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VOLUME 10 , ISSUE 5 ( September-October, 2019 ) > List of Articles

ORIGINAL RESEARCH

A Clinical and Radiographical Study to Assess and Correlate Chronic Obstructive Pulmonary Disease and Periodontitis

Sai Darshana Nair, Alluri Siddhartha Varma, Girish Suragimath, Sameer A Zope, Apurva Pisal, Rashmi Gangavati

Keywords : Bone loss, Chronic obstructive pulmonary disease, Periodontitis

Citation Information : Nair SD, Varma AS, Suragimath G, Zope SA, Pisal A, Gangavati R. A Clinical and Radiographical Study to Assess and Correlate Chronic Obstructive Pulmonary Disease and Periodontitis. World J Dent 2019; 10 (5):354-358.

DOI: 10.5005/jp-journals-10015-1665

License: CC BY-NC 4.0

Published Online: 01-03-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: In the past few years, there has been accumulating evidence that suggests an exquisite association between oral infections and systemic diseases. Both chronic periodontitis and chronic obstructive pulmonary disease (COPD) are inflammatory conditions characterized by the loss of local connective tissue. The current study was conducted to find the association between COPD and periodontitis. Materials and methods: The present cross-sectional study comprised of 60 individuals after obtaining their due consent. All the subjects enrolled were subjected to a spirometric test, from which COPD patients were graded into four categories A, B, C, and D according to their COPD status. A detailed periodontal examination was performed using parameters like probing pocket depth (PPD), clinical attachment level (CAL), plaque index (PI), and gingival index (GI). Orthopantomogram (OPG) of each individual was taken to assess the mean alveolar bone loss (MABL). Results: The results showed that with the worsening of spirometric values (i.e., from A to D), there was a significant deterioration in the periodontal health in terms mean PPD, CAL, PI, GI, and MABL with a p value < 0.05. Conclusion: The present study showed a positive association between COPD and periodontal health status. Periodontal health variables were considerably associated with the severity of COPD. Clinical significance: It is essential to attach significance to the COPD patient's periodontal health. Active management of the periodontal disease may have more favorable effects on the COPD patients. Furthermore, exploring the effect and mechanism of the treatment of periodontal disease on the COPD is worthy of efforts.


