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

Authors

  • Т. В. Кустрьо
  • М. Ю. Антоненко
  • О. Ю. Губська
  • О. А. Значкова
  • М. Л. Шемелько

DOI:

https://doi.org/10.33295/1992-576X-2020-2-40

Keywords:

generalized periodontitis, celiac disease, non celiac gluten sensitivity

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.
Key words: generalized periodontitis, celiac disease, non celiac gluten sensitivity.

Author Biographies

Т. В. Кустрьо

Т.В. Кустрьо – аспірант кафедри стоматології Національного медичного університету ім. О.О. Богомольця, м. Київ, Україна.

М. Ю. Антоненко

М.Ю. Антоненко – д-р мед. наук, професор, завідувач кафедри стоматології Національного медичного університету ім. О.О. Богомольця, м. Київ, Україна.

О. Ю. Губська

О.Ю. Губська – д-р мед. наук, професор, завідувач кафедри терапії, інфекційних хвороб і дерматовенерології післядипломної освіти Національного медичного університету ім. О.О. Богомольця, м. Київ, Україна.

О. А. Значкова

О.А. Значкова – канд. мед. наук, доцент кафедри стоматології Національного медичного університету ім. О.О. Богомольця, м. Київ, Україна.

М. Л. Шемелько

М.Л. Шемелько – канд. мед. наук, асистент кафедри стоматології Національного медичного університету ім. О.О. Богомольця, м. Київ, Україна.

References

1. Malij DYu, Antonenko MYu. Epіdemіologіya zahvoryuvan' parodonta: vіkovyj
aspekt. Ukraїns'kij naukovomedichnyj molodіzhnyj zhurnal. 2013. 4: 41–43 [in Ukrainian]
2. Romanenko IG, Kryuchkov DYu. Generalizovannyj parodontit i metabolicheskij sindrom.
Edinstvo patogeneticheskih mekhanizmov razvitiya. Krymskij terapevticheskij zhurnal.
2011. 1 (16): 60–67 [in Russian]
3. Bui FQ, Almeida-da-Silva CLC, Huynh B, Trinh А, Liu J, Woodward J. Association
between periodontal pathogens and systemic disease. Biomedical Journal 2019. 42 (1): 27–35
4. Gubskaya EYu. Novoe ponimanie spektra glyutenzavisimyh zabolevanij. Suchasna
gastroenterologіyaю 2014. 1 (75): 160–164 [in Russian]
5. Gubs'ka OYu, Celiakiya: poshirenist', osoblivosti klinichnogo perebigu, diagnostyky,
likuvannya ta oduzhannya hvoryh: Avtoref dis d-ra med nauk: spec 14.01. 36. Kiїv 2009:
378 [in Ukrainian]
6. Lionetti E, Catassi C. New Clues in Celiac Disease Epidemiology, Pathogenesis,
Clinical Manifestations and Treatment. International Reviews of Immunology. 2011.
29; 30 (4): 219–31
7. Cervino G, Fiorillo L, Laino L, Herford AS, Lauritano F, Giudice GL. Oral Health
Impact Profile in Celiac Patients: Analysis of Recent Findings in a Literature Review. Gastroenterology
Research and Practice. 2018. 24: 1–9
8. Lourenςo TGB, Spencer SJ, Alm EJ, Colombo AP. Defining the gut microbiota in
individuals with periodontal diseases: an exploratory study. Journal of Oral Microbiology.
2018. 10 (1): 1487–741
9. Oshurko AP, Olіjnik ІYu. Dinamіka shchіl'nostі kіstkovoї tkanini verhn'oї shchelepi
lyudini u prenatal'nomu ontogenezі, vyznachena metodom komp’yuternoi tomografіi. Vіsnik
problem bіologіi і medycyny. 2019. 1; 2 (149): 300–305 [in Ukrainian]
10. Ron' GI, Elovikova TM, Uvarova LV, CHibisova MA. Densitotomometriya (densitometriya)
na konusno-luchevom komp'yuternom tomografe v dinamicheskom nablyudeniipacientov
s zabolevaniyami parodonta kak instrument vyyavleniya mineral'noj plotnosti kostnoj
tkani. Institut Stomatologii. 2015. 1 (66): 40–43 [in Russian].

Published

2020-07-03

Issue

Section

PARADONTOLOGY