medigraphic.com
ISSN 0016-3813 (Print)

2015, Number 5

<< Back Next >>

Gac Med Mex 2015; 151 (5)

Prevalence of severe periodontal disease and its association with respiratory disease in hospitalized adult patients in a tertiary care center

Fernández-Plata R, Olmedo-Torres D, Martínez-Briseño D, García-Sancho C, Franco-Marina F, González-Cruz H

Language: Spanish
References: 33
Page: 608-613
PDF size: 73.38 Kb.


ABSTRACT

Background: Severe periodontal disease is a chronic inflammatory gingival process associated with systemic diseases. Objective: To determine the prevalence of severe periodontal disease and its association with respiratory diseases among hospitalized patients at the Institute of Respiratory Diseases “Ismael Cosio Villegas” (INER) in 2011. Material and Methods: A cross-sectional study was developed. The severe periodontal disease was diagnosed by the Department of Stomatology. The International Classification of Diseases 10th revision was used. A multinomial logistic was fit to estimate relative-risk. Results: Three thousand and fifty-nine patients were included; 772/3,059 (25.2%) had severe periodontal disease. After controlling for age, sex, inpatient days, death, and socioeconomic status, the infectious respiratory diseases that were significantly associated with severe periodontal disease were: HIV/AIDS (RR: 10.6; 95% CI: 9.1-23.3; p ‹ 0.0001); pneumonia (RR: 2.6; 95% CI: 2.2-5.7; p ‹ 0.0001); pulmonary tuberculosis and its sequels (RR: 2.1; 95% CI: 1.6-4.9; p ‹ 0.0001); and lung abscess (RR: 2.6; 95% CI: 1.6-7.8; p = 0.002). Lung cancer and pleural diseases were also significantly associated with severe periodontal disease. Conclusions: High prevalence of severe periodontal disease was observed in the different respiratory diseases. Severe periodontal disease was associated with both infectious and non-infectious respiratory diseases. It is important to study an oral health intervention.


REFERENCES

  1. Peña SM, Peña SL, Díaz FA, et al. La enfermedad periodontal como riesgo de enfermedades sistémicas. Rev Cubana Estomatol. 2008;45. Disponible en: http://bvs.sld.cu/revistas/est/vol45_1_08/est06108.htm. [consultada 16 julio 2014].

  2. Bettina TA. Importancia de la salud oral y su conexión con la salud general. Biomedicina 2006;2:246-51.

  3. Fonseca MA, Vivas-Reyes R, Díaz AJ. La enfermedad periodontal como riesgo de enfermedades sistémicas. Arch Salud. 2008;3:21-7.

  4. Mojon P. Oral Health and Respiratory Infection. J Can Dent Assoc. 2002;68:340-5.

  5. Gopalakrishnapillai AC, Iyer RR, Kalantharakath T. Prevalence of periodontal disease among inpatients in a psychiatric hospital in India. Spec Care Dentist. 2012;32:196-204.

  6. Jimenez MC, Sanders AE, Mauriello SM, et al. Prevalence of periodontitis according to Hispanic or Latino background among study participants of the Hispanic Community Health Study/Study of Latinos. J Am Dent Assoc. 2014;145:805-16.

  7. Vettore MV, Marques RA, Peres MA. Social inequalities and periodontal disease: multilevel approach in SBBrasil2010 survey. Rev Saude Publica. 2013;47:29-39.

  8. Sánchez-García S, Heredia-Ponce E, Cruz-Hervert P, et al. Oral health status in older adults with social security in Mexico City: Latent class analysis. J Clin Exp Dent. 2014;6:e29-35.

  9. Terpenning M. Geriatric oral health and pneumonia risk. Clin Infect Dis. 2005;40:1807-10.

  10. Pérez-Padilla R. Hidden respiratory disease-associated deaths. Int J Tuberc Lung Dis. 2008;12:458-64.

  11. Srivastava R, Gupta SK, Mathur VP, et al. Prevalence of dental caries and periodontal diseases, and their association with socio-demographic risk factors among older persons in Delhi, India: a community-based study. Southeast Asian J Trop Med Public Health. 2013;44:523-33.