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  1. Lopez AD, Shibuya K, Rao C, et al. Chronic obstructive pulmonary disease: current burden and future projections. Eur Respir J 2006;27(2):397–412. DOI: 10.1183/09031936.06.00025805.
  2. Kornman KS. Mapping the pathogenesis of periodontitis: a new look. J Periodontol 2008;79(8S):1560–1568. DOI: 10.1902/jop.2008.080213.
  3. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet 2005;366(9499):1809–1820. DOI: 10.1016/S0140-6736(05)67728-8.
  4. Shewale AH, Gattani DR, Bhatia N, et al. Prevalence of Periodontal Disease in the General Population of India-A Systematic Review. J Clin Diagn Res 2016;10(6):ZE04–ZE09. DOI: 10.7860/JCDR/2016/17958.7962.
  5. Kundu D, Mehta R, Rozra S. Periodontal status of a given population of West Bengal: an epidemiological study. J Indian Soc Periodontol 2011;15(2):126–129. DOI: 10.4103/0972-124X.84380.
  6. Rose LF, Genco RJ, Mealey BF, et al. Periodontal Medicine. Hamilton, Ontario: B.C. Decker Inc.; 2000. pp. 83–98. https://theeye.eu/public/Books/Medical/texts/Periodontics%20%20Medicine%2C%20Surgery%20and%20Implants%20%20L.%20Rose%2C%20et%20al.%2C%20%28Mosby%2C%202004%29%20WW.pdf.
  7. Pauwels RA, Buist AS, Calverley PM, et al. GOLD Scientific Committee. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. Am J Respir Crit Care Med 2001;163:1256–1276. DOI: 10.1164/ajrccm.163.5.2101039.
  8. Oberoi SS. Updating income ranges for Kuppuswamy's socio-economic status scale for the year 2014. Indian J Public Health 2015;59(2):156–157. DOI: 10.4103/0019-557X.157540.
  9. Lindhe J, Karring T, Niklaus P. Textbook of Clinical Peridontology and Implant Dentistry. New Delhi: Blackwell Munksgaard a Blackwell publishing Company; 2003. pp. 366–381. https://theeye.eu/public/Books/Medical/texts/Clinical%20Periodontology%20and%20Implant%20Dentistry%204th%20ed%20%20J.%20Lindhe%20%28Blackwell%2C%202003%29%20WW.pdf.
  10. Gershon AS, Warner L, Cascagnette P, et al. Lifetime risk of developing chronic obstructive pulmonary disease: a longitudinal population study. Lancet 2011;378(9795):991–996. DOI: 10.1016/S0140-6736(11)60990-2.
  11. Gundala R, Chava VK. Effect of lifestyle, education and socioeconomic status on periodontal health. Contemp Clin Dent 2010;1(1):23–26. DOI: 10.4103/0976-237X.62516.
  12. Newman JF, Gift HC. Regular pattern of preventive dental services. A measure of access. Soc Sci Med 1992;35(8):997–1001. DOI: 10.1016/0277-9536(92)90239-M.
  13. Georgiou TO, Marshall RI, Barlod PM. Prevalence of systemic diseases in Brisbane general and periodontal practice patients. Aust Dent J 2004;49(4):177–184. DOI: 10.1111/j.1834-7819.2004.tb00070.x.
  14. Chung JH, Hwang HJ, Kim SH, et al. Associations Between periodontitis and chronic obstructive pulmonary disease: the 2010 to 2012 Korean National Health and Nutrition Examination Survey. J Periodontol 2016;87(8):864–871. DOI: 10.1902/jop.2016.150682.
  15. Shi Q, Zhang B, Xing H, et al. Patients with chronic obstructive pulmonary disease suffer from worse periodontal health-evidence from a meta-analysis. Front Physiol. 2018;9:33. DOI: 10.3389/fphys.2018.00033.
  16. Lopez de Andres A, Vazquez-Vazquez L, Huedo M, et al. Is COPD associated with periodontal disease? A population-based study in Spain. Int J Chron Obstruct Pulmon Dis 2018;13:3435–3445. DOI: 10.2147/COPD.S174898.
  17. Shen TC, Chang PY, Lin CL, et al. Risk of periodontal diseases in patients with chronic obstructive pulmonary disease: a nationwide population-based cohort study. Medicine 2015;94(46):e2047. DOI: 10.1097/MD.0000000000002047.
  18. Madalli R, Kheur S, Reddy MG, et al. Assessment of role of Porphyromonasgingivalis as an aggravating factor for chronic obstructive pulmonary disease patients with periodontitis. Dent Hypotheses 2016;7(3):100–106. DOI: 10.4103/2155-8213.190485.
  19. Deo V, Bhongade ML, Ansari S, et al. Periodontitis as a potential risk factor for chronic obstructive pulmonary disease: a retrospective study. Indian J Dent Res 2009;20(4):466–470. DOI: 10.4103/0970-9290.59456.
  20. Zeng XT, Tu ML, Liu DY, et al. Periodontal disease and risk of chronic obstructive pulmonary disease: a meta-analysis of observational studies. PLoS One. 2012;7(10):e46508. DOI: 10.1371/journal.pone.0046508.
