Inflammatory Bowel Disease and Periodontitis – A Retrospective Chart Analysis

  • Author / Creator
    Nazia Abrol
  • Background & Objective: Periodontitis has been an increasingly common finding in patients who have been diagnosed with Inflammatory Bowel Disease (IBD). Several studies have investigated the association between the two diseases and have confirmed that these two disease entities have a common pathogenesis. However, data regarding the prevalence of periodontal disease, age variation and, the effect of other risk factors such as smoking on these two conditions have not yet been explored. This study intends to estimate the variation in prevalence of periodontitis occurrence among different sexes, age groups, smoking status, oral hygiene adherence in patients affected by either Crohn's Disease (CD) or Ulcerative Colitis (UC).
    Methodology: This retrospective chart analysis collected data from Kaye Edmonton Clinic (dental hospital setting at University of Alberta, Edmonton, Canada) patients' electronic health records who attended the clinic between the years of 2013 to 2019. Patient records were searched for multiple keywords and selected records from the search were then analyzed further. The inclusion and exclusion criteria were applied to filter the records. A total of 80 patient charts reported IBD or CD or UC in their medical history and were included in the study. The patient charts were thoroughly screened to gather information such as age, sex, smoking status, and a variety of periodontal parameters. Collected data were analyzed using SPSS software by using Pearson's Chi-square, Fischer's Exact, Pearson correlation, and Mann-Whitney U test.
    Results: Data from the study shows that the age group 50-64 years is most affected by periodontitis in patients having IBD. There is no sex preference for periodontitis in patients presenting with IBD. IBD patients with a history of smoking do not have higher odds of developing periodontitis derived from the records in the present study. Oral hygiene adherence did not seem to increase the prevalence of periodontitis in patients presenting with IBD; however, this was based on a small sample. Also, periodontitis did not differ between UC and CD.
    Conclusion: The data from this study shows that age has a significant effect on IBD-affected individuals in developing periodontitis; thus, it is advised to keep patients above 50 years of age under closer watch for early diagnosis and preventive care. Hence, periodontists can work closely with gastroenterologists to maintain periodontal health in IBD-affected individuals.

  • Subjects / Keywords
  • Graduation date
    Fall 2021
  • Type of Item
  • Degree
    Master of Science
  • DOI
  • License
    This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for non-commercial purposes. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.