。然而,网状(OLP的一种较轻形式)与对照组在GI(0.94)、PI(0.05)、BOP(0.16)、PPD(0.55)和CAL(0.22)方面的差异无统计学意义。在OLP组中,薄牙周表型和厚牙周表型之间的GI(p=0.00)和BOP(p=0.00)存在统计学显著差异。使用spearman秩相关系数观察到牙周参数与牙龈受累和严重程度增加呈正相关。结论:试验组牙周炎症程度明显升高,使其未来有更高的附着丧失风险。因此,增加对这些患者牙周健康的关注可能会降低疾病进展率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Quintessence international
Quintessence international 医学-牙科与口腔外科
CiteScore
3.30
自引率
5.30%
发文量
11
审稿时长
1 months
期刊介绍: QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.
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