  21. Usher AK, Stockley RA. The link between chronic periodontitis and COPD: a common role for the neutrophil? BMC Med. 2013;11:241. DOI: 10.1186/1741-7015-11-241.
  22. Takahashi T, Muro S, Tanabe N, et al. Relationship between periodontitis-related antibody and frequent exacerbations in chronic obstructive pulmonary disease. PLoS One 2012;7(7):e40570. DOI: 10.1371/journal.pone.0040570.
  23. Hayes C, Sparrow D, Cohen M, et al. The association between alveolar bone loss and pulmonary function: the VA Dental Longitudinal Study. Ann Periodontol 1998;3(1):257–261. DOI: 10.1902/annals.1998.3.1.257.
  24. Russell SL, Boylan RJ, Kaslick RS, et al. Respiratory pathogen colonization of the dental plaque of institutionalized elders. Spec Care Dentist 1999;19(3):128–134. DOI: 10.1111/j.1754-4505.1999.tb01413.x.
  25. Peter KP, Mute BR, Doiphode SS, et al. Association between periodontal disease and chronic obstructive pulmonary disease: a reality or just a dogma? J Periodontol 2013;84(12):1717–1723. DOI: 10.1902/jop.2013.120347.
  26. Hyman JJ, Reid BC. Cigarette smoking, periodontal disease: And chronic obstructive pulmonary disease. J Periodontal 2004;75(1):9–15. DOI: 10.1902/jop.2004.75.1.9.
  27. Thomsen M, Nordestgaard BG, Vestbo J, et al. Characteristics and outcomes of chronic obstructive pulmonary disease in never smokers in Denmark: a prospective population study. Lancet Respir Med 2013;1(7):543–550. DOI: 10.1016/S2213-2600(13)70137-1.
  28. Sharma N, Shamsuddin H. Association between respiratory disease in hospitalized patients and periodontal disease: a cross-sectional study. J Periodontol. 2011;82(8):1155–1160. DOI: 10.1902/jop.2011.100582.
  29. Benazir G, Bhattacharya HS. To Evaluate Association Between Periodontal Disease and Chronic Obstructive Pulmonary Disease. Indian J Dent Sci 2014;1(6):41–44.
  30. Scannapieco FA, Papandonatos GD, Dunford RG. Associations between oral conditions and respiratory disease in a national sample survey population. Ann Periodontol 1998;3(1):251–256. DOI: 10.1902/annals.1998.3.1.251.
  31. Scannapieco FA, Ho AW. Potential associations between chronic respiratory disease and periodontal disease: analysis of National Health and Nutrition Examination Survey III. J Periodontol 2001;72(1):50–56. DOI: 10.1902/jop.2001.72.1.50.
  32. Bhavsar NV, Dave BD, Brahmbhatt NA, et al. Periodontal status and oral health behavior in hospitalized patients with chronic obstructive pulmonary disease. J Nat Sci Biol Med 2015;1:33–41.
  33. Tan L, Tang X, Pan C, et al. Relationship among clinical periodontal, microbiologic parameters and lung function in participants with chronic obstructive pulmonary disease. J Periodontol 2019;90(2):134–140. DOI: 10.1002/JPER.17-0705.
  34. Katancik JA, Kritchevsky S, Weyant RJ, et al. Periodontitis and airway obstruction. J Periodontol 2005;76(11S):2161–2167. DOI: 10.1902/jop.2005.76.11-S.2161.
  35. Scannapieco FA, Bush RB, Paju S. Association between periodontal diseases and risk for nosocomial bacterial pneumonia and chronic obstructive pulmonary disease: A systematic review. Ann Periodontol 2003;8(1):54–69. DOI: 10.1902/annals.2003.8.1.54.
  36. Leuckfeld I, Obregon-Whittle MV, Lund MB, et al. Severe chronic obstructive pulmonary disease: association with marginal bone loss in periodontitis. Respir Med 2008;102(4):488–494. DOI: 10.1016/j.rmed.2007.12.001.
  37. Scannapieco FA. Role of oral bacteria in respiratory infection. J Periodontol. 1999;70:793–802. DOI: 10.1902/jop.1999.70.7.793.
  38. Morris AJ, Steele J, White DA. The oral cleanliness and periodontal health of UK adults in 1998. Br Dent J 2001;191:186–192. DOI: 10.1038/sj.bdj.4801135.
  39. Taylor J, Pike R, Imamura I, et al. The role of proteolytic enzymes in the development of pulmonary emphysema and periodontal disease. Am J Respir Crit Care Med 1994;150(6_pt_2):S143–S146. DOI: 10.1164/ajrccm/150.6_Pt_2.S143.
  40. Wu X, Chen J, Xu M, et al. 16S rDNA analysis of periodontal plaque in chronic obstructive pulmonary disease and periodontitis patients. J Oral Microbiol 2017;9(1):1324725. DOI: 10.1080/20002297.2017.1324725.
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