Structure and clinicoradiologic peculiarities of periodontal disease in patients with gluten related-diseases

Abstract

Summary. To determine the structure of nosological forms and features of clinical and radiological manifestations of periodontal lesions on the background of celiac disease and non celiac gluten sensitivity.
Materials and methods. The study included 50 patients with periodontal pathology, who were in сonfirmity with inclusion and exclusion criteria. Depending on the type of gluten related disorder, the patients were divided into two study groups: patients with celiac (n = 25), patients with non celiac gluten sensitivity (n = 25). Periodontal status was assessed using subjective and objective criteria using the following indices: MPBI, Green-Vermillion, Silness-Loe, OHIS, РМА, Fuchs, and also examined the depth of periodontal pockets, tooth mobility, and bone mineral density.
Results and discussion. The average age of patients with celiac disease was 41.03±8.3; patients with non celiac gluten sensitivity – 40.38±8. During the study, when assessing the state of periodontal disease, there was no significant difference between the studied groups (р ≥ 0.05). When assessing the state of oral hygiene, an unsatisfactory state of oral hygiene was not detected.
Conclusions. During the study, generalized periodontitis prevailed in both study groups. During the study, a number of clinical and radiological features of periodontal lesions were identified. The data obtained indicate that in patients with gluten related disorders there are factors that affect the progression of soft tissue damage of the periodontal complex.