4.6 Article

Chronic Obstructive Pulmonary Disease and Apical Periodontitis and Other Oral Health Variables: A Case-Control Study

Journal

APPLIED SCIENCES-BASEL
Volume 12, Issue 14, Pages -

Publisher

MDPI
DOI: 10.3390/app12147141

Keywords

apical periodontitis; endodontics; oral epidemiology; oral medicine; root canal treatment; COPD

Funding

  1. Fundacio Catalana de Pneumologia [PRO27/19]

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This case-control study aimed to investigate the association between COPD and Apical Periodontitis (AP). The results showed no significant difference in PAI>=3 between COPD patients and non-COPD patients, but COPD patients tend to have more teeth with PAI>=3, require more endodontic treatments, and have higher accumulation of caries in their periodontitis.
Background: The relationship between chronic inflammatory diseases and their comorbidities and correlation with periodontal diseases has become an increasing focus of research. Objectives: The aim of this case-control study was to conclude if patients suffering from COPD (Chronic Obstructive Pulmonary Disease) tend to have more AP (Apical Periodontitis) than non-COPD patients. Materials and Methods: The study was conducted on 30 patients assigned as cases, associated with 30 control patients linked by age (+/-5 years) and sex. Results: A total of 60 patients were recorded, and a total of 12 radiographic variables were analyzed. A total of 43 (71.7%) patients were registered with PAI (Periapical Index) >= 3, and there was a slightly tendency in the patients from the control group 22 (73.3%) compared to those from the cases 21 (70%), respectively (p > 0.05). Conclusions: It was concluded that there was not a significant association between the levels of PAI (Periapical Index) >= 3 per patient in those suffering from COPD. In fact, it could be concluded that patients diagnosed with COPD tend to have more teeth with PAI >= 3, more endodontic treatments and their periodontitis tended to accumulate more caries. Clinical Significance: This study establishes, in a case-control study, some specific aspects of oral health in patients with COPD, as well as analyzing the importance of oral health in this disease.

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