  12. John CN, Stephen LX, Joyce Africa CW. Is human immunodeficiency virus (HIV) stage an independent risk factor for altering the periodontal status of HIV-positive patients? A South African study. BMC Oral Health. 2013;13:69.

  13. Vernon LT, Demko CA, Babineau DC, et al. Effect of Nadir CD4+ T cell count on clinical measures of periodontal disease in HIV+ adults before and during immune reconstitution on HAART. PLoS One. 2013;8:e76986.

  14. Awano S, Ansai T, Takata Y, et al. Oral health and mortality risk from pneumonia in the elderly. J Dent Res. 2008;87:334-9.

  15. Pace CC, McCullough GH. The association between oral microorganisms and aspiration pneumonia in the institutionalized elderly: review and recommendations. Dysphagia. 2010;25:307-22.

  16. Gomes Filho IS, de Oliveira TF, da Cruz SS, et al. The influence of periodontitis in the development of nosocomial pneumonia: A case control study. J Periodontol. 2013;85:e82-90.

  17. Scannapieco FA, Bush RB, Paju S. Associations between periodontal disease and risk for nosocomial bacterial pneumonia and chronic obstructive pulmonary disease. A systematic review. Ann Periodontol. 2003;8:54-69.

  18. Scannapieco FA, Mylotte JM. Relationships between periodontal disease and bacterial pneumonia. J Periodontol. 1996;67:1114-22.

  19. El-Solh AA. Association between pneumonia and oral care in nursing home residents. Lung. 2011;189:173-80.

  20. De Melo Neto JP, Melo MS, dos Santos Pereira SA, et al. Periodontal infections and community-acquired pneumonia: a case-control study. Eur J Clin Microbiol Infect Dis. 2013;32:27-32.

  21. Azarpazhooh A, Leake JL. Systematic review of the association between respiratory diseases and oral health. J Periodontol. 2006;77:1465-82.

  22. Dev YP, Goyal OP. Recurrent lung infection due to chronic periodontitis. J Indian Med Assoc. 2013;111:127-9.

  23. Palakuru SK, Lakshman VK, Bhat KG. Microbiological analysis of oral samples for detection of Mycobacterium tuberculosis by nested polymerase chain reaction in tuberculosis patients with periodontitis. Dent Res J (Isfahan). 2012;9:688-93.

  24. Gilon Y, Brandt L, Lahaye T, et al. Systemic infections of dental origin. Rev Stomatol Chir Maxillofac. 2002;103:26-9.

  25. Nelson S, Laughon BE, Summer WR, et al. Characterization of the pulmonary inflammatory response to an anaerobic bacterialchallenge. Am Rev Respir Dis. 1986;133:212-7.

  26. Shinzato T. Effects and management of odontogenic infections on pulmonary infections. Yakugaku Zasshi. 2009;129:1461-4.

  27. Pendyala G, Joshi S, Chaudhari S, et al. Links demystified: Periodontitis and cancer. Dent Res J. 2013;10:704-12.

  28. Si Y, Fan H, Song Y, et al. Association between periodontitis and chronic obstructive pulmonary disease in a Chinese population. J Periodontol. 2012;83:1288-96.

  29. Ledic´ K, Marinkovic´ S, et al. Periodontal disease increases risk for chronic obstructive pulmonary disease. Coll Antropol. 2013;37:937-42.

  30. Barros PS, Suruki R, Loewy GZ, et al. A Cohort Study of the Impact of Tooth Loss and Periodontal Disease on Respiratory Events among COPD Subjects: Modulatory Role of Systemic Biomarkers of Inflammation. PLoS One. 2013;8:e68592.

  31. Bergström J, Cederlund K, Dahlén B, et al. Dental Health in Smokers with and without COPD. PLoS One. 2013;8:e59492.

  32. Enwonwu CO, Salako N. The periodontal disease-systemic health-infectious disease axis in developing countries. Periodontol 2000. 2012; 60:64-77.

  33. Bruce N, Neufeld L, Boy E, et al. Indoor biofuel air pollution and respiratory health: the role of confounding factors among women in Highland Guatemala. Int J Epidemiol.1998;27:454-8.




2020     |     www.medigraphic.com